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乳房切除术后淋巴水肿:仅靠抬高患肢是一种有效的治疗方法吗?

Lymphoedema post-mastectomy: is elevation alone an effective treatment?

作者信息

Swedborg I, Norrefalk J R, Piller N B, Asard C

机构信息

Red Cross Hospital, Stockholm, Sweden.

出版信息

Scand J Rehabil Med. 1993 Jun;25(2):79-82.

PMID:8341995
Abstract

In an attempt to obtain information about the efficacy of arm elevation on the reduction of lymphoedema following mastectomy, a study on 33 patients was carried out in which both the control, contralateral and lymphoedematous arms were elevated for periods of 1 and 5 h. There were statistically significant (p < 0.05) reductions in the volumes of the control and lymphoedematous arms after 1 and 5 h of elevation. After 1 h of elevation, significantly more fluid was removed from the control arm (2.7%) than the lymphoedematous one (1.3%). At 5 h there was no significant difference in the volume of fluid removed from the control arm (3.3%) compared with the lymphoedematous one (3.1%).

摘要

为了获取关于抬高手臂对降低乳房切除术后淋巴水肿效果的信息,对33名患者进行了一项研究,其中对照侧、对侧和淋巴水肿手臂均抬高1小时和5小时。抬高1小时和5小时后,对照侧和淋巴水肿手臂的体积有统计学意义的减小(p<0.05)。抬高1小时后,对照侧手臂排出的液体量(2.7%)明显多于淋巴水肿手臂(1.3%)。在5小时时,对照侧手臂排出的液体量(3.3%)与淋巴水肿手臂(3.1%)相比无显著差异。

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