综合消肿理疗应用于淋巴水肿治疗的疗效评估

顾炎林; 孙桂兰; 徐华芳; 郑力; 蒋国勤

doi:10.13898/j.cnki.issn.1000-2200.2021.12.012

综合消肿理疗应用于淋巴水肿治疗的疗效评估

Efficacy evaluation of complex decongestive therapy in the treatment of lymphedema

摘要

摘要:
目的评估综合消肿理疗对于乳腺癌相关性淋巴水肿的治疗效果。
方法选取2017年9月至2018年11月苏州大学附属第二医院治疗的73例淋巴水肿的乳腺癌术后病人，所有病人都接受统一的综合消肿理疗，采用上肢周径测量法测量患肢水肿处的周径，计算患肢体积。评估治疗前后患肢周径减少程度、治疗效果与治疗时间的关系，分析体质量指数、患侧和淋巴水肿病程对治疗疗效的影响。
结果经过综合消肿理疗，73例病人患肢所测量处的周径均较治疗前明显减少（P < 0.01），患肢测量处周径减少的程度与治疗时间呈正相关（P < 0.05~P < 0.01）。不同体质量指数、患侧和淋巴水肿病程对淋巴水肿的治疗效果影响均无统计学意义（P>0.05）。
结论综合消肿理疗可明显改善患肢水肿，且足疗程的治疗可明显提高治疗效果，是乳腺癌术后淋巴水肿有效的治疗方式。

Abstract:
ObjectiveTo evaluate the therapeutic effects of complex decongestive therapy(CDT) on breast cancer-related lymphedema.
MethodsA total of 73 patients with breast cancer-related lymphedema in The Second Affiliated Hospital of Soochow University from September 2017 to November 2018 were treated with CDT.The circumference and diameter of affected limb edema were measured by upper limb circumference and diameter measurement, and the volume of affected limb was calculated.The reducing degree of circumference and diameter of affected limb were evaluated after treatment.The relationship between treatment effect and duration, body mass index, and effects of affected side and course of lymphedema on the therapeutic effects were analyzed.
ResultsAfter CDT, the circumference and diameter of affected limb in 73 cases significantly decreased compared with before treatment(P < 0.01), and the reducing degree of circumference and diameter of affected limb were positively correlated with duration of disease(P < 0.05 to P < 0.01).The differences of the effects of different body mass index, affected side and course of lymphedema on therapeutic effect of lymphedema were not statistically significant(P>0.05).
ConclusionsCDT can significantly improve the affected limb edema, and the treatment of full course can significantly improve the treatment effect.CDT is an effective treatment for lymphedema after breast cancer surgery.

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