中国康复理论与实践2017，Vol.23Issue(9)：1015-1020,6.DOI:10.3969/j.issn.1006-9771.2017.09.006
七步综合消肿疗法对乳腺癌术后上肢淋巴水肿的效果
Effects of Seven-step Complex Decongestion Therapy on Upper Limb Lymphedema after Operation for Breast Cancer
摘要
Abstract
Objective To explore the effects of seven-step complex decongestion therapy (CDT) on post-operative upper limb lymphede-ma of breast cancer. Methods From August, 2015 to September, 2016, 71 patients with upper limb lymphedema after breast cancer surgery accepted CDT for 20 days, including skin care, opening of lymphatic pathway, relief of scar tissue, manual lymphatic drainage, bandage compression, air pressure wave therapy and functional exercise. The circumference of eight sites of both limbs was measured and the differ-ences were calculated before treatment, and one, five, ten, fifteen and twenty days of the treatment. Results The differences of circumfer-ence increased one to 15 days of the treatment (Z>2.03, P<0.05), and decreased 20 days of the treatment (Z=3.01, P<0.01). Conclusion CDT is effective on lymphedema after breast cancer surgery for 20 days of a course, but may worsen in the first 15 days, which may be relat-ed to acute stress response or redistribution of lymph.关键词
乳腺癌/上肢淋巴水肿/七步综合消肿疗法/徒手淋巴引流Key words
breast cancer/upper limb lymphedema/seven-step complex decongestion therapy/manual lymph drainage分类
医药卫生引用本文复制引用
张惠婷,钟巧玲,张慧珍,刘琳妃,刘莉丽,张丽娟,唐海林..七步综合消肿疗法对乳腺癌术后上肢淋巴水肿的效果[J].中国康复理论与实践,2017,23(9):1015-1020,6.基金项目
国家自然科学基金面上项目(No.81472469). （No.81472469）
