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应用手法淋巴引流综合消肿疗法治疗肢体淋巴水肿的效果观察

陈佳佳 汪立 韩凌华 孙笛 高敏哲 刘宁飞

组织工程与重建外科杂志2017,Vol.13Issue(6):322-324,327,4.
组织工程与重建外科杂志2017,Vol.13Issue(6):322-324,327,4.DOI:10.3969/j.issn.1673-0364.2017.06.005

应用手法淋巴引流综合消肿疗法治疗肢体淋巴水肿的效果观察

Effects of Complex Decongestive Therapy Combined with Manual Lymphatic Drainage in the Treatment of Lymphedema of Limbs

陈佳佳 1汪立 1韩凌华 1孙笛 1高敏哲 1刘宁飞1

作者信息

  • 1. 200011 上海市 上海交通大学医学院附属第九人民医院整复外科淋巴中心
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of complex decongestive therapy (CDT) combined with manual lymphatic drainage in the treatment of lymphedema of limbs. Methods From June 2014 to June 2015,102 cases of limb lymphedema with different etiology and location were treated by CDT combined with manual lymphatic drainage for 1 course (4 weeks). Multiple frequency bioelectrical body composition analyzer was used for monitoring the extent of tissue edema and human BMI changes, and the limb circumference changes were measured. Subsequent CDT self -treatment was ordered. Results The limb edema degree, BMI index and limb circumference were all significantly decreased after CDT treatment (P <0.001). The variation of water content, circumferential diameter and BMI before and after the treatment were all significantly correlated (r=0.445, 0.567, 0.572; P<0.001). All patients were followed up for 6 months, 90% patients insisted on CDT self-treatment, and no obvious recurrence was observed. Conclusion CDT treatment can significantly eliminate the lymphedema of extremity edema and reduce BMI, and subsequent CDT self-treatment is also indispensable.

关键词

淋巴水肿/手法淋巴引流/综合消肿疗法/身体质量指数/消肿

Key words

Lymphedema/Manual lymphatic drainage/Complex decongestive therapy/Body mass index/Detumescence

分类

医药卫生

引用本文复制引用

陈佳佳,汪立,韩凌华,孙笛,高敏哲,刘宁飞..应用手法淋巴引流综合消肿疗法治疗肢体淋巴水肿的效果观察[J].组织工程与重建外科杂志,2017,13(6):322-324,327,4.

基金项目

上海市临床医学中心重中之重:上海市修复重建外科临床医学中心(12401900504) (12401900504)

国家临床重点专科:整形外科国家临床重点专科建设项目(81272146). (81272146)

组织工程与重建外科杂志

OACSTPCD

1673-0364

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