摘要
目的:探索早期实施徒手淋巴引流技术促进宫颈癌术后下肢淋巴液回流,预防继发性淋巴水肿,规范康复治疗。方法:选取某医院2019年08月至2019年12月行宫颈癌腹腔淋巴结清扫术的患者51例,随机分为对照组25例、干预组26例。对照组按照恶性肿瘤患者常规康复出院指导加渐进式抵抗训练;干预组在此基础上增加早期徒手淋巴引流技术,包括固定打圈、泵送、铲送和旋转四种基本手法。评价两组下肢淋巴水肿发生率及继发性淋巴水肿就诊率。结果:干预组仅1例1期淋巴水肿,发生率低于对照组(P<0.01),有显著性差异;水肿患者也得到及时治疗,早期就诊率高于对照组(P<0.05),有显著性差异。结论:早期应用徒手淋巴引流技术不仅可以延缓宫颈癌腹腔淋巴结清扫术后继发性下肢淋巴水肿的发生,更重要的是能早发现、早就医,并能得到精准康复治疗。
Objective:To explore the effect of early implementation of unarmed lymphatic drainage technology on promoting the lower extremity lymph reflux after cervical cancer surgery,preventing secondary lymphedema and standardize rehabilitation therapy.Methods:A total of 51 patients with cervical cancer accepted abdominal lymph node dissection from August 2019 to December 2019 were randomly divided into control group(25 cases)and intervention group(26 cases).The control group was given routine rehabilitation and discharge guidance plus progressive resistance training,while the intervention group was added with early unarmed lymphatic drainage technology,including fixed circle,pumping,shoveling and rotation.The incidence of lower extremity lymphedema and the visiting rate of secondary lymphedema in the two groups were evaluated.Results:There was only 1 case of stage 1 lymphedema in the intervention group,the incidence was lower than that in the control group,with a significant difference(P<0.01).The edema patients received treatment in time.The early treatment rate of intervention group was higher than that of the control group,with a significant difference(P<0.05).Conclusion:Early intervention with unarmed lymphatic drainage technology not only delay the occurrence of secondary lower extremity lymphedema after abdominal lymph node dissection for cervical cancer,but also early detection and treatment and get accurate rehabilitation treatment.
作者
白巧玲
王星
BAI Qiaoling;WANG Xing(Cancer Rehabilitation Treatment Center,Shaanxi Province Cancer Hospital,Shaanxi Xi'an 710061,China)
出处
《现代肿瘤医学》
CAS
北大核心
2021年第19期3440-3443,共4页
Journal of Modern Oncology
基金
陕西省自然科学基础研究计划(编号:2021JM-581)。
关键词
徒手淋巴引流
腹腔清扫术
继发性下肢淋巴水肿
unarmed lymphatic drainage
abdominal dissection
secondary lymphedema of lower limbs
