| 毛朝琴,金毕,肖喜玲,吴中文,范澄.手法淋巴引流综合疗法对下肢2期淋巴水肿患者的疗效[J].中国康复,2019,34(3):155-158 |
| 手法淋巴引流综合疗法对下肢2期淋巴水肿患者的疗效 |
| Curative Effect of Combined Therapy of Manipulative Iymphatic Drainage in Patients with Stage 2 Iymphedema |
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| DOI： |
| 中文关键词: 淋巴引流综合消肿疗法 2期淋巴水肿 气压治疗 |
| 英文关键词: combined treatment of lymphatic drainage with detumescence stage 2 lymphedema air pressure treatment |
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| 中文摘要: |
| 目的：探讨手法淋巴引流综合疗法对下肢2期淋巴水肿患者的疗效。方法：将70例下肢2期淋巴水肿的患者随机均分为治疗组和对照组各35例,治疗组接受手法淋巴引流综合疗法,对照组接受常规传统压力疗法,治疗1个疗程后采用多频生物电阻人体成分分析仪检测组织水肿，疼痛视觉模拟评分量表评判治疗后疼痛情况，测量肢体周径大小，睡眠状况和下肢运动功能状况来评估最终疗效。结果：治疗1个疗程后，2组患者患侧肢体组织水肿程度显著降低(P<0.05)，患侧下肢疼痛显著减轻(P<0.05)，患肢周径的显著缩小(P<0.05)；睡眠状况和下肢运动功能状况明显好转(P<0.05)，而且治疗组较对照组效果更明显(P<0.05)。结论：下肢2期淋巴水肿患者可以通过手法淋巴引流综合疗法有效地促进滞留组织淋巴水肿的回流，并显著地减轻肢体的肿胀和疼痛，改善睡眠和下肢运动功能，是目前一种非常有效值得推广的治疗手段。 |
| 英文摘要: |
| Objective: To explore the curative effect of combined therapy of manipulative lymphatic drainage on patients with stage 2 lymphedema in lower extremities. Methods: A total of 70 patients with stage 2 lymphedema of the lower extremity were selected and randomly divided into the treatment group and the control group, 35 cases in each group. The treatment group received combined therapy of manipulative lymphatic drainage, and the control group received conventional traditional pressure therapy. After one course of treatment, tissue edema was detected by multi frequency biological resistance human component analyzer. The visual analogue scale (VAS) was used to measure post treatment pain, limb diameter, sleep scale and lower limb motor function to evaluate the final effect. Results: After one course of treatment, all the 70 patients showed improvement in lower limb condition. The degree of edema of the affected limb tissues, lower limb pain, the circumference diameter of the affected limb, sleep scale and lower limb motor function score were significantly reduced (all P<0.05). In addition, the treatment group was more effective than the control group (P<0.05). Conclusion: The combined therapy of manipulative lymphatic drainage on patients with stage 2 lymphedema of the lower extremity can effectively promote the reflux of retained tissue lymphedema, significantly reduce limb swelling and pain, and improve sleep and lower limb motor function. It is a very effective treatment that deserves to be popularized at present. |
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