七步综合消肿疗法对乳腺癌术后上肢淋巴水肿的效果

doi:10.3969/j.issn.1006-9771.2017.09.006

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (9): 1015-1020.doi: 10.3969/j.issn.1006-9771.2017.09.006

• 专题　乳腺癌术后康复 • 上一篇下一篇

七步综合消肿疗法对乳腺癌术后上肢淋巴水肿的效果

张惠婷, 钟巧玲, 张慧珍, 刘琳妃, 刘莉丽, 张丽娟, 唐海林

中山大学肿瘤防治中心,广东广州市 510060。

收稿日期:2017-03-17 修回日期:2017-07-05 出版日期:2017-09-25 发布日期:2017-10-10
通讯作者: 张丽娟,女,副主任护师。E-mail: zhanglij@sysucc.org.cn。
作者简介:张惠婷(1989-),女,汉族,广东惠州市人,硕士研究生,护师,主要研究方向：乳腺癌护理、个案管理。
基金资助:
国家自然科学基金面上项目(No.81472469)

Effects of Seven-step Complex Decongestion Therapy on Upper Limb Lymphedema after Operation for Breast Cancer

ZHANG Hui-ting, ZHONG Qiao-ling, ZHANG Hui-zhen, LIU Lin-fei, LIU Li-li, ZHANG Li-juan, TANG Hai-lin

Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong 510060, China

Received:2017-03-17 Revised:2017-07-05 Published:2017-09-25 Online:2017-10-10
Contact: Correspondence to ZHANG Li-juan. E-mail: zhanglij@sysucc.org.cn

摘要/Abstract

摘要： 目的探讨七步综合消肿疗法(CDT)治疗乳腺癌术后上肢淋巴水肿的效果。方法2015年8月至2016年9月,乳腺癌术后上肢淋巴水肿患者71例,采用七步CDT对患者进行干预,包括皮肤护理、开通淋巴通路、舒缓瘢痕组织、徒手淋巴引流、绷带加压包扎、压力波治疗、功能锻炼,共20 d。治疗前及治疗1 d、5 d、10 d、15 d、20 d分别测量上肢8个部位的周径,计算双侧周径差。结果治疗1~15 d,周径差较治疗前增加(Z>2.03, P<0.05),治疗20 d周径差明显缩小(Z=3.01, P<0.01)。结论七步CDT治疗淋巴水肿有效,但初期会出现水肿加重、反复波动,至20 d水肿程度明显减轻。这可能与急性应激反应或淋巴液重新分布有关。

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

Abstract: ObjectiveTo explore the effects of seven-step complex decongestion therapy (CDT) on post-operative upper limb lymphedema of breast cancer. MethodsFrom 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 differences were calculated before treatment, and one, five, ten, fifteen and twenty days of the treatment. ResultsThe differences of circumference 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). ConclusionCDT 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 related to acute stress response or redistribution of lymph.

Key words: breast cancer, upper limb lymphedema, seven-step complex decongestion therapy, manual lymph drainage

中图分类号:

R737.9

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.

ZHANG Hui-ting, ZHONG Qiao-ling, ZHANG Hui-zhen, LIU Lin-fei, LIU Li-li, ZHANG Li-juan, TANG Hai-lin. Effects of Seven-step Complex Decongestion Therapy on Upper Limb Lymphedema after Operation for Breast Cancer[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1015-1020.

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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

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