烘绑疗法治疗肢体慢性淋巴水肿

Heating and Bandage Treatment on Patients with Chronic Lymphedema of Extremities

目的观察烘绑疗法治疗肢体慢性淋巴水肿的临床疗效。方法自2012年1月至2013年9月,53例肢体慢性淋巴水肿患者接受烘绑疗法治疗,治疗前后采用多频生物电阻人体成分分析仪检测组织水肿程度,卷尺测量患肢周径变化。结果烘绑治疗后,患肢组织水肿程度明显减轻(P=0.006),患肢周径明显缩小(P=0.000)。长期随访显示,患者主观感觉改善明显,后续弹性材料加压治疗减少了水肿复发。烘绑治疗前后水分与周径变化具有明显相关性(r=0.356,P=0.01)。结论烘绑疗法可有效消除慢性淋巴水肿患者的肢体水肿,后续弹性材料加压治疗亦不可缺少。

Objective To investigate the effects of heating and bandage treatment on patients with chronic lymphedema of extremities. Methods From January 2012 to September 2013, 53 patients with chronic lymphedema of extremities were received heating and bandage treatment. The extent of tissue edema were detected by Multiple-frequency bioelectrical impedance analysis before and after treatment. The circumference of the extremities were measured before and after treatment. Results After heating and bandage treatment, remarkable reduction of accumulated edema fluid in tissue and circumference were observed （P=0.006, P=0.000）. On long-term follow-up, most of the patients felt better. The relapse of lymphedema was reduced by pressure therapy with elastic material secondly. The correlation between edema lessening and circumference reducing was obviously significant （r=0.356, P=0.01）. Conclusion Heating and bandage treatment can effectively reduce the edema of extremities. Simultaneously, the subsequent elastic material pressure therapy was essential.