综合淋巴消肿疗法在乳腺癌术后上肢淋巴水肿患者中的应用

Application of comprehensive decongestive lymphatic therapy in patients with upper limb lymphedema after breast cancer surgery

目的研究乳腺癌术后上肢淋巴水肿疾病在临床治疗中通过综合淋巴消肿疗法的效果和应用。方法抽取本院于2017年9月至2019年9月,此2年间收治的乳腺癌术后上肢淋巴水肿患者32例,对所有患者均实施综合淋巴消肿疗法,观察比较治疗前后的临床效果,如患者的组织水分比率、周径比率、肘横纹上方周径、肘横纹下方周径、腋下周径、虎口周径、腕横纹上方周径、Bathel指数与Fugl-Meyer评分等。结果相较于治疗前,治疗后上肢淋巴水肿患者组织水分比率与周径比率更短,综合淋巴消肿疗法的应用效果较为理想(P<0.05),相比于对治疗前,治疗后乳腺癌术后上肢淋巴水肿患者的肘横纹上方周径、肘横纹下方周径、腋下周径、虎口周径与腕横纹上方周径更短(P<0.05)。相比于治疗前,治疗后乳腺癌术后上肢淋巴水肿患者的Bathel指数与Fugl-Meyer评分更高(P<0.05)。结论综合淋巴消肿疗法在此次研究中的应用效果较为理想,对于改善患者的临床症状,缓解上肢淋巴水肿等具有重要意义,疗效确切,值得将其推广普及于临床治疗工作中。

Objective To study the effect and application of comprehensive decongestive lymphatic therapy in the clinical treatment of upper limb lymphedema after breast cancer surgery.Methods A total of 32 patients with lymphedema of upper limbs after breast cancer surgery in our hospital from September 2017 to September 2019 were selected.All patients were treated with comprehensive decongestive lymphatic therapy.The clinical effect before and after treatment was observed and compared,including the patient's tissue water ratio,circumference ratio,circumference above and below the elbow stripes,underarm circumference,the circumference of tiger's mouth and above the wrist stripes,Bathel index and Fugl-Meyer score.Results Compared with before treatment,the tissue water ratio and circumference ratio of patients with upper limb lymphedema was shorter after treatment.The application effect of comprehensive decongestive lymphatic therapy was better(P<0.05).After treatment,patients with upper limb lymphedema after breast cancer surgery had shorter circumferences above the elbow stripes,below the elbow stripes,underarms,tiger's mouth,and upper wrist stripes(P<0.05).Compared with before treatment,the Bathel index and Fugl-Meyer score of patients with upper limb lymphedema after breast cancer surgery were higher(P<0.05).Conclusion The comprehensive decongestive lymphatic therapy has an ideal application effect.It is of great significance for improving the clinical symptoms of patients and relieving lymphedema of the upper limbs.It has a definite impact and is worth popularizing in clinical treatment.