综合消肿疗法联合芒硝、大黄外敷对宫颈癌根治术后下肢淋巴水肿的干预效果

Clinical effects of external application of mirabilite and rhubarb combined with complete decongestive therapy in lower limb lymphedema after cervical cancer radical surgery

目的 探讨综合消肿疗法(CDT)联合芒硝、大黄外敷对宫颈癌根治术后下肢淋巴水肿(LLL)的干预效果,为临床护理提供参考。方法 采用前瞻性随机对照研究设计,选取2022年5月至2023年5月80例宫颈癌根治术后LLL患者按照随机数字表法分为试验组和对照组,每组40例。对照组实施常规术后护理和标准国际四步CDT,试验组在对照组基础上给予芒硝、大黄外敷。治疗前和治疗4周后,比较2组患者淋巴水肿分期、下肢周径以及生命质量的变化。结果 治疗4周后,试验组淋巴水肿程度较对照组减轻,且试验组大腿周径、小腿周径均低于对照组,差异有统计学意义(P<0.05)。治疗前,2组患者生命质量得分比较差异无统计学意义(P>0.05);治疗4周后,试验组生理状况、社会/家庭状况、情感状况、功能状况等维度得分以及生命质量总分均高于对照组,差异有统计学意义(P<0.05)。结论 CDT联合芒硝、大黄外敷治疗,可有效缓解宫颈癌根治术后下肢淋巴水肿,改善患者生命质量。

Objective To explore the clinical effects of external application of mirabilite and rhubarb combined with complete decongestive therapy(CDT)in lower limb lymphedema(LLL)after cervical cancer radical surgery,thus providing a reference for clinical nursing.Methods This was a prospective randomized controlled study including 80 patients with LLL after cervical cancer radical surgery visited our hospital from May 2022 to May 2023 were recruited in the present study,they were randomly assigned to the control group(n=40)and the experimental group(n=40).All patients were managed by routine care+CDT of international standard,and those in the experimental group were additionally given external application of mirabilite and rhubarb.After 4 weeks of therapy,the changes in lymph edema staging,lower limb circumference,and quality of life between two groups were compared.Results After 4 weeks of treatment,the experimental group had significantly alleviated lymphedema staging,shorter thigh and calf circumferences compared to the control group(P<0.05).Before treatment,there was no statistically significant difference in the quality of life scores between groups(P>0.05).After 4 weeks of treatment,The dimension scores and total scores of physiological status,social/family status,emotional status,functional status,and quality of life were significantly higher in the experimental group than in the control group(P<0.05).Conclusion The external application of mirabilite and rhubarb combined with CDT can effectively alleviate LLL after cervical cancer radical surgery,and improve the patients’quality of life.