徒手淋巴引流联合凯格尔训练在宫颈癌术后外阴Ⅰ期淋巴水肿患者中的应用
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女,本科,副主任护师,科护士长

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国家自然科学基金面上项目(81772961);2018年广东省护理学会护理科研课题立项面上项目(gdhlxueh2019zx029);2020年广东省医学科研基金(A2020267)


Application of manual lymph drainage and Kegel exercise to patients developing stageⅠlymphedema at the vulva after cervical cancer surgery
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    摘要:

    目的 探讨运用徒手淋巴引流联合凯格尔训练方法在宫颈癌术后Ⅰ期外阴淋巴水肿的应用效果。方法 选取宫颈癌术后单纯外阴Ⅰ期淋巴水肿患者10例,采用徒手淋巴引流联合凯格尔训练进行干预,20次为1个疗程,为期28 d。结果 治疗的0、5、10、15、20次患者外阴的Ⅰ期淋巴水肿逐渐好转,1个疗程结束后9例患者外阴Ⅰ期淋巴水肿完全消退,1例部分消退。结论 重视、早期识别和治疗外阴Ⅰ期淋巴水肿至关重要;徒手淋巴引流联合凯格尔训练方法对宫颈癌术后外阴Ⅰ期淋巴水肿患者的康复起着积极的作用,有助于提高宫颈癌术后外阴淋巴水肿患者的生活质量。

    Abstract:

    Objective To explore the effect of manual lymph drainage in combination with Kegel exercise on patients developing stage Ⅰ lymphedema at the vulva after cervical cancer surgery. Methods Ten patients developing stageⅠlymphedema at the vulva after cervical cancer surgery were recruited to receive an intervention combining manual lymph drainage and Kegel exercise. The intervention stretched 28 days, with 20 sessions forming a treatment course. Results StageⅠlymphedema at the vulva gradually resolved upon completion of 0, 5, 10, 15 and 20 sessions. Lymphedema in 9 patients completely vanished at the completion of the 1st course, while partially resolved in 1 case. Conclusion It is important to pay attention to early identification and treatment of stageⅠlymphedema at the vulva. Manual lymph drainage in combination with Kegel exercise plays a positive role in rehabilitation of patients who suffer from stage Ⅰ lymphedema at the vulva after cervical cancer surgery, and improves the quality of life of the patients.

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张丽娟,罗庆华,张慧珍,钟巧玲,李月,李婵,唐海林.徒手淋巴引流联合凯格尔训练在宫颈癌术后外阴Ⅰ期淋巴水肿患者中的应用[J].护理学杂志,2020,35(14):10-12

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  • 收稿日期:2020-03-20
  • 最后修改日期:2020-05-10
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  • 在线发布日期: 2022-09-06