乳腺癌术后手背部Ⅲ级淋巴水肿行多层绷带联合施耐德包扎效果探讨
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女,本科,主管护师

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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立项面上项目(gdhlxueh2019zx029);2020年广东省医学科研基金项目(A2020267)


Effect of multi-layer bandaging combined with Schneider bandaging of grade Ⅲ lymphedema on the back of the hand after breast cancer surgery
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    目的 促进乳腺癌术后患侧手背部Ⅲ级淋巴水肿患者淋巴回流,减轻局部症状与病理改变。 方法 将来我院淋巴水肿门诊就诊的86例乳腺癌术后患侧上肢Ⅲ级淋巴水肿患者按就诊时间段分为常规组44例、改进组42例。常规组行常规多层绷带从指端到肩下加压包扎;改进组采用多层绷带联合施耐德包扎法。每天1次,连续20次后评价效果。 结果 改进组患侧手掌周径减小程度显著优于常规组(均P<0.01),紧绷感、麻木感、肿胀感发生率显著低于常规组(P<0.05, P<0.01)。 结论 多层绷带联合施耐德包扎法可有效促进淋巴回流,有利于恢复肢体形状,缓解主观症状。

    Abstract:

    Objective To activate lymphatic circulation in patients with grade Ⅲ lymphedema of the back of the hand of the operated side following breast cancer surgery, and to relieve symptoms and pathological changes. Methods A total of 86 breast cancer patients with grade Ⅲ lymphedema of the upper limb were chronologically divided into a routine group of 44 and a modified group of 42. The routine group received conventional multi-layer bandaging alone from the finger to the shoulder, while the modified group was subjected to multi-layer bandaging in combination with Schneider bandaging once a day. The effect was evaluated after 20-day intervention. Results The modified group showed significantly decreased circumference of the affected hand, lower rates of tightness, numbness, and swelling compared with the routine group (P<0.05,P<0.01). Conclusion Multi-layer bandaging combined with Schneider bandaging can effectively activate lymphatic circulation, thus to restore the shape of the limbs and relieve subjective symptoms.

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钟巧玲,张慧珍,罗庆华,张惠婷,张丽萍,刘凤,张丽娟,唐海林.乳腺癌术后手背部Ⅲ级淋巴水肿行多层绷带联合施耐德包扎效果探讨[J].护理学杂志,2020,35(19):38-41

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  • 收稿日期:2020-05-20
  • 最后修改日期:2020-07-15
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  • 在线发布日期: 2022-09-06