不同绷带包扎方法对乳腺癌淋巴水肿压力治疗效果的影响
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女,本科,主任护师,护理部副主任

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江苏高校护理学优势学科建设工程资助项目(2019YSHL127);国家中医临床研究基地(江苏省中医药研究院)开放课题重点立项项目(JD2019SZXZD05)


Effects of different bandaging methods for compression therapy in patients with breast cancer-related lymphedema
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    摘要:

    目的 探讨绷带包扎方法与乳腺癌相关淋巴水肿压力治疗效果的相关性。 方法 将62例接受综合淋巴消肿治疗的乳腺癌相关淋巴水肿患者随机分为“8”字包扎组(20例)、“5”分包扎组(21例)和联合包扎组(21例),在手法淋巴引流后分别采用“8”字包扎法、“5”分包扎法和联合包扎法,治疗20次后比较三组肢体周径比率、组织水分比率、患者满意度和绷带包扎松散发生率。 结果 三组肢体周径比率、组织水分比率均较治疗前改善,患者满意度中三项比较差异有统计学意义(均P<0.05),联合包扎组包扎松散率为0。 结论 三种方法用于淋巴水肿均有较好效果,其中联合包扎法具有舒适度高、不易松散的优点,患者满意度高。

    Abstract:

    Objective To explore the correlation of bandaging method and therapeutic effect in patients with breast cancer-related lymphe-dema. Methods Sixty-two patients with breast cancer-related lymphoedema receiving complex decongestive therapy were randomized into 3 groups. The Figure-of-eight group received bandage treatment in a Figure-of-eight shape, the spiral group received bandaging in a spiral fashion, overlapping each previous wrap by one half, and the combination group received both bandaging methods for treatment. Circumference of the limb, extracellular water/total body water ratio, patient satisfaction and the rate of bandage loosening were compared among the three groups after 20 treatments. Results The circumference of the limb and extracellular water/total body water ratio were improved in all three groups after the treatment, and 3 items of patient satisfaction had significant difference among the three groups (P<0.05 for all). None of patients in the combination group developed bandage loosening. Conclusion All three bandaging methods achieve satisfactory outcomes in lymphedema, and the combination use of Figure-of-eight and spiral bandaging is more comfortable for patients without loosening of bandage and can enhance patient satisfaction.

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王蓓,陈正红,孙文雯.不同绷带包扎方法对乳腺癌淋巴水肿压力治疗效果的影响[J].护理学杂志,2020,35(21):39-41

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  • 收稿日期:2020-06-12
  • 最后修改日期:2020-07-30
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  • 在线发布日期: 2022-09-06