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。
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.
作者
王蓓
陈正红
孙文雯
Wang Bei;Chen Zhenghong;Sun Wenwen(Nursing Department,Jiangsu Province Hospital of Integration of Chinese and Western Medicine,Nanjing 210028,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第21期39-41,共3页
Journal of Nursing Science
基金
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)。
关键词
乳腺癌
淋巴水肿
综合淋巴消肿治疗
绷带
压力包扎
组织水分比率
breast cancer
lymphedema
complex decongestive therapy
bandage
compression bandaging
extracellular water/total body water ratio
