[1]刘高明,刘媛媛,胡进,等.综合消肿疗法在妇科恶性肿瘤术后外阴淋巴水肿中的应用[J].军事护理,2021,38(10):73-76.[doi:10.3969/j.issn.1008-9993.2021.10.019]
　LIU Gaoming,LIU Yuanyuan,HU Jin,et al.Application of Complex Drainage Therapy in Vulval Lymphedema after Gynecological Malignant Tumor Operation[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):73-76.[doi:10.3969/j.issn.1008-9993.2021.10.019]
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综合消肿疗法在妇科恶性肿瘤术后外阴淋巴水肿中的应用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年10期
页码:
73-76
栏目:
专科护理
出版日期:
2021-10-15

文章信息/Info

Title:
Application of Complex Drainage Therapy in Vulval Lymphedema after Gynecological Malignant Tumor Operation
文章编号:
1008-9993(2021)10-0073-04
作者:
刘高明1; 刘媛媛2; 胡进2; 袁美芳2; 付洋2
(1.湖南省肿瘤医院 护理部,湖南 长沙410013; 2.湖南省肿瘤医院 妇科肿瘤二科)
Author(s):
LIU Gaoming1; LIU Yuanyuan2; HU Jin2; YUAN Meifang2; FU Yang2
(1.Nursing Department,Hunan Cancer Hospital,Changsha 410013,Hunan Province,China; 2.Gynecologic Oncology Ward Ⅱ,Hunan Cancer Hospital)
关键词:
综合消肿疗法;  妇科恶性肿瘤;  外阴淋巴水肿
Keywords:
complex drainage therapy;  gynecological malignant tumor;  vulval lymphedema
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.10.019
文献标志码:
A
摘要:
目的 探讨综合消肿疗法(complex decongestive therapy,CDT)在妇科恶性肿瘤术后外阴淋巴水肿患者中的应用效果。 方法 2019年6月至2020年1月,便利抽样法选取某院淋巴水肿康复护理中心收治的妇科恶性肿瘤术后外阴淋巴水肿患者24例为研究对象,对其实施14 d 的CDT,比较治疗前后患者外阴相关组织水肿指标(如细胞外水分含量(extracellular water,ECW)与细胞外水分比率(extracellular water / total body water,ECW/TBW))与营养状况及体型相关指标(如体脂百分比、腰臀比)及患者整体舒适度、外阴疼痛与皮肤紧绷的变化。结果 治疗前后患者的ECW与躯干节段ECW/TBW的差异均有统计学意义(均P<0.001); 且其体脂百分比、腰臀比的差异均有统计学意义(均P<0.001)。治疗后患者整体舒适度得分为(88.673±4.587)分,明显高于治疗前的(69.412±7.352)分,差异有统计学意义(P<0.001); 且外阴疼痛程度、皮肤紧绷与治疗前相比,均有不同程度减轻或消失,差异均有统计学意义(均P<0.001)。结论 CDT能减轻外阴淋巴水肿患者的组织水肿程度,提高患者整体舒适度,减轻外阴不适。
Abstract:
Objective To explore the application of complex drainage therapy(CDT)in vulval lymphedema after gynecological malignant tumor operation.Methods From June 2019 to January 2020,24 patients with vulval lymphedema after gynecological malignant tumor operation in our hospital's lymphedema rehabilitation nursing center were selected by convenience sampling method and given CDT management for 14 days.The changes of vulval lymphedema related indicators including extracellular water(ECW),extracellular water/total body water(ECW/TBW),nutritional status and body-related indicators(e.g.,body fat percentage,waist-to-hip ratio),overall comfort level of patients,vulvar pain,and skin tightness before and after treatment were compared. Results There were statistically significant differences in ECW and ECW/TBW of boody before and after treatment(all P<0.001).There were statistically significant differences in body fat percentage and waist-hip ratio(all P<0.001).The overall comfort score of patients after treatment was(88.673±4.587),which was significantly higher than that before treatment(69.412±7.352),and the difference was statistically significant(P<0.001).The degree of vulva pain and skin tightness were reduced or disappeared in different degrees compared with the condition before treatment,and the difference was statistically significant(all P<0.001).Conclusions CDT can reduce the degree of tissue edema in patients with vulval lymphedema,improve the overall comfort level of patients,and reduce vulval discomfort.

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(本文编辑:郁晓路)

备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-23 【 修回日期 】 2021-08-27
【 基金项目 】 国家自然科学基金项目(82003313); 湖南省自然科学基金项目(2020 JJ 8063)
【 作者简介 】 刘高明,博士,副主任护师,从事继发性淋巴水肿防治与管理及肿瘤护理
更新日期/Last Update: 2021-10-15