空气压力波治疗乳腺癌术后上肢淋巴水肿的疗效分析.pdf

ChinJHealthCareMed,February2021,Vol23,No.1・65・.论著.空气压力波治疗乳腺癌术后上肢淋巴水肿的疗效分析吴兆佩，戈含笑，高谦，王瑞，解涛［摘要］目的评价空气压力波治疗乳腺癌患者术后上肢淋巴水肿的疗效！方法选取2019年2月〜5月在解放军总医院康复医学中心门诊就诊的乳腺癌术后上肢淋巴水肿患者30例，对其进行空气压力波治疗，治疗处方模式：水肿增强模式，选择压强为40〜60mmHg,治疗时间为20min/d,5次为1个疗程，共2个疗程0使用卷尺测量患肢周径和采用多频生物电阻人体成分分析仪测量组织水肿程度(细胞外液含量L),并记录相应的数据&结果空气压力波治疗过程中患者主诉无明显不适，经过2个疗程的治疗，绝大多数乳腺癌术后上肢淋巴水肿患者肢体的水肿均有不同程度的减轻，表现为患肢周径明显的缩小和组织水肿程度显著减轻，差异有统计学意义(！#0.05)0结论空气压力波对乳腺癌术后上肢淋巴水肿具有较好的治疗效果&［关键词］空气压力波；乳腺癌术后上肢淋巴水肿；综合消肿；生活质量［中图分类号］R551.2［文献标识码］AD01：10.3969/j.issn.1674-3245.2021.01.018AnalysisoftheresultsofupperlimblymphedematreatedbyIntermittentpneumaticcompressionafterbreastcancerWuZhaopei,GeHanxiao,GaoQian,etal(DepartmentofRehabilitationMedicine,theFirstMedicalCenter,ChinesePLAGeneralHospital,Beijing100853,China)Correspondingauthor:XieTao,E-mail：**************[Abstract]ObjectiveThechangesofupperlimblymphedemadatainbreastcancerpatientswererecordedtoexploretheeffectivenessofairpressurewavetherapy.MethodThirtypatientswithupperextremitylymphedemaafterbreastcancersurgerywhovisitedtheoutpatientdepartmentofrehabilitationmedicalcenterofPLAgeneralhospitalfromFebruary2019toMay2019wereselected,theyweretreatedwithairpressurewavetherapy,treatmentprescriptionmodel:Edemaenhancementmodel,theselectedpressureis40-60mmHg,thetreatmentlastedfor20minutes,eachpatientreceived5timesofonecourseoftreatment,atotaloftwocoursesoftreatmentweregiven.Theperipheraldiameteroftheaffectedlimbwasmeasuredwithatapemeasureandthedegreeoftissueedemawasmeasuredwithamulti-frequencybioresistancehumancomponentanalyzer(Extracellularfluidcontent),andrecordthecorrespondingdata.ResultIntheprocessofairpressurewavetreatment,thepatientscomplainedofnoobviousdiscomfort.After2coursesoftreatment,theedemaofthelimbsofmostpatientswithupperextremitylymphedemaafterbreastcancersurgerywasreducedtodifferentdegrees,theexpressionisthelimbcircumferencediameterobviousreduction(P<0.05,andthedegreeofedemawassignificantlyreduced(P<0.05).ConclusionAirpressurewavehasagoodtherapeuticeffectonupperlimblymphedema