乳腺癌相关淋巴水肿空气波压力治疗的最佳证据总结  

Best evidence summary for intermittent pneumatic compression in treatment of patients with breast cancer-related lymphedema

作　　者：王玲 王海燕 王婷婷 周丽华[4] 王惠雪 虞苗 WANG Ling;WANG Haiyan;WANG Tingting;ZHOU Lihua;WANG Huixue;YU Miao

机构地区：[1]皖南医学院护理学院,芜湖市241002 [2]凯思国际淋巴水肿治疗师培训学校 [3]首都医科大学附属北京世纪坛医院淋巴外科 [4]皖南医学院附属弋矶山医院甲乳外科

出　　处：《中华护理杂志》2022年第11期1384-1390,共7页Chinese Journal of Nursing

基　　金：安徽省教育厅2019年度高校优秀拔尖人才培育资助项目(gxyq2019040)。

摘　　要：目的总结乳腺癌相关淋巴水肿空气波压力治疗又称间歇充气加压(intermittent pneumatic compression,IPC)治疗的最佳证据,为临床开展IPC治疗提供指导。方法根据“6S”模型,系统检索国内外数据库中有关乳腺癌相关淋巴水肿IPC治疗的最佳实践、相关指南、证据总结、系统评价和专家共识等,检索时限截止至2021年10月。根据纳入和排除标准筛选文献,2名研究者独立对纳入的证据进行质量评价、证据提取和汇总。结果最终纳入16篇文献,其中指南5篇、证据总结1篇、系统评价7篇、专家共识3篇。提取了IPC治疗的适应证、禁忌证、治疗方案、治疗效果、治疗监测、注意事项共6个方面的25条最佳证据。结论IPC可以作为乳腺癌相关淋巴水肿的治疗手段,治疗前应充分评估患者有无治疗的禁忌证,遵循推荐的治疗方案,治疗过程中注意监测潜在的并发症并做好预防。Objective To summarize the best evidence of intermittent pneumatic compression(IPC)therapy in patients with breast cancer-related lymphedema,and to provide references for clinical decision making.Methods According to“6S”model,we systematically searched the domestic and foreign databases to collect the evidence on IPC treatment for patients with breast cancer-related lymphedema,including guidelines,expert consensuses,systematic reviews,evidence summaries and recommended practice.The retrieval period was up to October 2021.The retrieved evidence was screened according to inclusion and exclusion criteria,and 2 researchers independently evaluated the quality of included literature,extracted and summarized the available information.Results A total of 16 articles were involved,including 5 guidelines,1 evidence summary,7 systematic reviews and 3 expert consensuses.25 pieces of evidence were synthesized into 6 categories,including indications,contraindications,treatment programs,treatment effects,monitoring and points for attention during IPC treatment.Conclusion IPC can be used as an adjunctive therapy for breast cancer-related lymphedema.Contraindications should be fully evaluated before IPC treatment,and recommended treatment programs should be followed.Potential complications should be monitored and prevented during the treatment.

关 键 词：乳腺癌 淋巴水肿 乳腺癌相关淋巴水肿 空气波压力 间歇性充气加压 护理 

分 类 号：R473.73[医药卫生—护理学]