指状绷带不同包扎手法在乳腺癌术后手背部Ⅲ级淋巴水肿中的应用效果  

Application Effect of Different Wrapping Maneuvers of Finger Bandage in Grade III Lymphedema on the Back of Hand after Breast Cancer Surgery

作　　者：梁彩云[1] 吴柳青[1] Liang Caiyun;Wu Liuqing(Department of Breast,Jiangmen Central Hospital,Jiangmen 529000,Guangdong Province,China)

机构地区：[1]江门市中心医院乳腺科,广东江门529000

出　　处：《中外医药研究》2023年第36期27-29,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨指状绷带不同包扎手法在乳腺癌术后手背部Ⅲ级淋巴水肿中的应用效果。方法:选取2020年10月—2021年5月于江门市中心医院就诊的乳腺癌术后患肢手背部Ⅲ级淋巴水肿患者65例为研究对象,根据随机数字表法分为常规组(33例)和改进组(32例)。两组均进行淋巴水肿综合消肿治疗(CDT),常规组采用腕横纹包扎法进行指状绷带包扎,改进组采用虎口包扎法进行指状绷带包扎。比较两组患肢虎口周径、腕横纹周径、主观症状情况。结果:治疗前、治疗5次、治疗10次,两组患肢虎口周径比较,差异无统计学意义(P>0.05);治疗前,两组患肢腕横纹周径比较,差异无统计学意义(P>0.05);改进组治疗15、20次患肢虎口周径及治疗5、10、15、20次患肢腕横纹周径小于常规组,差异有统计学意义(P<0.001)。治疗前,两组肿胀、疼痛、麻木、手掌活动受限、紧绷发生率比较,差异无统计学意义(P>0.05);治疗后,改进组肿胀、疼痛、麻木、手掌活动受限、紧绷发生率低于常规组,差异有统计学意义(P<0.001)。结论:在乳腺癌术后患肢手背部Ⅲ级淋巴水肿患者CDT治疗中,采用虎口包扎法进行指状绷带包扎能够更好地贴合患者的患肢,促进淋巴液回流,从而改善水肿情况,缓解患者的主观症状。Objective:To investigate the application effect of different wrapping maneuvers of finger bandage in gradeⅢlymphedema on the back of hand after breast cancer surgery.Methods:Sixty-five patients with gradeⅢlymphedema on the back of the hand of the affected limb after breast cancer surgery who were treated in Jiangmen Central Hospital from October 2020 to May 2021 were selected as the study subjects,and they were divided into the conventional group(thirty-three cases)and the improved group(thirty-two cases)according to the random number table method.Both groups were subjected to comprehensive decongestive therapy(CDT)for lymphedema,with the conventional group using the transverse wrist bandage method for finger bandage wrapping and the improved group using the purlicue bandage method for finger bandage wrapping.The circumference of the purlicue of the affected limb,the circumference of the transverse wrist stripe,and the subjective symptoms were compared between the two groups.Results:Before treatment,5 times of treatment,10 times of treatment,the comparison of the circumference of the purlicue of the affected limbs of the two groups,the difference was not statistically significant(P>0.05);before treatment,the comparison of the circumference of the transverse wrist stripe of the affected limbs of the two groups,the difference was not statistically significant(P>0.05);in the improved group,the circumference of the purlicue of the affected limb for the 15th and 20th times of treatment and the circumference of the transverse wrist stripe of the affected limb for the 5th,10th,15th and 20th times of treatment were smaller than that of the conventional group,and the difference was statistically significant(P<0.001).Before treatment,the incidence of swelling,pain,numbness,limited palm movement and tightness in the two groups were compared,and the difference was not statistically significant(P>0.05);after treatment,the incidence of swelling,pain,numbness,limited palm movement,and tightness in the improved group was low

关 键 词：淋巴水肿 腕横纹 乳腺癌术后 绷带包扎 常规组 主观症状 手背部 包扎法 

分 类 号：R73[医药卫生—肿瘤]