手法淋巴引流综合治疗肢体慢性淋巴水肿

目的 探讨采用手法淋巴引流治疗慢性淋巴水肿的新方法.方法 50例慢性肢体淋巴水肿患者接受了手法淋巴引流综合消肿治疗,对体表(包括躯干和肢体)淋巴系统沿淋巴回流方向和途径做轻柔的按压和按摩.50例中原发性淋巴水肿29例,继发性21例;下肢患病42例,上肢患病8例.采用多频生物电阻人体成分分析仪检测组织水肿和测量肢体周径检验治疗效果.结果 经过1～2个疗程的治疗,50例患病肢体的水肿均有不同程度的减轻,表现为患肢组织水肿程度显著减轻(P＜0.05)和患肢周径的显著缩小(P＜0.05).肢体周径与组织水肿变化的相关性检验表明两者有非常显著的相关性(rs=0.774,P＜0.01).结论 手法淋巴引流综合治疗的有效地促进滞留组织淋巴水肿的回流,减轻肢体的肿胀,改善患肢的外形,是治疗慢性淋巴水肿有效的治疗手段.

Treatment of chronic extremity lymphedema with manual lymph drainage

Objective To evaluate the effect of manual lymph drainage on chronic extremity lymphedema. Methods Fifty patients with chronic lymphedema of extremity were treated with manual lymph drainage (MLD)complex decongestion therapy. Among them, 29 had primary lymphedema, 21 had secondary lymphedema. 42 had lymphedema of lower extremity and 8 had lymphedema of upper limb. The result of treatment was evaluated with measurement of circumference of extremities and edema fluid in tissue with Multiple-frequency bioelectrical impedance analysis. Results After 1-2 treatemnt courses, all 50patients showed significant decrease of circumference of lymphedmatous limbs (P ＜ 0.05)and remarkable reduction of accumulated edema fluid in tissue (P ＜ 0.05). There was highly correlation between the decrease of limb circumference and edema fluid in tissue (rs= 0. 774, P ＜ 0. 01). Conclusions MLD complex decongestion therapy is effective for the treatment of chronic lymphedema of extremity.