空气波压力治疗乳腺癌术后上肢淋巴水肿的临床观察

目的 探讨空气波压力治疗配合传统方法 治疗乳腺癌术后上肢淋巴水肿的临床效果.方法 对收治的40例乳腺癌术后上肢淋巴水肿患者随机分为试验组和对照组,每组20例,实验组用空气波压力治疗配合常规传统治疗,对照组采用常规传统治疗.结果 治疗前与治疗2 w后上臂周径差值两组分别为(4.7±0.6)cm、(3.9±0.4)cm,前臂周径差值两组分别为(2.0±0.7)cm、(1.1±0.4)cm,两组对比都有统计学意义(P<0.05);两组症状消失时间分别为(7.5±1.4)d、(12.6±2.8)d(P<0.05).结论 空气波压力治疗配合传统治疗,在乳腺癌术后上肢淋巴水肿的治疗中疗效明显、安全且经济实用.

Observation of intermittent pneumatic compression therapy on breast carcinoma-related upper extremity lymphedema

Objective To evaluate the efficacy of intermittent pneumatic compression (IPC) therapy on breast carcinoma - related upper extremity lymphedema. Methods 40 patients with breast carcinoma - related lymphedema between January 2005 and January 2008. Were randomly divided into experimental group (n = 20) and control group (n = 20) . The routine therapy was applied both in the two groups, in addition, IPC was used in experimental group. Results The differences of upper arm perimeter of pretherapy and post - treatment were ( 4. 7 + 0. 6) cm and ( 3.9 ± 0. 4) cm. The differences of forearm perimeter of pretherapy and post - treatment were ( 2. 0 ± 0. 7)cm and ( 1.1 ± 0. 4) cm. Symptoms disappeared time of experimental group was (7.5 + 1.4) days, and it was ( 12. 6 ± 2. 8) days in control group. There were all significant differences ( P<0. 05 ) . Conclusions When IPC is used with routine therapy for breast carcinoma - related lymphedema, it can provide an enhancement of the therapeutic response. It is well tolerated and economic as well.