通过测量肢体体积、生活质量和功能,比较不同原因引起的淋巴水肿患者的复合减充血疗法。

Cansu Sahbaz-Pirincci, Emine Cihan, Ülkü Düzlü-Öztürk, Pınar Borman, Meltem Dalyan
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引用次数: 0

摘要

研究目的本研究旨在探讨对不同原因引起的淋巴水肿患者的下肢应用复合去充血疗法(CDT)对其肢体体积、生活质量(QoL)和功能的影响:研究包括 90 名患者,其中 28 人患有原发性淋巴水肿,30 人患有继发性淋巴水肿,18 人患有噬脂性淋巴水肿,14 人患有脂肪性淋巴水肿。共有 137 个肢体接受了 CDT 治疗。接受 CDT 治疗的患者每周 5 天,为期 3 周(共 15 次治疗)。使用卷尺测量肢体体积。淋巴水肿QoL-腿部问卷用于评估QoL,下肢功能量表(LEFS)用于评估下肢功能:结果:原发性淋巴水肿组、噬脂性淋巴水肿组和脂肪性淋巴水肿组治疗前后的 QoL 变化有显著差异(P < 0.05)。治疗后LEFS评分显示,与治疗前相比,咽喉水肿组和脂肪性水肿组的LEFS评分明显下降(P < 0.05):结论:在各组间进行的比较中,作为生活质量子参数之一的外观差异显著减少,而其余参数的变化并不明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing complex decongestive therapy in patients with lymphedema of different causes by measuring: extremity volume, quality of life, and functionality.

Objective: This study aimed to investigate the effects of complex decongestive therapy (CDT) applied to the lower extremities of patients with lymphedema of different causes on the extremity volume, quality of life (QoL), and functionality.

Materials and method: The study included 90 patients, of whom 28 had primary lymphedema, 30 had secondary lymphedema, 18 had phlebolymphedema, and 14 had lipolymphedema. A total of 137 extremities were treated with CDT. The patients who received CDT for 5 days a week for 3 weeks (15 sessions in total) were included in the sample. Extremity volume was measured using a tape measure. The lymphedema QoL-Leg Questionnaire was used to evaluate QoL, and the lower extremity functional scale (LEFS) was administered to assess lower extremity functionality.

Results: The changes in QoL before and after treatment significantly differed in the primary lymphedema, phlebolymphedema, and lipolymphedema groups (p < 0.05). The post-treatment LEFS scores indicated a significant decrease in the phlebolymphedema and lipolymphedema groups compared to the pre-treatment scores (p < 0.05).

Conclusions: The difference in appearance, which is one of the sub-parameters of QoL, significantly decreased in the comparisons performed between the groups, whereas the changes in the remaining parameters were not significant.

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