Analysis of the effect of diversified modified bandage dressing combined with manual lymphatic drainage in the intervention of upper limb lymphedema after breast cancer surgery
多元化改良绷带包扎法结合徒手淋巴引流在干预乳腺癌术后上肢淋巴水肿的效果分析

摘要

目的 分析多元化改良绷带包扎法结合徒手淋巴引流在干预乳腺癌术后上肢淋巴水肿的效果。方法选择2020年06月-2021年06月在我院接受治疗的36例乳腺癌术后上肢淋巴水肿患者，随机分为观察组和对照组，其中对照组患者予采取中药四子散热敷联合徒手淋巴引流干预方式，观察组患者则采取多元改良绷带包扎法并结合徒手淋巴引流干预措施，经过干预后比较两组患者肩关节功能、淋巴流量、上臂周径差值以及水肿程度情况。结果 观察组患者的肩关节功能评分、淋巴水肿程度、淋巴流量和干预前后上臂周径差值明显优于对照组，差异有统计学意义。结论 乳腺癌术后患者采取多元化改良绷带包扎法结合徒手淋巴引流干预方式可以有效缓解患者上肢水肿情况，并改善患肢功能。

Abstract

Objective To analyze the effect of multiple modified bandage dressing combined with manual lymphatic drainage in the intervention of upper limb lymphedema after breast cancer surgery.
Methods A total of 36 patients with upper limb lymphedema after breast cancer surgery who were treated in our hospital from June 2020 to June 2021 were selected and randomly divided into an observation group and a control group. The intervention method of lymphatic drainage was used in the observation group. The patients in the observation group were treated with multiple modified bandages combined with the intervention measures of manual lymphatic drainage. After the intervention, the shoulder joint function, lymph flow, upper arm circumference difference and the degree of edema were compared between the two groups.
Results The shoulder joint function score, degree of lymphedema, lymphatic flow and upper arm circumference difference before and after intervention in the observation group were significantly better than those in the control group, and the differences were statistically significant.
Conclusion   In patients with breast cancer after surgery, multiple modified bandages combined with manual lymphatic drainage intervention can effectively relieve the edema of the upper limbs and improve the function of the affected limbs.