摘要
总结1例子宫内膜癌术后双下肢Ⅲ期Ⅱ期淋巴水肿患者的护理经验，进行改善全面消肿治疗。治疗期间的护理重点包括皮肤的护理，以防止和减轻感染的发生；改良手法淋巴引流与空气波压力治疗仪联合，促使淋巴液的定向流动；采用多种方法加压包扎，维持消肿作用；肌内效贴布，消除会阴部浮肿现象；制定个性化饮食、运动管理方案。维持期护理要点包括徒手淋巴手法引流操、八段锦气功呼吸功能练习、改善病人的运动依从性；多媒体信息平台协同开展随访管理，激发病人自我护理的潜能。经过一个月的密集治疗及五个月维持护理，患者双下肢各部位周径缩小了2.8~18.1cm，肿胀感缓解，BMI降至正常水平，体脂率降至正常水平。
关键词： 子宫内膜癌；下肢淋巴水肿；皮肤护理；综合消肿治疗；肌内效贴
Abstract
Summarize the nursing experience of a patient with postoperative stage III and II lymphedema in both lower limbs of endometrial cancer, and carry out comprehensive anti-inflammatory treatment to improve the condition. The nursing focus during treatment includes skin care to prevent and reduce the occurrence of infection; Improving the technique of lymphatic drainage combined with air wave pressure therapy device to promote directional flow of lymph fluid; Using various methods of pressure bandaging to maintain the anti-inflammatory effect; Intramuscular patch to eliminate swelling in the perineum; Develop personalized dietary and exercise management plans. The key points of maintenance period nursing include manual lymphatic drainage exercises, breathing function exercises of Eight Section Jin Qi Gong, and improving patient's exercise compliance; Multimedia information platforms collaborate to carry out follow-up management and stimulate the potential of patients for self-care. After one month of intensive treatment and five months of maintenance care, the circumference of each part of the patient's lower limbs decreased by 2.8-18.1 cm, the swelling sensation relieved, BMI decreased to normal levels, and body fat rate decreased to normal levels
Key words： Endometrial cancer; Lower limb lymphedema; Skin care; Comprehensive detumescence treatment; Elastic therapeutic tape
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