Complex decongestive physiotherapy decreases capillary fragility in lipedema.
Complex decongestive physiotherapy decreases capillary fragility in lipedema.
复制标题
复杂的减充血物理疗法可降低脂肪水肿中的毛细血管脆性。
作者：
G. Szolnoky;N. Nagy;R. Kovács;E. Dósa;Anna Szabó;K. Bársony;M. Balogh;Lajos Kemény
脂水肿是一种不成比例的肥胖，以频繁的血肿形成为特征，即使是轻微的创伤。根据临床观察，完全去充血性物理治疗可以减少腿部体积缩小以外的小损伤引起的血肿的发生率。血肿的发展可能是由毛细血管阻力（CR）或毛细血管脆性（CF）改变引起的。我们在复杂的去充血性物理治疗（CDP）前后测量了毛细血管脆性（CF），以研究CDP是否可以降低CF。38名患有脂水肿的女性纳入了研究。21例患者接受CDP治疗，17例患者仅使用保湿霜作为对照组。CDP包括每日一次手工淋巴引流，间歇气动压缩和多层短拉伸包扎，持续5天。两组患者均采用Parrot血管容积计真空吸痰法（VSM）评价CF。去充血性治疗显著减少了瘀点的数量，而对照组没有发现任何变化。完全去充血性物理治疗可显著减少脂水肿患者的CF，这种减少可能导致血肿形成减少。
Lipedema is a disproportional obesity featuring frequent hematoma formation due to even minor traumatic injuries. On the basis of clinical observations, complete decongestive physiotherapy diminishes the incidence of hematomas due to minor injuries beyond leg volume reduction. Hematoma development may be caused by altered capillary resistance (CR) or altered capillary fragility (CF). We measured capillary fragility (CF) before and after complex decongestive physiotherapy (CDP) to examine, whether CDP could reduce CF. 38 women with lipedema were included in the study. Twenty-one (21) patients were treated with CDP and 17 using exclusively moisturizers as the control group. CDP comprised once daily manual lymph drainage, intermittent pneumatic compression and multilayered short-stretch bandaging performed throughout a 5-day-course. CF was evaluated with the vacuum suction method (VSM) using Parrot's angiosterrometer in both groups. Decongestive therapy resulted in a significant reduction of the number of petechiae while no change was detected within the control group. Complete decongestive physiotherapy significantly reduced CF in patients with lipedema and this reduction may lead to reduced hematoma formation.