Complete decongestive physiotherapy with and without pneumatic compression for treatment of lipedema: a pilot study.
Complete decongestive physiotherapy with and without pneumatic compression for treatment of lipedema: a pilot study.
复制标题
使用和不使用气动加压的完整减充血物理疗法治疗脂肪水肿：一项试点研究。
作者：
G. Szolnoky;B. Borsos;K. Bársony;M. Balogh;Lajos Kemény
脂肪水肿是一种比例失调的肥胖症，目前尚无循证治疗。我们采用前瞻性随机试验研究了完全缓解充血物理疗法（CDP）单独或联合间歇性气动加压（IPC）是否可以改善脂肪水肿女性患者的治疗结果。11例患者接受CDP（60 min），13例患者接受CDP（30 min）加IPC（30 min），每日1次，疗程5天。引流后，所有受试者均接受多层加压包扎、体育锻炼和皮肤护理。治疗效果以肢体减容为评价指标。两组的平均下肢容积均显著减少（p < 0.05）。在这些研究条件下，尽管IPC在腿部减容方面与CDP没有协同获益，但添加IPC是安全的。
Lipedema is a disproportional obesity for which evidence-based treatment is not currently available. We studied whether complete decongestive physiotherapy (CDP) alone or combined with intermittent pneumatic compression (IPC) could improve the treatment outcome in women with lipedema using a prospective, randomized trial. Eleven patients received CDP (60 min) and thirteen CDP (30 min) plus IPC (30 min) once daily in a 5-day-course. Subsequent to drainage, all subjects received multilayered compression bandaging, physical exercise and skin care. Treatment efficacy was evaluated by limb volume reduction. Both groups achieved significant reductions in mean lower extremity volume (p < 0.05). The addition of IPC is safe, although it provides no synergistic benefit to CDP in leg volume reduction under these study conditions.