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The effect of multilayered, low stretch compriission bandaging(MLB)and hosiery for lymphedema patients

多层低弹力绷带（MLB）和袜子对淋巴水肿患者的作用

基本信息

批准号：
18500421
负责人：
TSUJI Testuya
金额：
$ 1.99万
依托单位：
Keio University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18500421/
关键词：
malignant tumor Lympheclema breast cancer Uterine Cancer Complex decongestive physiotherapy(CDP)lymph node dissection ultrasound echo lymph drainage therapy 婦人科癌バンデージ

项目摘要

PURPOSE:Multilayered, low stretch compression bandaging (MLB) combined with exercises, skin care, and manual lymphatic drainage therapy are recommended as an intensive phase of treatment for lymphedema patients. The relative efficacy of each of the components of this comprehensive treatment program have not been determined.The purpose of this study is to compare the effect of MLB and hosiery (elastic stocking or sleeve).METHODS :A retrospective case- control study was undertaken in the setting of the lymphedema Clinic, the Keio University Hospital, Tokyo. Fifty- one women with lymphedema of the upper or lower limbs were enrolled. The interventions consisted of 30 days of MLB alone. MLB followed by hosiery, or hosiery alone. The main outcome measure was the reduction in circumference of limb.RESULTS :The circumference of upper limb tended to decrease in MLB alone (N=4) but had no change in hosiery alone (N=2). The circumference of lower limb significantly decreased in MLB alone (N=14) and MLB followed by hosiery (N=17), but there was no significant change in hosiery alone (N=14).CONCLUSIONS :MLB alone and MLB followed by hosiery as an initial phase of treatment for lymphedema patients achieves greater and more sustained limb volume reduction than hosiery alone.

目的：多层、低拉伸压缩包扎（MLB）结合运动、皮肤护理和手动淋巴引流治疗被推荐作为淋巴水肿患者的强化治疗阶段。这种综合治疗方案的每个组成部分的相对疗效尚未确定。本研究的目的是比较MLB与袜子（弹性长筒袜或袖）的效果。方法：在东京庆应义塾大学医院淋巴水肿诊所进行回顾性病例对照研究。51名患有上肢或下肢淋巴水肿的妇女被纳入研究。干预包括30天的MLB单独训练。MLB紧随其后的是袜子，或者仅仅是袜子。主要观察指标为肢体围度减小。结果：单用MLB组（N=4）上肢围度有减小趋势，单用袜子组（N=2）上肢围度无变化。单纯MLB组（N=14）和MLB组合并袜子组（N=17）下肢围度明显减小，而单纯袜子组（N=14）下肢围度无明显变化。结论：在淋巴水肿患者的初始治疗阶段，单独使用MLB和MLB后再使用袜子比单独使用袜子更能实现更持久的肢体体积缩小。