宫颈癌治疗后继发性双下肢淋巴水肿患者的护理
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摘要
对19例宫颈癌治疗后继发性双下肢淋巴水肿患者行手法引流综合消肿治疗,包括手法淋巴引流、弹性绷带包扎、功能锻炼等,治疗1个疗程,患者下肢周径较治疗前明显减小、水肿程度减轻,皮肤肿胀感与肢体沉重感均减轻,皮肤纤维化程度明显降低,临床症状显著改善,住院16～23 d出院。提出加强双下肢水肿的评估、皮肤护理、手法淋巴引流的护理、绷带包扎护理、功能锻炼指导、心理护理及延续护理,可提高双下肢淋巴水肿患者治疗效果。
引文
[1] 薄铁,陈雷,刘兆喆,等.妇科恶性肿瘤术后肢体淋巴水肿发病机制及危险因素分析[J].创伤与急危重病医学,2017,5(2):91-97.
[2] 古丽娜·库尔班,王沛靓.宫颈癌病人放疗后下肢淋巴水肿发病现状[J].现代肿瘤医学,2008,16(8):1430-1432.
[3] Halaska M J,Novackova M,Mala I,et al.A prospective study of postoperative lymphedema after surgery for cervical cancer[J].Int J Gynecol Cancer,2010,20(5):900-904.
[4] Hacker N F,Barlow E L,Scurry J,et al.Primary surgical management with tailored adjuvant radiation for stage IB2 cervical cancer[J].Obstet Gynecol,2013,121(4):765-772.
[5] Kashima K,Yahata T,Fujita K,et al.Analysis of the complications after radical hysterectomy for stage IB,ⅡA and ⅡB uterine cervical cancer patients[J].J Obstet Gynaecol Res,2010,36(3):555-559.
[6] 汪立,陈佳佳,于子优,等.手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿[J].组织工程与重建外科杂志,2016,12(3):186-188.
[7] 刘宁飞.淋巴水肿——诊断与治疗[M].北京:科学出版社,2014:73,180.
[8] 李昆,安力彬,路潜,等.妇科恶性肿瘤术后下肢淋巴水肿的评估与管理研究进展[J].护理学杂志,2013,28(24):79-82.
[9] F?ldi M,Str?benreuther R.Foundations of Manual Lymph Drainage[M].Sydney:Elsevier Mosby,2019:92-96.
[10] 鞠伶伟,陈雷,刘兆喆,等.手法淋巴引流综合消肿疗法治疗双下肢淋巴水肿1例[J].创伤与急危重病医学,2017,5(2):88-90.
[11] Ferguson C M,Swaroop M N,Horick N,et al.Impact of ipsilateral blood draws,injections,blood pressure measurements,and air travel on the risk of lymphedema for patients treated for breast cancer[J].J Clin Oncol,2016,34(7):691-698.
[12] 陈佳佳,汪立,韩凌华,等.应用手法淋巴引流综合消肿疗法治疗肢体淋巴水肿的效果观察[J].组织工程与重建外科杂志,2017,13(6):322-327.
[13] 陈仪坤,杨倩,何睿,等.饮食疗法联合运动干预对老年高血压患者血压和生活质量的影响[J].中国老年学杂志,2017,37(17):4272-4274.
[14] 王霞,丁焱.宫颈癌患者术后下肢淋巴水肿发生状况及危险因素分析[J].护理学杂志,2015,30(10):21-25.
[15] 刘宁飞.外周淋巴水肿的治疗[J].中华整形外科杂志,2018,34(4):252-255.
[2] 古丽娜·库尔班,王沛靓.宫颈癌病人放疗后下肢淋巴水肿发病现状[J].现代肿瘤医学,2008,16(8):1430-1432.
[3] Halaska M J,Novackova M,Mala I,et al.A prospective study of postoperative lymphedema after surgery for cervical cancer[J].Int J Gynecol Cancer,2010,20(5):900-904.
[4] Hacker N F,Barlow E L,Scurry J,et al.Primary surgical management with tailored adjuvant radiation for stage IB2 cervical cancer[J].Obstet Gynecol,2013,121(4):765-772.
[5] Kashima K,Yahata T,Fujita K,et al.Analysis of the complications after radical hysterectomy for stage IB,ⅡA and ⅡB uterine cervical cancer patients[J].J Obstet Gynaecol Res,2010,36(3):555-559.
[6] 汪立,陈佳佳,于子优,等.手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿[J].组织工程与重建外科杂志,2016,12(3):186-188.
[7] 刘宁飞.淋巴水肿——诊断与治疗[M].北京:科学出版社,2014:73,180.
[8] 李昆,安力彬,路潜,等.妇科恶性肿瘤术后下肢淋巴水肿的评估与管理研究进展[J].护理学杂志,2013,28(24):79-82.
[9] F?ldi M,Str?benreuther R.Foundations of Manual Lymph Drainage[M].Sydney:Elsevier Mosby,2019:92-96.
[10] 鞠伶伟,陈雷,刘兆喆,等.手法淋巴引流综合消肿疗法治疗双下肢淋巴水肿1例[J].创伤与急危重病医学,2017,5(2):88-90.
[11] Ferguson C M,Swaroop M N,Horick N,et al.Impact of ipsilateral blood draws,injections,blood pressure measurements,and air travel on the risk of lymphedema for patients treated for breast cancer[J].J Clin Oncol,2016,34(7):691-698.
[12] 陈佳佳,汪立,韩凌华,等.应用手法淋巴引流综合消肿疗法治疗肢体淋巴水肿的效果观察[J].组织工程与重建外科杂志,2017,13(6):322-327.
[13] 陈仪坤,杨倩,何睿,等.饮食疗法联合运动干预对老年高血压患者血压和生活质量的影响[J].中国老年学杂志,2017,37(17):4272-4274.
[14] 王霞,丁焱.宫颈癌患者术后下肢淋巴水肿发生状况及危险因素分析[J].护理学杂志,2015,30(10):21-25.
[15] 刘宁飞.外周淋巴水肿的治疗[J].中华整形外科杂志,2018,34(4):252-255.