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Effectiveness of six-step complex decongestive therapy for treating upper limb lymphedema after breast cancer surgery

引用

World Journal of Clinical Cases 2022年第25期10卷 8827-8836页

作者： Hui-Zhen Zhang Qiao-Ling Zhong Hui-Ting Zhang Qing-Hua Luo Hai-Lin Tang Li-Juan Zhang Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South ChinaGuangzhou 510060China

BACKGROUND Complex decongestive therapy(CDT)is currently recommended as the standard treatment for *** is a four-step detumescence therapy that can effectively treat upper limb lymphedema after breast cancer surgery,and is considered non-invasive,painless and without side *** To determine the effectiveness of a six-step CDT involving a foam granule bandage for the treatment of upper extremity lymphedema pressure after breast cancer surgical *** The study included 100 patients with upper extremity lymphedema after breast cancer *** surgical methods were mastectomy plus axillary lymph node dissection and breast preservation plus sentinel lymph node *** study population was further divided into the experimental group and control group with 50 cases in each *** control group was given conventional CDT(four-step method),which included skin care,freehand lymphatic drainage,foam granule pressurized bandage,and functional *** the experimental group,a six-step CDT method was applied that involved a foam particle bandage combined with air wave pressure therapy in addition to the four steps of conventional *** in both groups were given one course of treatment daily(20 times),and the changes in body moisture and subjective symptoms were measured before and after treatment,preoperatively and 20 times after *** No statistically significant differences in 50-Hz bioelectrical impedance and extracellular moisture ratio were observed between the two groups before treatment,suggesting comparability of the baseline *** treatment,the 50-Hz bioelectrical impedance of the experimental group was significantly higher than that in the control group,and the extracellular moisture ratio was significantly lower than that in the control group.A comparison of the differences between the two groups before and after treatment indicated that the treatment effect in the experimental group was better than th

关键词： Comprehensive deswelling Foam granule bandage Breast cancer Upper limb lymphedema air pressure wave therapy

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