
浏览全部资源
扫码关注微信
1.海南省中医院 肿瘤科,海南 海口,570203
2.海南省中医院 康复科,海南 海口,570203
网络出版日期:2023-08-22,
收稿日期:2023-08-16,
扫 描 看 全 文
袁欢, 吴亭, 施小霏. 1例火龙罐联合综合消肿治疗双下肢Ⅲ期合并外阴部Ⅱ期淋巴水肿的护理经验[DB/OL].中西医结合临床案例库, 2023.
Huan YUAN, Ting WU, Xiaofei SHI. Nursing experience on Huolong cupping combined with comprehensive detumescence treatment for a patient with stage III lower limb combined with stage II vulvar lymphedema[DB/OL].Clinical Archives of Integrative Medicine, 2023.
袁欢, 吴亭, 施小霏. 1例火龙罐联合综合消肿治疗双下肢Ⅲ期合并外阴部Ⅱ期淋巴水肿的护理经验[DB/OL].中西医结合临床案例库, 2023. DOI: 10.12209/CAIM202308160001.
Huan YUAN, Ting WU, Xiaofei SHI. Nursing experience on Huolong cupping combined with comprehensive detumescence treatment for a patient with stage III lower limb combined with stage II vulvar lymphedema[DB/OL].Clinical Archives of Integrative Medicine, 2023. DOI: 10.12209/CAIM202308160001.
总结1例子宫内膜癌术后双下肢Ⅲ期合并外阴部Ⅱ期淋巴水肿患者进行火龙罐联合综合消肿治疗的护理经验。治疗期护理包括应用火龙罐减轻外阴部水肿,避免尿路感染;皮肤护理:预防和减少感染;改良手法淋巴引流联合火龙罐治疗,促进淋巴液向心回流;压力治疗,使用低弹绷带多层压力包扎及高密度泡沫颗粒进行局部加压,减轻皮肤纤维化;制定淋巴回流操,提高患者锻炼依从性。经过治疗,患者左侧下肢周径和缩小48.5 cm,缩小率为14.7%;右侧下肢周径和缩小88.5 cm,缩小率为22.7%;外阴部肿胀消失。
This paper summarizes the nursing experience on Huolong cupping combined with comprehensive detumescence treatment for a patient with stage III lower limb combined with stage II vulvar lymphedema. During the treatment period Huolong cupping was applied to reduce external genital edema and avoid urinary tract infections. Skincare was applied to prevent and reduce infections. Improved manual lymphatic drainage combined with Huolong cupping treatment promoted centripetal reflux of lymph. Pressure therapy with low-elastic and multi-layer pressure bandage combined with high-density foam particles for local pressure to reduce skin fibrosis. Lymphatic reflux exercises was formulated to improve patients' exercise compliance. After treatment, the left lower limb circumference reduced by 48.5 cm and the reduction rate was 14.7%; the right lower limb circumference reduced by 88.5 cm and the reduction rate was 22.7%. At the same time, the extinction of swelling in the external genitalia disappeared.
淋巴水肿火龙罐综合消肿术护理
lymphedemaHuolong cuppingcomplex decongestion therapynursing
王健理, 李状, 蒋玲玲, 等. 妇科恶性肿瘤淋巴结切除术后下肢淋巴水肿的相关因素分析[J]. 临床肿瘤学杂志, 2021, 26(7): 602-606.
WANG J L, LI Z, JIANG L L, et al. Risk factors of postoperative lower limb lymphedema following lymphadenectomy in gynecologic malignancies[J]. Chin Clin Oncol, 2021, 26(7): 602-606.(in Chinese)
刘高明, 胡进, 刘媛媛, 等. 宫颈癌术后下肢淋巴水肿影响因素的病例对照研究[J]. 护理学杂志, 2022, 37(1): 32-35.
LIU G M, HU J, LIU Y Y, et al. Risk factors of lower extremity lymphedema after cervical cancer surgery: a case-control study[J]. J Nurs Sci, 2022, 37(1): 32-35.(in Chinese)
孟旭莉, 叶祥明. 外周淋巴水肿: 预防与治疗[M]. 杭州: 浙江大学出版社, 2022: 37-38.
MENG X L, YE X M. Peripheral lymphedema: prevention and treatment[M]. Hangzhou: Zhejiang University Press, 2022: 37-38.
陆亚青, 柴春燕, 杨雪芳, 等. 1例宫颈癌术后双下肢Ⅲ期合并下腹部及外阴部Ⅱ期淋巴水肿患者的护理[J]. 中华护理杂志, 2022, 57(20): 2522-2526.
LU Y Q, CHAI C Y, YANG X F, et al. Nursing care of a case with stage Ⅲ lower extremity combined with lower abdominal and vulva stage Ⅱ lymphedema after cervical cancer surgery[J]. Chin J Nurs, 2022, 57(20): 2522-2526.(in Chinese)
蒋红娟, 陈霞, 乔璐璐. 泡沫块与高弹力绷带联合包扎对乳腺癌相关淋巴水肿的效果研究[J]. 中国肿瘤临床与康复, 2021, 28(6): 756-759.
JIANG H J, CHEN X, QIAO L L. Efficacy of foam block bandage combined with high elastic bandage for breast cancer associated lymphoedema[J]. Chin J Clin Oncol Rehabil, 2021, 28(6): 756-759.(in Chinese)
宋美璇, 陈郎, 徐林霞, 等. 妇科癌症病人术后下肢淋巴水肿发生风险及预防的最佳证据总结[J]. 循证护理, 2022, 8(17): 2279-2284.
SONG M X, CHEN L, XU L X, et al. The best evidence summary for the risk and prevention of postoperative lymphedema lower limb of in gynecologic cancer patients[J]. Chin Evid Based Nurs, 2022, 8(17): 2279-2284.(in Chinese)
Földi. M Földi. E. 福迪淋巴学[M]. 第三版. 上海: 上海世界图书出版公司, 2017.
Földi. M Földi. E. Földi's Textbook of Lymphology[M]. Third Edition. Shanghai: Shanghai World Book Publishing Company, 2017.
郑娟霞, 郑娟丽, 黄碧芳, 等. 火龙罐在气滞血瘀型项痹病护理中的应用效果观察[J]. 护理研究, 2022, 36(20): 3755-3757.
ZHENG J X, ZHENG J L, HUANG B F, et al. Observation on application effect of fire dragon pot in the nursing of Qi stagnation and blood stasis type Xiangbi disease[J]. Chin Nurs Res, 2022, 36(20): 3755-3757.(in Chinese)
詹丽倩, 李巍伟, 许梦雅. “8”字弹力绷带加压包扎法治疗乳腺癌术后上肢淋巴水肿的疗效观察[J]. 中国老年保健医学, 2022, 20(2): 118-121.
ZHAN L Q, LI W W, XU M Y. Treatment of postoperative breast cancer with “8” elastic bandage compression bandage[J]. Chin J Geriatr Care, 2022, 20(2): 118-121.(in Chinese)
胡进, 朱加亮, 刘高明, 等. 宫颈癌术后下肢淋巴水肿发病机制及危险因素的研究进展[J]. 肿瘤药学, 2021, 11(2): 146-152.
HU J, ZHU J L, LIU G M, et al. Research progress in pathogenesis and risk factors of lower limb lymphedema after cervical cancer surgery[J]. Anti Tumor Pharm, 2021, 11(2): 146-152.(in Chinese)
刘兆喆, 李秋华, 李文雅, 等. 乳腺癌术后淋巴水肿中西医结合诊治中国专家共识[J]. 创伤与急危重病医学, 2023, 11(1): 1-8.
LIU Z Z, LI Q H, LI W Y, et al. China expert consensus on diagnosis and treatment of lymphedema after breast cancer surgery with integrated traditional Chinese and western medicine[J]. Trauma Crit Care Med, 2023, 11(1): 1-8.(in Chinese)
马丽华, 林艺娟. 火龙罐治疗对介入术后穿刺部位肿胀和瘀斑的疗效观察[J]. 中西医结合护理(中英文), 2023, 9(2): 45-48.
MA L H, LIN Y J. A study on the efficacy of fire dragon pot therapy on swelling and bruising at the vascular access site after interventional procedures[J]. J Clin Nurs Pract, 2023, 9(2): 45-48.(in Chinese)
贺培培. 慢病轨迹管理模式在乳腺癌患者化疗期间的应用[J]. 黑龙江医药科学, 2022, 45(4): 50-52, 55.
HE P P. Application of chronic disease trajectory management model in breast cancer patients during chemotherapy[J]. Heilongjiang Med Pharm, 2022, 45(4): 50-52, 55.(in Chinese)
刘媛媛, 刘高明, 胡进, 等. 子宫内膜癌治疗后外阴淋巴水肿患者症状体验与心理感受的质性研究[J]. 护理学报, 2022, 29(21): 1-5.
LIU Y Y, LIU G M, HU J, et al. Symptom experience and psychology of patients with genital lymphedema after treatment for endometrial cancer: a qualitative research[J]. J Nurs China, 2022, 29(21): 1-5.(in Chinese)
韦小夏, 符鑫, 沈傲梅, 等. 乳腺癌患者淋巴水肿自我管理的证据总结[J]. 中华护理杂志, 2022, 57(2): 237-244.
WEI X X, FU X, SHEN A M, et al. Evidence summary for self-management of lymphedema in breast cancer patients[J]. Chin J Nurs, 2022, 57(2): 237-244.(in Chinese)
0
浏览量
47
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621