Application and effect evaluation of complex decongestive physiotherapy in lower extremity lymphedema after surgery for gynecological cancer
10.3760/cma.j.issn.1672-7088.2017.31.008
- VernacularTitle:复合理疗在妇科恶性肿瘤术后下肢淋巴水肿中的应用及效果评价
- Author:
Xia WANG
1
;
Huiyuan CAI
;
Jing YOU
;
Yan DING
Author Information
1. 复旦大学附属妇产科医院妇科
- Keywords:
Complex decongestive physiotherapy;
Gynecological oncology;
Lower extremity lymphedema
- From:
Chinese Journal of Practical Nursing
2017;33(31):2432-2435
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of complex decongestive therapy among patients with postoperative lower extremity lymphedema following treatment for gynecological cancer. Methods A total of 40 patients with secondary lower extremity lymphedema resulting from gynecological cancer treatment received complex decongestive physiotherapy (CDP) by oncology nursing specialist in the lymphedema rehabilitation clinic between March 2016 to February 2017.Before and after CDP,patients were evaluated by circumferential measurements and multiple frequency bioelectrical impedance analysis. Results After CDP, lymphedema volume decreased from (8 668.30 ± 1 909.23) cm3to (7 599.81 ± 1 297.45)cm3, and the percentage of excess volume (PEV) reduced from 14.10 (5.82-66.86)% to 2.95(0.38-28.56)%, the differences were statistically significant(t=6.909,Z=-5.511,P<0.05).The accumulated edema fluid in tissue decreased from(6.11±1.63)L to (5.06 ± 0.88) L and the rate of extracellular water decreased from (41.15 ± 1.86)% to (39.51 ± 0.88)%, the differences were statistically significant (t=6.336, 8.295, P < 0.05). Percentage reduction of excess volume (PREV)was(77.33±14.55)%,and was correlated with duration of lower extremity lymphedema. Conclusions CDP was effective for lower extremity lymphedema secondary to treatment of gynecological cancer.It is a set of safe and noninvasive technique. Patients with lower extremity lymphedema should be encouraged to undergo CDP, even when it is mild.
