系统性康复训练联合迈之灵片治疗宫颈癌患者同步放化疗后下肢淋巴水肿

Effects of systemic rehabilitation treatment and aescuven forte tablets on lower limb lymphedema in patients with cervical cancer after concurrent chemoradiotherapy

关键词:  宫颈癌  淋巴水肿  迈之灵片  康复治疗

Key words:  cervical cancer  lymphedema  aescuven forte tablets  rehabilitation treatment

摘要:

目的　探讨系统性康复训练联合迈之灵片治疗宫颈癌同步放化疗后下肢淋巴水肿的临床疗效。方法　61例接受同步放化疗治疗后发生下肢淋巴水肿的宫颈癌患者按接受治疗方式的不同分为治疗组和对照组，治疗组接受髋关节全范围运动训练和手法淋巴引流按摩为主的系统性康复训练并联合迈之灵片治疗，对照组接受肿瘤科常规护理和迈之灵片治疗，观察两组患者在治疗前和治疗3个月后下肢沉重感、疼痛、麻木和功能障碍等主观不适情况，下肢周径变化和淋巴水肿分级上的疗效差异。结果　两组患者接受治疗3个月后，治疗组和对照组的下肢深重感、疼痛、功能障碍评分分别为1.96±0.66和2.47±0.57、1.59±0.49和2.00±0.61、0.90±0.46和1.51±0.73， 上述三个主观指标治疗组均优于对照组（P<0.05），治疗组小腿周径（32.38±4.40）cm较对照组(34.78±5.19)cm明显缩小 (P<0.05)，但两组在麻木感、大腿周径和总体淋巴水肿分级上无明显差异。结论　系统性康复训练联合迈之灵片可以有效地治疗宫颈癌患者同步放化疗后的下肢淋巴水肿。

Abstract:

Objective　 To explore effects of systemic rehabilitation treatment and aescuven forte tablets on lower limb lymphedema in patients with cervical cancer after concurrent chemoradiotherapy. 　Methods　 Totally, 61 cervical cancer patients with lower limb lymphedema were divided into a treatment group (30 cases) and a control group (31 cases) by their therapeutic methods. The control group was treated with routine nursing and aescuven forte tablets, and the treatment group was treated with aescuven forte tablets and systemic rehabilitation treatment which included hip full range exercise training and manual lymphatic drainage. The heavy feeling, pain, numbness, dysfunction, lower limb circumference and lymphedema classification were used to evaluate the curative effects after 3 months of treatment. 　Results　 There were significant improvements in the heavy feeling (1.96±0.66 vs. 2.47±0.57, P<0.05), pain (1.59±0.49 vs. 2.00±0.61,P<0.05), dysfunction (0.90±0.46 vs. 1.51±0.73, P<0.05) and calf circumference ［(32.38±4.40)cm vs. (34.78±5.19)cm，P<0.05］ in rehabilitation group, but there were no improvements in thigh circumference and lymphedema classification between the two groups. 　Conclusion　 Systemic rehabilitation treatment and aescuven forte tablets could improve the curative effects on lower limb lymphedema in patients with cervical cancer after concurrent chemoradiotherapy.