CAJ | 학술논문

目的探讨烘绑疗法治疗肢体慢性淋巴水肿伴发丹毒的效果.方法回顾性分析2004年3月至2013年3月收治的80例肢体慢性淋巴水肿伴发丹毒患者行烘绑疗法的临床资料.采用上海市第九人民医院自制远红外烘疗机,温度一般为42℃左右,每天烘疗2h,20 h为1个疗程.每天治疗结束后患者用弹力绑带包扎.平均每年定期进行1～2个疗程.对丹毒发作频率、患者主观感觉、治疗总疗程、弹性材料使用情况进行随访观察.用秩和检验的方法比较发作频率的变化,使用SPSS 17.0统计软件分析数据.结果烘绑治疗后,患者丹毒发作频率得到了明显的控制(Z =7.598,P=0.000),其中60例(75％)患者不再伴发丹毒;对于不同发病原因导致的淋巴水肿伴发丹毒都有明显疗效,原发性和继发性分别与治疗前比较,差异均有统计学意义,P值分别为0.001和0.000,Z值分别为3.417和5.009,主观感觉明显改善,后续弹性材料加压治疗减少了丹毒复发.结论烘绑疗法可以有效控制肢体慢性淋巴水肿患者的丹毒发作,提高生活质量,后续弹性材料加压治疗是必要的.
목적 탐토홍방요법치료지체만성림파수종반발단독적효과.방법 회고성분석2004년3월지2013년3월수치적80례지체만성림파수종반발단독환자행홍방요법적림상자료.채용상해시제구인민의원자제원홍외홍료궤,온도일반위42℃좌우,매천홍료2h,20 h위1개료정.매천치료결속후환자용탄력방대포찰.평균매년정기진행1～2개료정.대단독발작빈솔、환자주관감각、치료총료정、탄성재료사용정황진행수방관찰.용질화검험적방법비교발작빈솔적변화,사용SPSS 17.0통계연건분석수거.결과 홍방치료후,환자단독발작빈솔득도료명현적공제(Z =7.598,P=0.000),기중60례(75％)환자불재반발단독;대우불동발병원인도치적림파수종반발단독도유명현료효,원발성화계발성분별여치료전비교,차이균유통계학의의,P치분별위0.001화0.000,Z치분별위3.417화5.009,주관감각명현개선,후속탄성재료가압치료감소료단독복발.결론 홍방요법가이유효공제지체만성림파수종환자적단독발작,제고생활질량,후속탄성재료가압치료시필요적.
Objective To investigate the therapeutic effect of heating and bandage treatment for chronic lymphedema of extremities accompanied with erysipelas.Methods From March 2004 to March 2013,80 patients with chronic lymphedema of extremities accompanied with erysipelas were analyzed retrospectively.The patients underwent heating treatment (42 degree centigrade) with infrared light machine made by Shanghai Ninth People' s Hospital,2 hours a day,20 hours for a session.Bandage treatment was adopted after heating treatment.1 or 2 sessions were performed for each patient every year.The erysipelas occurring frequency,patients subjective feeling,treatment sessions and elastic material usage was recorded during the follow-up period.The erysipelas occurring frequency was tested by the method of rank and inspection.SPSS 17.0 was used for statistical analysis.Results After heating and bandage treatment,the occurrence frequency of erysipelas was obviously controlled (Z =7.598,P =0.000).Erysipelas was not occurred any more in 60(75％)patients.Remarkable reduction of occurrence frequency of erysipelas caused by various reasons was showed after treatment.Primary and secondary lymphedema after treatment were compared with those before treatment respectively,showing statistical difference(Z =3.417 and 5.009,P =0.001 and 0.000).Most of patients felt better subjectively.The relapse rate of erysipelas and lymphedema was lower if keeping using elastic material to give more pressure on extremities after therapy.Conlusions Heating and bandage treatment can obviously reduce the occurrence frequency of erysipelas.It can improve the quality of patients' lives.Simultaneously,the subsequent elastic material pressure therapy is essential.