徒手淋巴引流技术临床应用研究进展

doi:10.16460/j.issn1008-9969.2024.12.032

摘要/Abstract

摘要： 目的介绍并分析国内外徒手淋巴引流的发展现状,为我国医护人员在临床工作中运用徒手淋巴引流技术提供参考。方法系统检索国内外相关文献,从徒手淋巴引流相关概念、研究现状、临床应用范围及应用方法进行综述,并提出展望。结果国内目前常将徒手淋巴引流用于治疗癌症术后引起的慢性淋巴水肿,国外则将其用于肌肉骨骼损伤、类风湿性关节炎、脑水肿、妊娠期水肿、乳房胀痛,外阴水肿等原因引起的肿胀,但该技术临床运用效果及适用人群仍存在一定争议,需要更多临床试验验证。结论医护人员应结合徒手淋巴引流研究现状及争议,进一步验证其效果,以扩大徒手淋巴引流技术的应用范围。

中图分类号:

R472

. 徒手淋巴引流技术临床应用研究进展[J]. 护理学报, 2024, 31(12): 32-35.

参考文献

[1] 李德福,陈学山,陈玉彬.乙醇冰袋在四肢骨折患者术前冷敷中的应用效果分析[J].中国烧伤创疡杂志, 2023,35(4):294-297.DOI:10.3969/j.issn.1001-0726.2023.04.010.
[2] 何宝凝,刘东文,陈淑映,等.生骨贴膏治疗外伤性闭合性骨折的临床有效性及安全性研究[J].中华中医药杂志,2020,35(3):1593-1595.
[3] 李丹凤,江丽娇,关露娟.辨证施膳联合功能锻炼对四肢骨折患者早期肿胀的效果[J].实用医学杂志, 2018,34(16):2799-2802.
[4] 刘仁,郭伟华,吴官保.针刺八风八邪配合七叶皂苷钠治疗创伤性四肢肿胀60例[J].湖南中医杂志,2014,30(4):88-89.
[5] 杨璠,胡翔.闭合性小腿骨折术前消肿方法的临床研究进展[J].当代护士(上旬刊),2020,27(7):23-26.DOI:10.19791/j.cnki.1006-6411.2020.19.009.
[6] Moseley AL, Carati CJ, Piller NB.A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment[J]. Ann Oncol,2007,18(4):639-646.
[7] Leal NF, Carrara HH,Vieira KF,et al.Physiotherapy treatments for breast cancer-related lymphedema: a literature review[J]. Rev Lat Am Enfermagem,2009,17(5):730-736.
[8] Zuther JE.Lymphedema management: the comprehensive guide for practitioners[M].2nd ed. Stuttgart:Thieme,2009.
[9] Hemmati M, Rojhani-Shirazi Z,Zakeri ZS,et al.The effect of the combined use of complex decongestive therapy with electrotherapy modalities for the treatment of breast cancer-related lymphedema: a randomized clinical trial[J]. BMC Musculoskelet Disord,2022,23(1):837.DOI:10.1186/s12891-022-05780-1.
[10] Zhang HZ, Zhong QL,Zhang HT, et al.Effectiveness of six-step complex decongestive therapy for treating upper limb lymphedema after breast cancer surgery[J]. World J Clin Cases,2022,10(25):8827-8836. DOI:10.12998/wjcc.v10.i25.8827.
[11] Wang X,Ding Y,Cai HY, et al.Effectiveness of modified complex decongestive physiotherapy for preventing lower extremity lymphedema after radical surgery for cervical cancer:a randomized controlled trial[J]. Int J Gynecol Cancer,2020,30(6):757-763.DOI:10.12998/wjcc.v10.i25.8827.
[12] Piso DU, Eckardt A,Liebermann A,et al.Early rehabilitation of head-neck edema after curative surgery for orofacial tumors[J]. Am J Phys Med Rehabil,2001,80(4):261-269.
[13] Tsai KY,Liao SF,Chen KL,et al.Effect of early interventions with manual lymphatic drainage and rehabilitation exercise on morbidity and lymphedema in patients with oral cavity cancer[J].Medicine (Baltimore),2022,101(42):e30910.DOI:10.1097/MD.0000000000030910.
[14] 胡进,叶沙,刘高明,等.头颈部肿瘤综合治疗后并发淋巴水肿患者的护理[J].护理学杂志,2022,37(14):47-49.DOI:10.3870/j.issn.1001-4152.2022.14.047.
[15] Lin Y,Yang Y,Zhang X,et al.Manual lymphatic drainage for breast cancer-related lymphedema:a systematic review and meta-analysis of randomized controlled trials[J]. Clin Breast Cancer,2022,22(5):e664-e673.DOI:10.1016/j.clbc.2022.01.013.
[16] 苑子男. 徒手淋巴引流术对全膝关节置换术后下肢肿胀的疗效观察[D].天津:天津体育学院,2022.DOI:10.27364/d.cnki.gttyy.2022.000253.
[17] Guney-Deniz H,Kinikli G I,Aykar S,et al.Manual lymphatic drainage and kinesio taping applications reduce early-stage lower extremity edema and pain following total knee arthroplasty[J].Physiother Theory Pract,2023,39(8):1582-1590.DOI:10.1080/09593985.2022.2044422.
[18] Tornatore L,De Luca ML,Ciccarello M,et al.Effects of combining manual lymphatic drainage and Kinesiotaping on pain, edema,and range of motion in patients with total knee replacement:a randomized clinical trial[J].Int J Rehabil Res,2020,43(3):240-246.DOI:10.1097/MRR.0000000000000417.
[19] Pichonnaz C, Bassin JP,Lecureux E,et al.Effect of manual lymphatic drainage after total knee arthroplasty:a randomized controlled trial[J].Arch Phys Med Rehabil,2016,97(5):674-682.
[20] Ebert JR,Joss B,Jardine B,et al.Randomized trial investigating the efficacy of manual lymphatic drainage to improve early outcome after total knee arthroplasty[J]. Arch Phys Med Rehabil,2013,94(11):2103-2111.
[21] 张启富,陈耀智,龙耀斌.徒手淋巴引流结合消肿治疗闭合性小腿骨折术前肢体肿胀的效果[J].广东医学,2016,37(7):1034-1036.DOI:10.13820/j.cnki.gdyx.2016.07.020.
[22] 杨志强,夏先学,张雅茜,等.徒手淋巴引流术对急性闭合性踝关节骨折患者术前肿胀程度及血清致痛物质、炎症因子的影响[J].广西医学, 2022,44(15):1726-1729.DOI:10.11675/j.issn.0253-4304.2022.15.08.
[23] 屈萌艰,伍琦,龙黎萍,等.改良的综合消肿疗法对手外伤后并发难治性CRPS的临床疗效观察[J]. 中国伤残医学,2020, 28(16):7-11. DOI:10.13214/j.cnki.cjotadm.2020.16.004.
[24] Safaz I, Tok F, Taskaynatan MA, et al.Manual lymphatic drainage in management of edema in a case with CRPS: why the(y) wait?[J].Rheumatol Int,2011,31(3):387-390.
[25] 徐攀,张春军,王文丽,等.手法淋巴引流治疗复杂性区域疼痛综合征Ⅰ型疗效的Meta分析[J].循证护理,2022,8(17):2299-2302.DOI:10.12102/j.issn.2095-8668.2022.17.005.
[26] Esparza WD,Aladro-Gonzalvo AR,Ruiz-Hontangas A, et al.The effect of craniofacial manual lymphatic drainage after moderate traumatic brain injury[J]. Healthcare (Basel),2023,11(10):1474. DOI:10.3390/healthcare11101474.
[27] Roth C,Stitz H,Roth C,et al.Craniocervical manual lymphatic drainage and its impact on intracranial pressure-a pilot study[J].Eur J Neurol,2016,23(9):1441-1446.
[28] Gao C, Wei Y, Zhang X,et al.Craniocervical manual lymphatic drainage increases the efficiency of atorvastatin-based treatment of chronic subdural hematoma[J]. Transl Stroke Res,2023,14(5):667-677.DOI:10.1007/s12975-022-01062-z.
[29] Pinto ESM, Bassani MA, Miquelutti MA,et al.Manual lymphatic drainage and multilayer compression therapy for vulvar edema: a case series[J]. Physiother Theory Pract,2015,31(7):527-531.
[30] 柴春燕,陆亚青,杨雪芳,等.5例阴茎癌术后下肢合并阴囊重度淋巴水肿患者的护理体会[J].护理学报, 2023, 30(4):72-74.DOI:10.16460/j.issn1008-9969.2023.04.072.
[31] Antoniak K,Zorena K,Jaskulak M,et al.Significant decrease in glycated hemoglobin,2h-post-load glucose and high-sensitivity c-reactive protein levels in patients with abnormal body mass index after therapy with manual lymphatic drainage[J].Biomedicines,2022,10(7):1730.DOI:10.3390/biomedicines10071730.
[32] Leduc O, Crasset V, Leleu C, et al.Impact of manual lymphatic drainage on hemodynamic parameters in patients with heart failure and lower limb edema[J]. Lymphology,2011,44(1):13-20.
[33] Ali K, Dibbs RP, Dougherty C,et al.Treatment outcomes of manual lymphatic drainage in pediatric lymphedema[J].Ann Vasc Surg,2022,78:263-271.DOI:10.1016/j.avsg.2021.06.021.
[34] Dogan H, Eroglu S,Akbayrak T.Comparison of the effect of kinesio taping and manual lymphatic drainage on breast engorgement in postpartum women:a randomized-controlled trial[J]. Breastfeed Med,2021,16(1):82-92.DOI:10.1089/bfm.2020.0115.
[35] Akdeniz LM, Cihan E, Sahbaz PC,et al.Does manual lymphatic drainage improve upper extremity functionality in female patients diagnosed with rheumatoid arthritis?A randomized controlled study[J]. Int J Rheum Dis,2023,26(10):1979-1986.DOI:10.1111/1756-185X.14849.
[36] Dos SCR, Costa DS, de Luz BMC,et al.Influence of manual lymphatic drainage on health-related quality of life and symptoms of chronic venous insufficiency:a randomized controlled trial[J].Arch Phys Med Rehabil,2015,96(2):283-291.
[37] Molski P, Kruczynski J, Molski A, et al.Manual lymphatic drainage improves the quality of life in patients with chronic venous disease: a randomized controlled trial[J]. Arch Med Sci,2013,9(3):452-458.
[38] 梁勇玲. 淋巴引流美容美体230例的体会[J].医学文选, 2006,25(2):243-244.
[39] Lee DY, Han JS, Jang EJ,et al.The comparison of manual lymph drainage and ultrasound therapy on the leg swelling caused by wearing high heels[J]. Technol Health Care,2014,22(3):309-315.
[40] 张丽娟,罗庆华,张慧珍,等.乳腺癌保乳术后患者淋巴水肿的手法引流综合消肿治疗[J].护理学杂志,2018,33(12):8-11.
[41] 孟英涛,孔荣华,王荣娟,等.肢体气压治疗联合徒手淋巴引流干预乳腺癌患者上肢淋巴水肿的研究[J].中国预防医学杂志, 2021(6):13.DOI:10.16506/j.1009-6639.2021.06.013.
[42] Wu X, Liu Y, Zhu D,et al.Early prevention of complex decongestive therapy and rehabilitation exercise for prevention of lower extremity lymphedema after operation of gynecologic cancer[J]. Asian J Surg,2021,44(1):111-115.DOI:10.1016/j.asjsur.2020.03.022.

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