| Objective:To compare the clinical effects of deep puncture external drainage therapy for secondary lymph edema of extremities by comparing the circumference of the affected limb,the volume of the affected limb,the symptom of the lymphedema of the affected limb,and the Visual analog pain score before and after treatment.Patients with secondary lymphedema provide a reliable treatment plan to provide technical support for the standardized operation of deep pricking external drainage therapy for the treatment of secondary lymphedema of the extremities.Methords:In this study,70 patients with secondary lymphedema in the extremities were included in the study.70 patients were enrolled in the study.The patients were divided into the control group and the treatment group by randomization.The control group was treated with Manual Lymphatic Drainage(MLD)once a day for 8 weeks.The treatment group was treated with deep puncture external drainage once a week,and with MLD once a day for 8 weeks.Observed the patient's circumference,limb volume,lymphedema symptom score,Visual analog scale(VAS)and other indicators before and after treatment at 2 weeks,4 weeks,6 weeks,and 8 weeks.And carry out statistical analysis.Results:1.Before the treatment,the basic conditions of gender,age,height,weight,limb distribution,limb circumference,limb volume,VAS score and lymphedema symptom score were analyzed.The statistical results showed the basic situation of the two groups.There was no significant difference between the two group(p>0.05).2.Mean diameter and volume of the upper limbs of the affected side:compared with before treatment,the mean diameter of the upper limbs of the control group and the treatment group decreased significantly(p<0.05),and decreased by 0.69±0.22cm,1.30±0.47cm,the treatment group was significantly better than the control group(p<0.05);the upper limb volume of the affected side was significantly lower than that before treatment(p<0.05),and the control group and the treatment group were reduced by 18.76±7.73dm3 and 38.02±12.04dm3,the difference between the groups was significant(p<0.05),and the treatment group was significantly better than the control group.3.Mean and volume of the lower extremity circumference of the affected side:compared with before treatment,the mean value of the lower extremity circumference of the control group and the treatment group was significantly decreased(p<0.05),and decreased by 1.00±0.22cm,1.42±0.28cm,the treatment group was significantly better than the control group(p<0.05);the lower limb volume of the affected side was significantly lower than that before treatment(p<0.05),and the control group and the treatment group were reduced by 42.09±20.75dm3 and 70.21±24.56dm3,the difference between the groups was significant(p<0.05),and the treatment group was significantly better than the control group,4.The difference between the circumference and the reduction of the affected limbs in the upper limbs:in the treatment group and the control group,the mean value of the upper limb circumference gradually decreased in the four visit time points,and the two groups visited and treated four times.The difference between the previous comparisons was significant(p<0.01),and the treatment group was significantly better than the control group.5.The difference between the circumference and the reduction of the affected limbs in the lower extremities:in the treatment group and the control group,the mean value of the lower extremity circumference gradually decreased in the four visit time points,and the two groups visited and treated four times.The difference between the previous comparisons was significant(p<0.01),and the treatment group was significantly better than the control group.6.Mean and difference of each measurement point of the upper limb of the affected side:compared with before treatment,the changes of the measurement points of the upper limb of the control group and the treatment group after 8 weeks of treatment:?wrist transverse line:two groups of affected side The mean value of the striate was significantly lower than that before treatment(p<0.01),and the control group and the treatment group were reduced by 0.58±0.10cm and 1.02±0.17cm,respectively.The treatment group was significantly better than the control group(p<0.01).?10cm on the transverse stripes:the mean value of 10cm on the transverse stripes of the two groups was significantly lower than that before treatment(P<0.01),and the control group and the treatment group were reduced by 1.01±0.07cm and 1.59±10.17cm respectively.Significantly better than the control group(p<0.01).? elbow transverse stripes:the mean value of the elbow transverse stripes of the two groups was significantly lower than that before treatment(p<0.01),and the control group and the treatment group were reduced by 0.59±0.10cm and 1.85±0.19cm,respectively,the treatment group was significantly better than the control group(p<0.01).?10cm on the elbow transverse stripes:the mean diameter of the 10cm on the elbow transverse stripes of the two groups was significantly lower than before(p<0.01),and the control and treatment groups were reduced by 0.57±0.19cm and 0.74±0.14cm,respectively,the treatment group was significantly better than the control group(p<0.01).7.Mean and difference of the measurement points of the lower limbs of the affected side:compared with before treatment,the changes of the measurement points of the upper limbs of the control group and the treatment group after 8 weeks of treatment:?internal ankle joint:two groups of affected side of the ankle joint The mean diameter of the circumference was significantly reduced(p<0.01),and the control group and the treatment group were reduced by 0.59±0.10cm and 1.85±0.19cm,respectively.The treatment group was significantly better than the control group(p<0.01).?10cm in the medial malleolus:The mean diameter of the 10cm in the medial side of the two groups was significantly lower than that in the front(p<0.01),and the control group and the treatment group were decreased by 1.11±0.22cm and 1.54±0.15cm respectively.The treatment group was significantly better than the control group(p<0.01).?10 cm below the lower edge of the humerus:the mean diameter of the 10 cm circumference under the lower tibia of the two groups was significantly lower than before(p<0.01),and the control group and the treatment group decreased by 1.19±0.04 cm and 1.67±0.10 cm,respectively.The treatment group was significantly better than the control group(p<0.01).?10cm above the upper edge of the humerus:the mean diameter of the two sides of the affected side was significantly lower than before(p<0.01),and the control group and the treatment group were reduced by 0.75±0.08cm and 1.20±0.20cm,,respectively.The treatment group was significantly better than the control group(p<0.01).8.Comparison of effective rates between the two groups:After 8 weeks of treatment,there were no significant cases in the two groups.The control group was effective in 17 cases,ineffective in 13 cases,the effective rate was 56.67%,the treatment group was effective in 26 cases,and ineffective in 4 cases.The effective rate was 86.67%,the treatment group was significantly better than the control group(p<0.05).9.VAS score:The VAS scores of the control group and the treatment group were 2.73±1.08 and 2.63±1.07,respectively,and there was no significant difference(p>0.05).After treatment,they were2.63±1.03 and 2.30±0.84,respectively.The pain state after treatment was improved compared with that before treatment,and the treatment group was significantly better than the control group(p<0.05).10.Lymphedema symptom score:The symptom scores of lymphedema in the control group and the treatment group were 9.47±1.38 and 9.30±1.34,respectively.There was no significant difference(p>0.05).The symptoms of lymphedema after treatment were better in the two groups.The former was improved,and the treatment group was significantly better than the control group(p<0.05).Conclusion:Deep puncture and external drainage therapy for secondary lymphedema of the extremities can significantly improve the swelling and pain of the affected limb.It has obvious advantages over MLD alone and can be widely used in clinical practice. |
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