渐进式抗阻训练联合空气波压力治疗对宫颈癌术后下肢淋巴水肿患者的应用研究OA
Application of Progressive Resistance Training Combined with Intermittent Pneumatic Compression in Improving Edematous Limb Circumference and Quality of Life in Patients with Lower Limb Lymphedema After Cervical Cancer Surgery
目的 探讨渐进式抗阻训练联合空气波压力治疗对宫颈癌术后下肢淋巴水肿患者水肿周径及生活质量的影响.方法 选取河南省人民医院 2023 年 1 月至 2025 年 3 月收治的 76 例宫颈癌术后下肢淋巴水肿患者作为研究对象,采用随机数字表法将其划分为对照组(n=38,渐进式抗阻训练)与研究组(n=38,渐进式抗阻训练联合空气波压力治疗),比较两组在下肢疼痛情况、下肢水肿周径以及生活质量方面的变化.结果 治疗 12 周后,两组下肢疼痛 VAS 评分均较治疗前降低,且研究组低于对照组,差异有统计学意义(P＜0.05).治疗 12 周后,两组膝中、髌骨上缘上方 10 cm 及20 cm 处、髌骨下缘下方 10 cm 及 20 cm 处周径均降低,且研究组膝中、髌骨上缘上方 10 cm 及 20 cm 处、髌骨下缘下方10 cm及20 cm处周径低于对照组,差异有统计学意义(P＜0.05),两组踝中周径与治疗前比较及治疗12周组间比较,差异均无统计学意义(P＞0.05).治疗12周后,两组简体中文版下肢淋巴水肿功能、残疾与健康问卷(Lymph-ICF-LL)评分均较治疗前降低,且研究组低于对照组,差异有统计学意义(P＜0.05).结论 通过渐进式抗阻训练联合空气波压力治疗对宫颈癌术后下肢淋巴水肿患者进行干预,可有效减轻患者下肢疼痛情况、下肢水肿周径,并改善了患者的生活质量.
Objective To investigate the effects of progressive resistance training combined with intermittent pneumatic compression on edematous limb circumference and quality of life in patients with lower limb lymphedema after cervical cancer surgery.Methods A total of 76 patients with lower limb lymphedema after cervical cancer surgery who were admitted to Henan Provincial People's Hospital from January 2023 to March 2025 were enrolled as the study subjects.They were divided by the random number table method into a control group(n=38,progressive resistance training)and a study group(n=38,progressive resistance training combined with intermittent pneumatic compression).Changes in lower limb pain,edematous limb circumference,and quality of life were compared between the two groups.Results After 12 weeks of treatment,the visual analogue scale(VAS)scores for lower limb pain decreased in both groups compared with those before treatment,and the score in the study group was lower than that in the control group,with a statistically significant difference(P＜0.05).After 12 weeks of treatment,the circumferences at the mid-knee,10 cm and 20 cm above the superior border of the patella,and 10 cm and 20 cm below the inferior border of the patella decreased in both groups,and these measurements in the study group were lower than those in the control group,with statistically significant differences(P＜0.05).However,there were no statistically significant differences in the mid-ankle circumference either between pre-and post-treatment within the two groups or between the two groups after 12 weeks of treatment(P＞0.05).After 12 weeks of treatment,the scores of the Chinese simplified version of the Lymphedema Functioning,Disability,and Health Questionnaire for Lower Limb Lymphedema(Lymph-ICF-LL)decreased in both groups compared with those before treatment,and the score in the study group was lower than that in the control group,with a statistically significant difference(P＜0.05).Conclusion Intervention with progressive resistance training combined with intermittent pneumatic compression in patients with lower limb lymphedema after cervical cancer surgery can effectively alleviate lower limb pain,reduce edematous limb circumference,and improve their quality of life.
张慧敏;尉冠丽;王笑笑
河南省人民医院,郑州大学人民医院 血管外科,河南 郑州 450000河南省人民医院,郑州大学人民医院 血管外科,河南 郑州 450000河南省人民医院,郑州大学人民医院 血管外科,河南 郑州 450000
宫颈癌下肢淋巴水肿渐进式抗阻训练空气波压力治疗水肿周径
cervical cancerlower limb lymphedemaprogressive resistance trainingintermittent pneumatic compressionedematous limb circumference
《临床研究》 2026 (4)
38-41,4
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