组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2017, Vol. 13 ›› Issue (4): 198-200.doi: 10.3969/j.issn.1673-0364.2017.04.006

• 论著 • 上一篇    下一篇

四种不同乳膏分别用于下肢淋巴水肿CDT治疗的护理效果研究

韩凌华，刘宁飞，汪立，陈佳佳，孙笛，于子优   

  1. 上海交通大学医学院附属第九人民医院整复外科淋巴水肿中心
  • 发布日期:2020-07-23

The Nursing Effica cy of Four Kinds of Cream in the CDT Treatment of the Lower Limb Lymphedema

HAN linghua,LIU Ningfei,WANG Li,CHEN Jiajia,SUN Di,YU Ziyou   

  1. Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine
  • Published:2020-07-23
  • Contact: 上海市修复重建外科临床医学中心；整形外科国家临床重点专科建设项目

摘要： 目的尝试应用4种不同的皮肤护理乳膏,对下肢淋巴水肿综合消肿治疗(CDT)的患者进行皮肤护理,并对效果进行比较、评价。方法选择继发性下肢淋巴水肿患者60例,分成4组:纡适宁淋巴管理啫喱膏组(组1,n=15)、LR Cellona乳膏组(组2,n=15)、洁霉素霜组(组3,n=15)和羊毛脂乳膏组(组4,n=15)。进行手法引流治疗之前,对各项指标进行观察并详细记录,每组患者患肢涂抹相应乳膏,统一手法引流及绷带操作标准,连续进行一个疗程的CDT治疗,记录观察指标,并对治疗前后的观察指标进行对比。结果乳膏皮肤反应强度平均值:组1为1.93、组2为1.47、组3为3.27、组4为2;舒适度:组1为67.42%、组2为71.65%、组3为65.06%、组4为72.16%;角化平均好转率:组1为55.6%、组2为33.3%、组3为64.3%、组4为52.6%;干燥平均好转率:组1为0%、组2为100%、组3为100%、组4为100%;脱屑平均好转率:组1为100%、组2为62.5%、组3为100%、组4为87.5%。结论四种皮肤护理乳膏各有不同优势。皮肤反应最小的为LR Cellona乳膏,体感舒适度最好的为羊毛脂乳膏,止痒见效最快的为纡适宁淋巴管理啫喱膏,皮肤角化好转最好的为洁霉素霜,防止皮肤干燥效果最好的为洁霉素霜、羊毛脂乳膏和LR Cellona乳膏,脱屑好转最有效的为纡适宁淋巴管理啫喱膏和洁霉素霜。

关键词: 下肢淋巴水肿, 综合消肿治疗, 皮肤护理乳膏

Abstract: Objective To observe and compare the nursing effects of four skin care creams for the treatment of lymphedema in lower limb.Methods Sixty patients with secondary lower limb lymphedema were divided into four groups,① The VITAS soothing cream gel group (group 1,n=15),② The LR Cellona cream group (group 2,n=15),③ The lincomycin cream group (group 3,n=15);④ The lanolin cream group (group 4,n=15).Before manual lymph drainage,all indicators were observed and recorded.Patients in each group were treated with the appropriate cream.The standards of drainage and bandage operation were unified.All patients were given one course of CDT,observation indexes were recorded.The observation indexes before and after treatment were statistically analyzed.Results The average response strength of the cream was 1.93,1.47,3.27,and 2 respectively.The comfort level was 67.42％,71.65％,65.06％ and 72.16％ respectively.The average improvement rate of keratosis was 55.6％,33.3％,64.3％ and 52.6％ respectively.The average improvement rate of drying was 0％,100％,100％,100％;The average improvement rate of desquamation was 100％,62.5％,100％,87.5％.Conclusion Four kinds of skin care cream have different advantages.LR Cellona cream has the smallest skin reaction;Lanolin cream has the beat comfort;VITAS soothing cream gel has the fastest anti-itch effect;Lincomycin cream has the beat anti-keratosis effect;Lincomycin cream,lanolin cream,LR Cellona cream have the best anti-drying effect;VITAS soothing cream gel and lincomycin cream have the best anti-desquamation effect.

Key words: Lower limb lymphedema, Comprehensive decongestive therapy, Skin care cream

中图分类号: