慢性丝虫病淋巴水肿患者关怀照料效果

发布时间：2018-07-10 14:10

本文选题：慢性丝虫病 + 淋巴水肿　；参考：《中国血吸虫病防治杂志》2015年01期

【摘要】：目的观察慢性丝虫病淋巴水肿患者关怀照料前后病情变化及效果。方法采用中药泡脚、单味中药洗脚、清水清洗、消除侵入性伤口、锻炼、抬高患肢和穿鞋等综合照料方法,对慢性丝虫病淋巴水肿患者进行关怀照料。观察照料前、后淋巴管/结炎发作的频次、淋巴水肿病情分期和腿围等变化。结果完成观察照料共386例,淋巴管结炎发作率照料前为9.65%,照料后为4.67%,差异有统计学意义(χ2=7.34,P=0.006 7)。左、右侧患肢淋巴水肿分期高的患者照料后比例明显降低,较照料前差异均有统计学意义(Z=-1.99、-2.14,P=0.048 2、0.033 3),两侧患肢的Ⅱ线和Ⅲ线腿围照料后差异均有统计学意义(P均0.01),腿围平均减少1.06 cm,皮肤外观也有明显改善,凹陷性水肿、溃疡、皮肤表层、皮肤皱褶等照料前、后差异均有统计学意义(P均0.01)。结论慢性丝虫病淋巴水肿综合照料方法效果明显,值得进一步推广应用。
[Abstract]:Objective to observe the change and effect of chronic filariasis lymphedema before and after care. Methods the patients with chronic filariasis lymphedema were cared for by the methods of traditional Chinese medicine foot bubble, single Chinese medicine foot washing, clean water washing, eliminating invasive wounds, exercising, raising affected limbs and wearing shoes. The frequency of lymphatic / inflammatory attack, the stage of lymphedema and leg circumference were observed before and after care. Results 386 cases were observed and cared for. The incidence of lymphangioiditis was 9.65 before care and 4.67 after care (蠂 ~ 2 / 7.34 / P ~ (0.0067). The proportion of patients with high stage of lymphedema in left and right limbs decreased significantly after care. There were statistically significant differences between the two groups before and after care (ZT-1. 99 ~ 2. 14P ~ (0.048) 20. 033 3). There were significant differences between the two sides (P0.01). The average leg circumference was reduced by 1. 06 cm, and the skin appearance was improved obviously. The indented edema, ulcers, and the skin surface were also significantly improved, and there was no significant difference between the two groups after taking care of the legs (P < 0. 01). There were significant differences before and after skin fold care (P 0.01). Conclusion the comprehensive care method for chronic filariasis lymphedema is effective and worthy of further application.
【作者单位】：江苏省苏州市吴江区疾病预防控制中心;江苏省苏州市疾病预防控制中心;江苏省血吸虫病防治研究所;
【基金】：江苏省血寄地防科研项目(X201123)
【分类号】：R532.15

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