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首页> 外文期刊>Physiotherapy >Manual Lymphatic Drainage Compared with Simple Lymphatic Drainage in the Treatment of Post-mastectomy Lymphoedema A pilot randomised trial
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Manual Lymphatic Drainage Compared with Simple Lymphatic Drainage in the Treatment of Post-mastectomy Lymphoedema A pilot randomised trial

机译：手动淋巴引流与单纯淋巴引流相比于乳房切除术后淋巴水肿的治疗一项随机试验

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Purpose To determine whether manual lymphatic drainage (MLD) is significantly more effective than simple lymphatic drainage (SLD) in reducing oedematous limb volume in women with breast cancer related arm oedema.Design Randomised trial.MethodsThe study measured change in affected limb volume over a two-week intensive treatment period. One group of patients (N = 13) was treated with SLD, the other group (N = 15) with MLD. All patients were treated daily by the same lymphoedema specialist nurse and wore multi-layered bandaging between treatments. The sole outcome measure was percentage change in excess limb volume (PCEV) following treatment.Results The mean percentage reduction in PCEV was 33.8% in the MLD group and 22.0% in the SLD group (mean difference 11.8%, 95%CI = –3.8% to +27.4%).Conclusions These data suggest that MLD is more effective than SLD in reducing limb swelling. However, the data are not statistically conclusive. These results firmly support the need for this study to be replicated with a larger, statistically viable sample.
机译：目的确定在与乳腺癌相关的手臂水肿的女性中减少淋巴水肿肢体的量，手动淋巴引流术（MLD）是否比单纯淋巴引流术（SLD）明显更有效。设计随机试验。周强化治疗期。一组患者（N = 13）接受SLD治疗，另一组（N = 15）接受MLD治疗。所有患者每天都由同一位淋巴水肿专科护士进行治疗，并且在两次治疗之间都使用了多层绷带。唯一的结局指标是治疗后肢体过剩体积（PCEV）的百分比变化。结果MLD组PCEV的平均减少百分比为33.8％，SLD组为22.0％（平均差异11.8％，95％CI = –3.8） ％至+ 27.4％。）结论这些数据表明MLD在减轻肢体肿胀方面比SLD更有效。但是，这些数据在统计上不是结论性的。这些结果坚定地支持将这项研究与较大的，具有统计意义的样本重复进行的需求。

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