行为干预对妇科恶性肿瘤治疗后下肢淋巴水肿患者的作用

doi:10.3969/j.issn.1006-7795.2016.06.021

首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (6): 826-829.doi: 10.3969/j.issn.1006-7795.2016.06.021

行为干预对妇科恶性肿瘤治疗后下肢淋巴水肿患者的作用

孙小红¹, 孔为民², 马正君³

1. 北京老年医院妇科, 北京 100095;
2. 首都医科大学附属北京妇产医院妇瘤科, 北京 100006;
3. 北京老年医院泌尿外科, 北京 100095

收稿日期:2016-03-24 出版日期:2016-12-21 发布日期:2016-12-16
通讯作者: 孔为民 E-mail:xh.s@qq.com

Effects of behavior intervention on patients with lower limb lymphedema after gynecological carcinoma treatment

Sun Xiaohong¹, Kong Weimin², Ma Zhengjun³

1. Department of Gynecology, Beijing Geriatric Hospital, Beijing 100095, China;
2. Department of Gynecologic Oncology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China;
3. Department of Urology, Beijing Geriatric Hospital, Beijing 100095, China

Received:2016-03-24 Online:2016-12-21 Published:2016-12-16

摘要/Abstract

摘要： 目的初步探讨行为干预对妇科恶性肿瘤治疗后下肢淋巴水肿患者的作用。方法将78例妇科恶性肿瘤治疗后发生下肢淋巴水肿的患者，分为对照组和干预组，分析行为干预对下肢淋巴水肿的作用。结果妇科恶性肿瘤治疗后88.5%的患者对淋巴水肿这一合并症有所认识，而在治疗前仅有53.9%的患者对淋巴水肿有认知；通过行为干预的患者水肿的缓解率为65%，未经过行为干预的患者水肿的自然缓解率为39.5%，差异具有统计学意义（P=0.024）。结论下肢淋巴水肿是妇科恶性肿瘤患者治疗后的常见合并症之一；但患者缺乏对该合并症的认识，通过行为干预能有效的减轻下肢水肿的症状、促进水肿的吸收，改善患者的生活质量，因此应提倡患者治疗后尽早采取行为干预避免或减少水肿的发生。

关键词: 行为干预, 妇科恶性肿瘤, 下肢淋巴水肿

Abstract: Objective To preliminarily study the effects of behavior intervention on patients with lower limb lymphedema(LLL) after gynecological carcinoma treatment. Methods Seventy-eight cases of patients with LLL after gynecological carcinoma treatment, were divided into 2 groups:control group and intervention group, to analyze the effects ofbehavior intervention on patients with LLL. Results Totally 88.5% of patients after gynecological carcinoma treatment have theunderstandingof LLL, while only 53.9% before treatment; the remission rate was 65% for patients with LLL accepted the behavior intervention, while the spontaneous remission rate was 39.5% for patients with LLL without behavior intervention, there had significant difference(P=0.024).Conclusion LLL is one of the common complications for patients after gynecological carcinoma treatment, and patients aregenerally lack of awareness of this complication, behavior intervention can effectively reduce the symptoms of LLL, promote the absorption of LLL, improve the life quality of patients, so behavior intervention should be used earlier in patients after gynecological carcinoma treatment to avoid or reduce the LLL.

Key words: behavior intervention, gynecological carcinoma, lower limb lymphedema(LLL)

中图分类号:

孙小红, 孔为民, 马正君. 行为干预对妇科恶性肿瘤治疗后下肢淋巴水肿患者的作用[J]. 首都医科大学学报, 2016, 37(6): 826-829.

Sun Xiaohong, Kong Weimin, Ma Zhengjun. Effects of behavior intervention on patients with lower limb lymphedema after gynecological carcinoma treatment[J]. Journal of Capital Medical University, 2016, 37(6): 826-829.

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行为干预对妇科恶性肿瘤治疗后下肢淋巴水肿患者的作用

Effects of behavior intervention on patients with lower limb lymphedema after gynecological carcinoma treatment

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