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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。
Objective To observe the changes of patients with chronic filariasis lymphatic edema and their effects before and after care. Methods Caring for patients with chronic filariasis lymphatic edema using traditional Chinese medicine foot bath, single Chinese medicine foot washing, water cleaning, eliminating invasive wounds, exercising, elevating limbs and wearing shoes and other comprehensive care methods. Observed before and after care, lymphangiogenesis / inflammation episodes of frequency, lymphedema staging and leg circumference and other changes. Results A total of 386 cases were completed. The incidence of lymphangitis was 9.65% before taking care and 4.67% after taking care. The difference was statistically significant (χ2 = 7.34, P = 0.006 7). The proportion of patients with high grade lymphedema in the left and right limbs significantly decreased after taking care, with significant differences compared with those before the treatment (Z = -1.99, -2.14, P = 0.048, 2.0.033 3) (P <0.01). The average leg circumference was reduced by 1.06 cm, and the appearance of the skin was also significantly improved. Depression, edema, ulcers, skin surface, skin folds and other pre-care , The differences were statistically significant (P <0.01). Conclusion Chronic filariasis lymphatic edema comprehensive care method is effective and worth further promotion and application.