中国血吸虫病防治杂志

• 防治研究 •    

慢性丝虫病淋巴水肿患者关怀照料效果

李明川1*|梅火根1|汤觉萍1|徐鞍强1|胡一河2|曹汉钧3   

  1. 1江苏省苏州市吴江区疾病预防控制中心(吴江215200);2 江苏省苏州市疾病预防控制中心;3 江苏省血吸虫病防治研究所
  • 收稿日期:2014-02-09 出版日期:2014-12-30 发布日期:2014-12-30
  • 作者简介:李明川|男|硕士|主管医师。研究方向:寄生虫病防治
  • 基金资助:

    江苏省血寄地防科研项目(X201123)

Effect of comprehensive care for chronic filariasis patients with lymphedema

LI Ming-chuan1*|MEI Huo-gen1|TANG Jue-ping1|XU An-qiang1|HU Yi-he2|CAO Han-jun3   

  1. 1 Wujiang Center for Disease and Prevention| Suzhou City| Jiangsu Province|Wujiang 215200|China;2 Suzhou Center for Disease and Prevention| Jiangsu Province|China; 3 Jiangsu Institute of Parasitic Disease|China
  • Received:2014-02-09 Online:2014-12-30 Published:2014-12-30

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([χ]2=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。

关键词: 慢性丝虫病, 淋巴水肿, 照料

Abstract:

Objective To evaluate the effect of chronic filariasis patients with lymphedema after comprehensive cared. Methods A total of 386 chronic filariasis patients with lymphedema received the comprehensive care including soaking feet by TCM, washing feet by single Chinese medicine or clear water, preventing and eliminating invasive wound, physical training, raising the limb, and wearing suitable shoes. The attack frequency of inflammation of lymphatic vessels, the stage of lymphedema disease, and leg circumference were observed before and after the care. Results After the comprehensive care, the attack rates of inflammation of lymphatic vessels decreased from 9.65% to 4.67%, and there was a significant difference ([χ]2=7.34, P=0.006 7). The proportion of the patients with high stage of lymphedema disease decreased significantly(all P<0.01), and the average leg circumference decreased of 1.06 cm. The skin appearance improved significantly. Other signs, such as pitting edema, ulcer, and skin folds also improved significantly(all P<0.01). Conclusion The comprehensive care for chronic filariasis patients with lymphedema has a remarkable effect and is worthy of further application.

Key words: Chronic Filariasis, Lymphedema, Care

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