关键词: Compression garment Lymphoedema Self-management Tissue oxygenation Compression garment Lymphoedema Self-management Tissue oxygenation Compression garment Lymphoedema Self-management Tissue oxygenation

Mesh : Adolescent Adult Clothing Compression Bandages Female Humans Leg Lymphedema / therapy Pressure Stockings, Compression

来  源:   DOI:10.12968/bjon.2022.31.12.S34

Abstract:
UNASSIGNED: Lymphoedema is associated with dysfunctional lymphatics, tissue fibrosis and inflammatory changes in the skin and local tissue. Ensuring compression supports tissue health is crucial to managing lymphoedema. Providing patients with safe compression which enhances their tissue health is paramount when supporting their 24-hour self-management regimens. This case study explores the use of a new compression garment in two sitting positions in an adult with primary lymphoedema.
UNASSIGNED: An 18-year-old female (body mass index 25.2 kg/m2) with Milroy\'s disease was recruited. She attended two separate 1-hour sessions to evaluate tissue oxygenation (StO2) in chair-sitting and long-sitting (sitting up with a supported back and legs horizontal) positions. Following removal of her usual class 2 (20-30 mmHg) flat-knit compression hosiery, StO2 was recorded for 20 minutes: pre-, during and post the application of an adjustable compression garment (Lohmann & Rauscher) to the right leg.
UNASSIGNED: In the long-sitting position, StO2 levels started high at baseline (94.5%), and were relatively maintained both during and post-a short 20-minute intervention (94.1%). In the chair-sitting position, StO2 levels were significantly lower at baseline (52%), showing a 77% increase during the intervention (92%), followed by a small 9% decrease post-intervention (83.7%).
UNASSIGNED: This compression garment significantly increased StO2 levels in the chair-sitting position, while maintaining the effects of the patient\'s compression stockings, in the long-sitting position. Similar to non-lymphoedematous limbs, the patient\'s normal prescription hosiery maintains StO2. Through implementation of the short intervention sessions, night compression garments may have the potential to improve tissue health in individuals with primary lymphoedema, encouraging self-management and offering a potential night compression solution where the need arises in a 24-hour management plan.
摘要:
淋巴水肿与淋巴管功能失调有关,皮肤和局部组织的组织纤维化和炎症变化。确保压缩支持组织健康对于管理淋巴水肿至关重要。在支持他们的24小时自我管理方案时,为患者提供安全的压迫以增强他们的组织健康至关重要。此案例研究探讨了在患有原发性淋巴水肿的成年人中以两种坐姿使用新型压缩服。
招募了一名患有Milroy病的18岁女性(体重指数25.2kg/m2)。她参加了两个单独的1小时会议,以评估坐在椅子和长时间坐着(支撑的背部和腿部水平坐着)位置的组织氧合(StO2)。在移除她通常的2级(20-30mmHg)扁平针织压缩袜之后,StO2记录20分钟:前,在将可调节压缩服装(Lohmann&Rauscher)应用于右腿期间和之后。
在久坐位置,StO2水平在基线时开始偏高(94.5%),在短暂的20分钟干预期间和之后均相对维持(94.1%).坐在椅子上,StO2水平在基线时显著降低(52%),在干预期间增加了77%(92%),干预后下降了9%(83.7%).
这种压缩服装显着提高了坐在椅子上的StO2水平,同时保持病人的压迫袜的效果,在长期坐的位置。类似于非淋巴性水肿的四肢,患者的正常处方袜子保持StO2。通过实施简短的干预会议,夜间压缩服装可能有可能改善原发性淋巴水肿患者的组织健康,鼓励自我管理,并在24小时管理计划中根据需要提供潜在的夜间压缩解决方案。
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