关键词: complex decongestive therapy infection lymphoedema manual lymphatic drainage poliomyelitis treatment wound wound care wound dressing wound healing complex decongestive therapy infection lymphoedema manual lymphatic drainage poliomyelitis treatment wound wound care wound dressing wound healing complex decongestive therapy infection lymphoedema manual lymphatic drainage poliomyelitis treatment wound wound care wound dressing wound healing

Mesh : Exercise Therapy / adverse effects Female Humans Leg Lymphedema / etiology therapy Massage / adverse effects Middle Aged Poliomyelitis / complications therapy

来  源:   DOI:10.12968/jowc.2022.31.9.792

Abstract:
UNASSIGNED: The aim of this case report is to describe the results of complex decongestive therapy (CDT) in a patient with poliomyelitis and bilateral lymphoedema, and to emphasise the effect of CDT on wound healing.
UNASSIGNED: A 48-year-old female patient was given CDT for bilateral grade 3 lymphoedema in the lower extremities and a deep wound on the right foot. She had been diagnosed with poliomyelitis sequela and mobilised with a wheelchair for 26 years. The lymphoedema on both legs and the wound on the right foot sole had been present for five years and eight months, respectively. Detailed wound care had been performed previously upon the green, malodorous infected wound, without healing. The patient received skin care education, manual lymphatic drainage, multilayer bandaging and exercises for 4 weeks in a total of 20 sessions. The improvement was assessed by limb volumes prior to and at the end of the treatments.
UNASSIGNED: The right and left lower limb volumes were decreased significantly at the end of treatments (3042cm³ (R) and 3165cm³ (L) before versus 2702cm3 (R) and 2401cm3 (L) afterward). The wound size decreased considerably and the green malodorous flow ceased. The patient continued self-massage and self-bandaging after hospital discharge. The control follow-up, one month later, revealed a completely healed wound with maintained volume.
UNASSIGNED: In conclusion CDT for a duration of 4 weeks in a female patient with poliomyelitis, bilateral lymphoedema and an infectious hard-to-heal wound, improved both the lymphoedema and wound healing.
摘要:
未经评估:本病例报告的目的是描述一例脊髓灰质炎和双侧淋巴水肿患者的复杂减充血治疗(CDT)的结果。并强调CDT对伤口愈合的影响。
UNASSIGNED:一名48岁女性患者因下肢双侧3级淋巴水肿和右脚深伤口而接受CDT治疗。她被诊断出患有脊髓灰质炎后遗症,并用轮椅动员了26年。两腿的淋巴水肿和右脚脚底的伤口已经出现了五年零八个月,分别。以前在绿色上进行了详细的伤口护理,有恶臭感染的伤口,没有愈合。病人接受了皮肤护理教育,手动淋巴引流,多层包扎和练习4周,共20个疗程。在治疗之前和结束时通过肢体体积评估改善。
UNASSIGNED:治疗结束时,左右下肢体积显着减少(前3042cm9.3(R)和3165cm9.3(L),后2702cm3(R)和2401cm3(L))。伤口大小大大减少,绿色恶臭流停止。患者出院后继续自我按摩和自我包扎。后续控制,一个月后,显示伤口完全愈合,体积保持不变。
UNASSIGNED:结论:一名脊髓灰质炎女性患者的CDT持续4周,双侧淋巴水肿和难以愈合的感染性伤口,改善了淋巴水肿和伤口愈合。
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