关键词: 宫颈癌, 淋巴水肿, 综合消肿治疗, 康复护理

Abstract:

This article reports successful nursing experience in lymphedema relief by adopting the modified complex decongestion therapy for a patient after cervical cancer surgery,who was suffering postoperative stage Ⅲ lymphedema of both lower extremity combined with stage Ⅱ lymphedema of the lower abdomen and vulvar. The main points of care during treatment include skin care,prevention and reduction of infection;the improved manual lymphatic drainage combined with air wave pressure therapy can promote lymphatic fluid directional flow. Various methods are used for pressure dressing to maintain the effect of detumescence. Individual diet and exercise management plan was formulated for scientific weight loss. Maintenance nursing includes self-lymph drainage exercise combined with Kegel training to improve exercise compliance,and multi-disciplinary follow-up management to stimulate patient self-care potential. After 9 months of careful treatment and nursing,the circumference of each part of the patient’s lower extremities decreased by 2.0~14.2 cm;the swelling sense of the lower abdomen and perineum disappeared;the BMI decreased to normal.

Key words: Cervical Cancer, Lymphedema, Complex Decongestion Therapy, Rehabilitation Nursing