論文の公開元へ下肢リンパ浮腫患者に対する平編み弾性着衣による圧迫療法の効果検証(原著）
概要
How the effectiveness of compression therapy for lower limb lymphedema differs owing to how the elastic garment is knitted is unclear. In 8 patients with secondary unilateral lower extremity lymphedema（International Society of Lymphology stage II）who had worn circular knitted stockings on a day-to-day basis for compression therapy but had shown no change in circumferential diameter, visually verified with a chart, for at least 3 months the stockings were changed to flat knitted stocking. For 3 months before and after flat knitted stockings had been used, the swelling rate (%) and the edema reduction rate (%) of the maximally swollen area for each patient were calculated on the basis of lower extremity circumference, and the average values were compared. An evaluation of effectiveness showed that circular stockings were ineffective for all patients but that flat stockings were effective for 6 patients. For 2 patients with obesity, the rate of Circumferential decline
decline did not change, but skin fibrosis improved. Even in patients for whom the therapeutic effect has long been stagnant, therapeutic effects, such as decreasing the circumference and improving the skin condition, can be expected when an appropriate elastic garment for the symptoms has been selected.
