头颈部或颈淋巴水肿患者与正常对照者的症状比较。,Lymphatic Research and Biology

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头颈部或颈淋巴水肿患者与正常对照者的症状比较。
Lymphatic Research and Biology ( IF 1.6 ) Pub Date : 2019-08-05 , DOI: 10.1089/lrb.2019.0034
Jennifer K Doersam ₁ , Mary S Dietrich _{1,

2} , Melissa A Adair ₁ , Bethany Rhoten ₁ , Jie Deng ₃ , Sheila H Ridner ₁

Affiliation

背景：与中线淋巴水肿相关的症状尚不完全清楚，尚不清楚与头颈部肿胀相关的症状是否与与人体躯干区域肿胀相关的症状相似。目的：描述头颈部和颈淋巴水肿患者的症状。比较两组和没有淋巴水肿的参与者的症状存在，强度和困扰。方法：通过在线调查进行横断面描述性研究。结果：非淋巴水肿参与者比淋巴水肿组年轻。那些患有截断性淋巴水肿的人比其他人服用了更多的利尿药。与其他组相比，患有截断性淋巴水肿的参与者出现更多的症状（p <0.001）。这些症状也更加严重和严重（p <0.001）。十四种症状将截断组与其他两组区分开（p <0.001）。九种症状将头颈部组与其他组区分开（p <0.001）。结论：这些初步发现支持具有淋巴水肿的患者和没有淋巴水肿的患者的症状特征有所不同。症状的数量，类型，严重性和强度根据淋巴水肿的位置而异。还支持在评估淋巴水肿相关症状时需要使用两种淋巴水肿的解剖学分类（头颈部和截尾）而不是一种分类（中线）。这些初步发现支持在有淋巴水肿的患者和没有淋巴水肿的患者中症状特征有所不同。症状的数量，类型，严重性和强度根据淋巴水肿的位置而异。还支持在评估淋巴水肿相关症状时需要使用两种淋巴水肿的解剖学分类（头颈部和截尾）而不是一种分类（中线）。这些初步发现支持在有淋巴水肿的患者和没有淋巴水肿的患者中症状特征有所不同。症状的数量，类型，严重性和强度根据淋巴水肿的位置而异。还支持在评估淋巴水肿相关症状时需要使用两种淋巴水肿的解剖学分类（头颈部和截尾）而不是一种分类（中线）。

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A Comparison of Symptoms Among Patients with Head and Neck or Truncal Lymphedema and Normal Controls.

Background: Symptoms associated with midline lymphedema are not fully understood and it is unclear if symptoms associated with swelling in the head and neck are similar to those associated with swelling in the truncal region of the body. Objectives: Describe symptoms experienced by those with head and neck and truncal lymphedema. Compare symptom presence, intensity, and distress among those two groups and participants with no lymphedema. Methods: Cross-sectional descriptive study administered by online survey. Results: Nonlymphedema participants were younger than the lymphedema groups. Those with truncal lymphedema took more diuretic medications than the other groups. Participants with truncal lymphedema experienced a greater number of symptoms than the other groups (p < 0.001). These symptoms were also more severe and intense (p < 0.001). Fourteen symptoms distinguished the truncal group from the other two groups (p < 0.001). Nine symptoms differentiated the head and neck group from the other groups (p < 0.001). Conclusion: These preliminary findings support that symptom profiles differ among those with lymphedema and those without lymphedema. The number, type, severity, and intensity of symptoms vary based upon the location of lymphedema. The need to use two lymphedema anatomical classifications (head and neck and truncal) instead of one classification (midline) when assessing lymphedema-related symptoms is also supported.

更新日期：2019-11-01

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