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Kinesio Tape on Breast Cancer-related Lymphedema:A Meta-analysis

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Author:: No author available

Journal Title:: Journal of Military Surgeon in in Southwest China

Issue:: 4

DOI:: 10.3969/j.issn.1672-7193.2021.04-06.003

Key Word:: 肌内效贴;乳腺癌;淋巴水肿;Meta分析

Abstract：目的系统评价肌内效贴(Kinesio Tape,KT)治疗乳腺癌术后淋巴水肿的疗效.方法计算机检索PubMed、Web Science、EMBASE、Cochrane library、OVID、EBSCO、中国生物医学数据库(CBM)、万方、知网、维普数据库中关于KT治疗乳腺癌术后淋巴水肿的随机对照试验,检索时间均从建库至2019年12月,使用RevMan 5.3软件对数据进行定量综合.结果最终纳入文献10篇,包括473名患者.Meta分析结果显示,常规治疗联合使用KT引流的患者淋巴水肿程度较治疗前减轻,合并效应有统计学意义[SMD=-0.55,95％CI:(-0.97,-0.13),P=0.01].使用KT和绷带后的两组患者淋巴水肿程度无差异,合并效应无统计学意义[SMD=0.31,95％CI:(-0.03,0.64),P=0.07].定性描述中3项研究结果显示使用KT后患者生活质量较使用前提高,1项研究显示无差异.结论 KT治疗乳腺癌术后淋巴水肿是有效的,在常规治疗的基础上联合KT引流可更好的降低淋巴水肿程度,提高患者生活质量.但考虑到研究数量和质量有限,尚不能得出KT可以取代绷带治疗的结论.

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