The Study of Alternative Treatments for Edema and its Complication : The Assessment of Physiological Edema in Healthy Subjects (Notes)

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  • 代替療法による浮腫ならびに合併症状の改善効果の検討 : 健康成人の生理的浮腫に対する効果 (研究ノート）
  • 代替療法による浮腫ならびに合併症状の改善効果の検討--健康成人の生理的浮腫に対する効果
  • ダイタイ リョウホウ ニ ヨル フシュ ナラビニ ガッペイ ショウジョウ ノ カイゼン コウカ ノ ケントウ ケンコウ セイジン ノ セイリテキ フシュ ニ タイスル コウカ

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Background It is speculated that more than 120,000 people may have a systemic or local edema in Japan, however, those subject are not administrated a appropriate treatment so far. Objectives Manual lymphatic drainage was performed on subjects having edema refractory to treatment with diuretics only, and improvements in their edema were evaluated, while acupuncture stimulation was also preformed to improve the various symptoms accompanying their edema, and those symptom improvements also investigated. Methods In order to evaluate the efficacy of new manual lymphatic drainage methods and acupuncture stimulation, 26 otherwise healthy nursing personnel at S Medical Center having lower leg edema were selected. The lymphatic drainage procedure involved light rubbing of the four extremities and torso (effleurage), as well as 6 types of acupuncture stimulation to both the upper and lower extremities, once for a total, as administered to all subjects by one nursing pers onnel. Body temperature, blood pressure, pulse and respiration rates were measured both before and after these procedures were performed, while the circumference of both wrists and ankles were also measured , and intra- and extra-cellular water volume measurements taken with a bioimpedance device (Sekisui Medical Inc. MLT-50), and palm temperatures taken with a medical thermography device (Infra-Eye, Fuji Systems Inc. ). The subjects' feelings of heaviness, sleepiness, warmth and appetite were also evaluated via four visual analog scales (VAS). And, the subjects' food intake, excretion volumes and sleep durations were recorded during interviews.Analysis was done with Statistical Package for the Social Sciences (SPSS) v. 15. 0 software, the significance level set to 5 %. This study was also approved by the Shiga Medical Center for Adults Ethics Committee. Results Wrist and ankle circumferences were red uced, and extra-cellular water volumes and I/E rateo were lowered in the control. A significant rise was also seen in palm temperatures. Furthermore, post-procedure pulse rates and respiration rates were significantly lowered , while blood pressure were also reduced, although not significantly. Additionally, control group feelings of pain and heaviness VAS were significantly reduced, while energy, warmth and appetite rose significantly, with significant increases in sleep duration being observed. Conclusion Improvements in control edema and its accompanying symptoms were observed, which contributed to amelioration of patients' QOL.

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