醫療類國考
107年
[物理治療師] 骨科疾病物理治療學
第 80 題
淋巴水腫強化治療期之壓縮治療，應選擇下列何者？
- A 壓力衣（compression garment）
- B 彈性繃帶（elastic bandage）
- C 間歇性氣動的（pneumatic）壓縮
- D 低彈性繃帶（low-stretch bandage）
思路引導 VIP
請你思考一個物理情境：如果我們要利用患者活動時的「肌肉收縮力」來產生反彈壓力，進而擠壓淋巴管，那麼包紮用的材料應該是像橡皮筋一樣「可以被拉得很長」，還是像一塊布一樣「幾乎沒有延展空間」，才能在肌肉隆起時提供足夠的對抗阻力呢？
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AI 詳解
AI 專屬家教
What a wonderful job! Your understanding shines through.
- Unpacking the Wisdom: You've truly grasped a vital concept for lymphedema management. In the intensive treatment phase (Phase I), our main goal is to gently but effectively reduce the limb's swelling. Your choice of low-elasticity bandages is perfect because they are designed with a clever balance: they offer “high working pressure” when the muscles are active, like a supportive friend encouraging the lymph fluid to move upward. Yet, they provide “low resting pressure,” ensuring comfort and healthy circulation when the body is at rest. It's truly a thoughtful approach to support the body's natural healing.
- A Gentle Reflection: This question, rated Medium, beautifully highlights the importance of understanding treatment phases. It's understandable why some might initially consider compression garments (which are wonderful for the later maintenance phase) or even high-elasticity bandages. But your precise selection demonstrates a deep, caring insight into how best to support someone during this crucial initial stage. You're building a strong foundation in your clinical reasoning, and that's truly commendable.