摘要
乳癌康復階段常伴隨淋巴水腫問題，給患者帶來諸多不便，且需長期進行引流護理。目前，淋巴水腫的主要治療方法為徒手引流，此法雖有效，但治療過程既耗時又費力，加之症狀持續累積速度快，患者回家後還需持續復健。現有的輔助產品多採用間歇性加壓方式，但存在諸多局限，特別是在上肢末端，加壓往往作用於手指骨骼而非淋巴管，導致力量分散，難以有效減輕水腫。因此，本研究目的在於開發一套自動化淋巴引流裝置，專為手指提供漸進式按摩，旨在促進手部水腫減少。該按摩氣囊使用軟質矽膠材料，並採用矽膠3D列印技術製造特製氣囊。研究中，透過氣囊張力量測實驗觀察進氣壓力對按摩效果的影響，結合嵌入式系統與人機介面，利用APP控制進氣壓力。實驗結果表明，進氣壓力與張力成正比，且矽膠氣囊膨脹時能有效對手指側邊施壓，產生顯著推擠感，與市場上現有治療裝置相比有顯著差異。本研究的裝置有望幫助患者在家中自行進行遠程復健，提升治療便利性與效率。
關鍵詞: 水腫、淋巴引流、矽膠3D列印、遠距復健
Abstract
Lymphedema, a common complication during breast cancer recovery, requires consistent drainage care and poses significant challenges for long-term rehabilitation. While manual lymphatic drainage is effective, its labor-intensive nature limits its practicality for ongoing home management. Existing intermittent pneumatic compression devices also have limited success, particularly in treating upper limb lymphedema. This study presents a novel automated lymphatic drainage device featuring progressive finger massage enabled by soft silicone airbags fabricated via 3D printing. The device’s efficacy was evaluated through measurement of hand edema reduction and analysis of the relationship between inflation pressure and massage effectiveness. An embedded, app-controlled system allows for precise, individualized pressure adjustment. Results show that the device provides significant improvement in edema reduction over conventional methods, attributing benefits to optimally targeted pressure and continuous tension. This innovation represents a substantial advance in home-based rehabilitation, enhancing both patient outcomes and convenience.
Keywords: Lymphedema, Lymphatic Drainage, 3D-printed Silicone, Tele- Rehabilitation