Oganov R G, Savel'ev V S, Shal'nova S A, Kirienko A I, Zolotukhin I A
Ter Arkh. 2006;78(4):68-72.
To verify incidence of risk factors of chronic venous insufficiency (CVI) of the lower limbs and efficacy of outpatient treatment.
A total of 4388 patients were examined by questioning and examination of the lower limbs. 1209 patients with CVI stages C1, C2 and C3 were included in the study. They received recommendations to use elastic compression, topic modalities, physiotherapy. Patients of the study group were given, in addition, detralex for 8 weeks.
Characteristic symptoms of CVI were seen in 68% males and 84% females but only 17.5 and 20%, respectively, had complaints. The risk was highest in history of CVI in the patient's mother, sitting or standing job, hard physical labour, obesity and constipation, two or more labours in women. The effect was achieved in the detralex group.
Many outpatients had symptoms of chronic venous insufficiency but had no complaints. Detralex therapy proved highly effective in outpatient practice.
验证下肢慢性静脉功能不全(CVI)危险因素的发生率及门诊治疗效果。
通过询问和下肢检查对4388例患者进行了检查。1209例C1、C2和C3期CVI患者纳入研究。他们接受了使用弹力袜、局部治疗、物理治疗的建议。此外,研究组患者服用地奥司明8周。
68%的男性和84%的女性出现CVI特征性症状,但仅有17.5%和20%的患者有相关主诉。患者母亲有CVI病史、从事久坐或久站工作、重体力劳动、肥胖和便秘、女性生育两次或以上时,患病风险最高。地奥司明组取得了治疗效果。
许多门诊患者有慢性静脉功能不全症状但无相关主诉。地奥司明治疗在门诊实践中证明非常有效。