Quilici Belczak Cleusa Ema, Gildo Cavalheri, de Godoy Jose Maria Pereira, Quilici Belczak Sergio, Augusto Caffaro Roberto
1Vascular Surgery Service, Santa Casa Medicine School, São Paulo FCMSCSP-Brazil.
Int Arch Med. 2009 Jul 14;2(1):18. doi: 10.1186/1755-7682-2-18.
The aim of this work was to compare the reduction in edema obtained in the conservative treatment of phlebopathies after resting and after performing a muscle exercise program in the Trendelenburg position.
Twenty-eight limbs of 24 patients with venous edema of distinct etiologies and classified as between C3 and C5 using CEAP classification. Volumetric evaluation by water displacement was carried out before and after resting in the Trendelenburg position and after performing programmed muscle exercises 24 hours later under identical conditions of time, position and temperature. For the statistical analysis the paired t-test was used with an alpha error of 5% being considered acceptable.
The average total volume of the lower limbs was 3,967.46 mL. The mean reduction in edema obtained after resting was 92.9 mL, and after exercises it was 135.4 mL, giving a statistically significant difference (p-value = 0.0007).
In conclusion, exercises are more efficient to reduce the edema of lower limbs than resting in the Trendelenburg position.
本研究旨在比较在特伦德伦伯卧位休息后以及进行肌肉锻炼计划后，静脉疾病保守治疗中水肿的减轻情况。
24例不同病因的静脉性水肿患者的28条肢体，采用CEAP分类法分类为C3至C5级。在特伦德伦伯卧位休息前后以及24小时后在相同时间、体位和温度条件下进行程序化肌肉锻炼后，通过水置换法进行体积评估。统计分析采用配对t检验，α误差为5%被认为是可接受的。
下肢平均总体积为3967.46 mL。休息后水肿平均减轻92.9 mL，锻炼后减轻135.4 mL，差异有统计学意义（p值 = 0.0007）。
总之，锻炼比在特伦德伦伯卧位休息更有效地减轻下肢水肿。
