Midttun M, Ahmadzay N F, Henriksen J H
Department of Geriatrics.
Department of Clinical Physiology, Hvidovre Hospital, Hvidovre.
Clin Physiol Funct Imaging. 2010 Sep;30(5):323-327. doi: 10.1111/j.1475-097X.2010.00945.x. Epub 2010 Jun 10.
AIM: Comprilan bandage may be an attractive treatment of leg oedema, but theoretically bandage could compromise peripheral circulation. The present study was undertaken to investigate circulation in the first toe before, during, and after treatment with comprilan bandage. METHODS AND STUDY POPULATION: Blood flow rate was measured by the heat-washout method in the pulp of the first toe of 10 patients (eight women, two men, aged 75-94) with leg oedemas, and systolic toe blood pressure was determined by the strain gauge method. Oedema was scored according to a visual scale, and the patients were treated with comprilan (short stretch) bandage for 1 week. Toe blood flow rate was measured before, during and after the use of the bandages, and toe blood pressure was measured before and after the use of bandages. RESULTS: According to the visual scale, all subject benefited from the treatment by reduction of oedema, and they reported increased well-being after. Blood flow rate was not significantly altered during and after the treatment. Systolic toe pressure was normal in all patients (R/L = 94/83 mmHg), and no significant change took place during and after the use of the bandages (92/90 mmHg). CONCLUSION: Comprilan bandage has a positive effect on legs oedemas, visually as well as according to the patients well-being. The treatment does not have any significant influence on toe blood pressure. It cannot, however, be excluded that the use of comprilan bandage may compromise toe blood flow rate slightly (<5%). A larger study with more subjects has to be made to come this closer, and additional capillary blood flow rate should be measured in an area without arteriovenous anastomoses.
目的：康普力绷带可能是治疗腿部水肿的一种有效方法，但从理论上讲，绷带可能会影响外周循环。本研究旨在调查使用康普力绷带治疗前、治疗期间和治疗后第一趾的血液循环情况。 方法和研究对象：采用热消散法测量10例（8名女性，2名男性，年龄75 - 94岁）腿部水肿患者第一趾趾腹的血流速度，并用应变计法测定趾收缩压。根据视觉量表对水肿进行评分，患者使用康普力（短拉伸）绷带治疗1周。在使用绷带前、使用期间和使用后测量趾血流速度，并在使用绷带前后测量趾血压。 结果：根据视觉量表，所有受试者的水肿均减轻，治疗后感觉身体状况有所改善。治疗期间和治疗后血流速度无明显变化。所有患者的趾收缩压均正常（右/左 = 94/83 mmHg），使用绷带期间和使用后无明显变化（92/90 mmHg）。 结论：康普力绷带对腿部水肿有积极作用，无论是从视觉上还是从患者的身体状况来看。该治疗方法对趾血压没有显著影响。然而，不能排除使用康普力绷带可能会使趾血流速度略有降低（<5%）。需要进行更大规模、更多受试者的研究来进一步明确这一点，并且应该在没有动静脉吻合的区域测量额外的毛细血管血流速度。
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