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使用刺路路通、橙皮苷甲基查尔酮和抗坏血酸联合用药改善拉丁美洲慢性静脉疾病患者的生活质量(质量研究)

Quality of life improvement in Latin American patients suffering from chronic venous disorder using a combination of Ruscus aculeatus and hesperidin methyl-chalcone and ascorbic acid (quality study).

作者信息

Guex J J, Avril L, Enrici E, Enriquez E, Lis C, Taïeb C

机构信息

Cabinet de Phlébologie, 32 Boulevard Dubouchage, Nice, France.

出版信息

Int Angiol. 2010 Dec;29(6):525-32.

Abstract

AIM

The present study assessed the effect of Ruscus aculeatus, hesperidin methyl-chalcone and ascorbic acid (HMC-AA), in the treatment of chronic venous disorders (CVD) in Latin American patients.

METHODS

This study is an observational, single arm, multicentric and prospective trial. Patients suffering from CVD and belonging to C0s-C3 Clinical Etiological Anatomical and Physiopathological (CEAP) classes were included. Patient profiles, risk factors, clinical symptomatology and quality of life (QoL) assessed by SF-12 and CIVIQ questionnaires were evaluated at inclusion and after 12-week treatment.

RESULTS

The main factors influencing the previous management of patients were age, gender, body mass index (BMI), familial history, physical activity, exposure to heat, heavy loads lifting, profession and clinical characteristics. All clinical symptoms significantly improved with treatment and, as BMI and CEAP classes increased. Ankle circumferences decreased over time, correlating with BMI and CEAP classes. The physical and psychological dimensions of the SF-12 score significantly increased over time and improved within each CEAP class. The CIVIQ score significantly improved over time, correlating with age and CEAP classes.

CONCLUSION

A 12-week treatment with Ruscus aculeatus HMC-AA showed a significant decrease in the clinical symptoms and a significant improvement in the QoL of patients with CVD.

摘要

目的

本研究评估了刺叶番荔枝、橙皮苷甲基查耳酮和抗坏血酸(HMC - AA)对拉丁美洲慢性静脉疾病(CVD)患者的治疗效果。

方法

本研究为一项观察性、单臂、多中心前瞻性试验。纳入患有CVD且属于C0 - C3临床病因解剖和病理生理(CEAP)分级的患者。在纳入时和治疗12周后,评估患者资料、危险因素、临床症状以及通过SF - 12和CIVIQ问卷评估的生活质量(QoL)。

结果

影响患者先前治疗的主要因素包括年龄、性别、体重指数(BMI)、家族史、体力活动、受热情况、重物搬运、职业和临床特征。治疗后所有临床症状均显著改善,且随着BMI和CEAP分级增加,踝关节周长随时间下降,与BMI和CEAP分级相关。SF - 12评分的身体和心理维度随时间显著增加,且在每个CEAP分级内均有所改善。CIVIQ评分随时间显著改善,与年龄和CEAP分级相关。

结论

刺叶番荔枝HMC - AA治疗12周可使CVD患者的临床症状显著减轻,生活质量显著提高。

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