Kolluri Raghu
Prairie Heart Institute, Springfield, IL, USA,
Curr Treat Options Cardiovasc Med. 2011 Apr;13(2):169-78. doi: 10.1007/s11936-011-0114-0.
Although compression therapy was initially described over 2,000 years ago (Felty and Rooke Semin Vasc Surg Mar 18:36-40, 1), several patients with edema do not receive appropriate compression therapy. Instead, most patients with edema are treated primarily with diuretics. Compression therapy is the cornerstone of treatment of venous edema and lymphatic disorders. Compression therapy decreases the foot and leg volume and reduces venous reflux and venous hypertension. Compression can be achieved by multiple different modalities, such as inelastic bandages; multilayered wraps; short, medium, and long stretch bandages; graduated compression stockings; and pneumatic compression devices. The major criticism of compression therapy is poor patient compliance. Compliance can be improved by selecting appropriate compression therapy tailored to the needs of the individual patient and by providing adequate patient education.
尽管压迫疗法在2000多年前就已被首次描述（费尔蒂和鲁克《血管外科学研讨会》3月18日：36 - 40，1），但仍有几位水肿患者未接受适当的压迫疗法。相反，大多数水肿患者主要接受利尿剂治疗。压迫疗法是治疗静脉性水肿和淋巴疾病的基石。压迫疗法可减少足部和腿部的容积，并减少静脉反流和静脉高压。压迫可通过多种不同方式实现，如无弹性绷带；多层包扎；短、中、长弹力绷带；分级压力袜；以及气动压迫装置。对压迫疗法的主要批评是患者依从性差。通过选择适合个体患者需求的适当压迫疗法并提供充分的患者教育，可提高依从性。
