Kröger K, Diehm C, Moerchel C
Klinik für Angiologie, HELIOS-Klinikum Krefeld, Krefeld.
Dtsch Med Wochenschr. 2011 Feb;136(6):276-9. doi: 10.1055/s-0031-1272524. Epub 2011 Feb 1.
Elastic compression stockings (ECS) as a physical tool for prevention of deep vein thrombosis were introduced in the 70 s and 80 s of the last century and they are still used today. Two recent studies have arisen a discussion regarding the benefit of the combined used of ECS and pharmaceutical prophylaxis over pharmaceutical prophylaxis alone. One study on patients receiving total hip replacement and one study on patients suffering from stroke did not show an advantage of the combination. In addition the German, the American and the British Guidelines do not give precise and mandatory indication for the use of ECS in addition to pharmaceutical prophylaxis. They describe the lack of adequate data and the problems in patient care using ECS. Thus, due to the lack of evidence and the possibility of adverse events a routine use of ECS is not justified. The only generally accepted indication for ECS is in patients with moderate and high risk for venous thromboembolism when pharmaceutical prophylaxis is not possible.
弹性压迫袜（ECS）作为预防深静脉血栓形成的一种物理工具，于上世纪70年代和80年代开始应用，至今仍在使用。最近的两项研究引发了关于ECS与药物预防联合使用相对于单独药物预防的益处的讨论。一项针对接受全髋关节置换术患者的研究和一项针对中风患者的研究均未显示联合使用具有优势。此外，德国、美国和英国的指南并未给出除药物预防外使用ECS的确切且强制的指征。它们描述了缺乏充分数据以及使用ECS时患者护理方面的问题。因此，由于缺乏证据以及存在不良事件的可能性，常规使用ECS是不合理的。ECS唯一普遍接受的指征是在无法进行药物预防的中度和高度静脉血栓栓塞风险患者中。
