Benigni Jean-Patrick, Branchoux Sébastien, Bacle Irène, Taieb Charles
Hôpital Bégin, Saint-Mandé, France.
Womens Health (Lond). 2013 May;9(3):291-300. doi: 10.2217/whe.13.13.
Although medical compression stockings (MCSs) represent the cornerstone of conservative treatment for patients with chronic venous disease, high rates of noncompliance exist. This study compared comfort levels and the difficulty associated with putting on/removing two different MCSs; a conventional degressive MCS (ankle pressure: 24-28 mmHg; calf pressure: 14-18 mmHg) and a progressive MCS (ankle pressure: 8-12 mmHg; calf pressure: 21-25 mmHg).
PATIENTS & METHODS: Women wearing class III MCSs in the past 3 months were recruited from across France to complete an at-home, investigator-led questionnaire, designed to evaluate their experience with putting on/taking off MCSs. Patients were randomized to two groups (group 1: controls, degressive stocking right leg, then left leg; group 2: degressive stocking right leg, then progressive stocking left leg).
RESULTS & CONCLUSION: Patients (n = 102) in group 1 (controls) reported no differences after wearing the degressive MCS on the right leg then the left leg. By contrast, group 2 patients (n = 118) reported statistically significant improvements with the progressive MCS compared with the degressive MCS in all questionnaire parameters, including 'comfort' and 'ease of putting on/taking off' dimensions. Progressive MCSs were associated with significantly better outcomes (ease of putting on/taking off and comfort) than the conventional MCSs.
尽管医用弹力袜（MCSs）是慢性静脉疾病患者保守治疗的基石，但不依从率很高。本研究比较了穿着/脱下两种不同MCSs的舒适度和难度；一种传统的递减式MCS（脚踝压力：24 - 28 mmHg；小腿压力：14 - 18 mmHg）和一种递增式MCS（脚踝压力：8 - 12 mmHg；小腿压力：21 - 25 mmHg）。
在过去3个月内穿着III级MCSs的女性从法国各地招募，以完成一份由研究者主导的家庭问卷，旨在评估她们穿着/脱下MCSs的体验。患者被随机分为两组（第1组：对照组，右腿穿递减式弹力袜，然后左腿穿；第2组：右腿穿递减式弹力袜，然后左腿穿递增式弹力袜）。
第1组（对照组）的患者（n = 102）报告在右腿和左腿穿着递减式MCS后没有差异。相比之下，第2组患者（n = 118）报告，在所有问卷参数中，包括“舒适度”和“穿着/脱下的难易程度”维度，与递减式MCS相比，递增式MCS有统计学上的显著改善。与传统MCS相比，递增式MCS的效果（穿着/脱下的难易程度和舒适度）明显更好。
