Planinsek Rucigaj Tanja, Huljev Dubravko
Univerzitetski centar Ljubljana, Dermatoveneroloska klinika, Ljubljana, Slovenija.
Klinitka bolnica Sveti duh Klinika za kirurgiju, Centarza plasticnu i rekonstruktivnu kirurgiju, Zagreb, Hrvatska.
Acta Med Croatica. 2013 Oct;67 Suppl 1:71-9.
Compression therapy is the basic therapy in phlebology and lymphology. The pressure under the bandages has to exceed the intravenous pressure especially in standing position. Different compression materials such as short stretch systems, long stretch bandages and compression garments work differently on ambulatory venous hypertension, speed of reducing edema and arterial flow. Compression with high stiffness, inelastic materials is more effective than compression with low stiffness, elastic materials. These materials have to be placed correctly. Inelastic systems should be applied with high initial pressure because the pressure will loose at some time after walking. Even after one week of wearing, inelastic bandages keep higher resting and working pressure during walking than elastic bandages. However, more important is that they have lower resting pressure than elastic materials. Long stretch bandages and compression garments with great extensibility ensure low working pressure and higher resting pressure than short stretch systems.
压迫疗法是静脉学和淋巴学的基础疗法。绷带下的压力必须超过静脉压力,尤其是在站立位时。不同的压迫材料,如短拉伸系统、长拉伸绷带和压迫衣物,在动态静脉高压、减轻水肿速度和动脉血流方面的作用各不相同。使用高硬度、无弹性材料进行压迫比使用低硬度、弹性材料更有效。这些材料必须正确放置。无弹性系统应施加较高的初始压力,因为行走一段时间后压力会降低。即使在佩戴一周后,无弹性绷带在行走时的静息压力和工作压力仍高于弹性绷带。然而,更重要的是,它们的静息压力低于弹性材料。具有高延伸性的长拉伸绷带和压迫衣物可确保较低的工作压力和比短拉伸系统更高的静息压力。