Riebe Helene, Konschake Wolfgang, Haase Hermann, Jünger Michael
Clin Hemorheol Microcirc. 2015;61(2):175-83. doi: 10.3233/CH-151989.
Standard of care in the therapy of chronic venous insufficiency (CVI) is the use of graduated elastic stockings (GECS). This paper is based on a prospective, mono-centric, open randomised, controlled and cross over study and discusses the hemodynamic effects of GECS and inverse graduated compression stockings (PECS) in 32 healthy volunteers and 32 patients with CVI and the consecutive impact on comfort. The application of stockings was performed sequentially, the allocation of the first stocking was randomized and double blind, wearing period for each stocking type about 7 days with one week of break between wearing periods. Measurements of the interface pressure were carried out by Picopress®(Microlab Elettronica, Italy) and the venous drainage were registered by strain gauge plethysmography. Mean interface pressure: GECS (level B1): 27.3 mmHg; GECS (level C): 19,6 mmHg; PECS (level B1): 17,8 mmHg; PECS (level C): 24,7 mmHg. Significant increase of EF and decrease of VFI by wearing both types of compression stockings, comparatively GESC resulted in a significantly greater improvement of EF than the PECS. PECS were significantly easier to don and put on compared to the GECS, the PECS tended to slip towards the foot more often.
慢性静脉功能不全（CVI）治疗的标准护理方法是使用梯度压力弹力袜（GECS）。本文基于一项前瞻性、单中心、开放随机、对照和交叉研究，探讨了GECS和反向梯度压力弹力袜（PECS）对32名健康志愿者和32名CVI患者的血流动力学影响以及对舒适度的后续影响。弹力袜的应用是依次进行的，第一只弹力袜的分配是随机且双盲的，每种弹力袜类型的穿着期约为7天，穿着期之间休息一周。通过Picopress®（意大利Microlab Elettronica公司）测量界面压力，并通过应变片体积描记法记录静脉引流情况。平均界面压力：GECS（B1级）：27.3 mmHg；GECS（C级）：19.6 mmHg；PECS（B1级）：17.8 mmHg；PECS（C级）：24.7 mmHg。穿着两种压力弹力袜均使射血分数（EF）显著增加，静脉充盈指数（VFI）降低，相比之下，GESC导致的EF改善明显大于PECS。与GECS相比，PECS明显更容易穿脱，但PECS更容易向足部滑落。
