de Carvalho Magali Rezende, de Andrade Isabelle Silveira, de Abreu Alcione Matos, Leite Ribeiro Andrea Pinto, Peixoto Bruno Utzeri, de Oliveira Beatriz Guitton Renaud Baptista
Post graduate department of Academic Master's Program in Health Care Sciences, Escola de Enfermagem Aurora de Afonso Costa (EEAAC), Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.
Post graduate department of Academic Master's Program in Health Care Sciences, Escola de Enfermagem Aurora de Afonso Costa (EEAAC), Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.
J Vasc Nurs. 2016 Jun;34(2):47-53. doi: 10.1016/j.jvn.2015.12.005.
Lower extremity ulcers represent a significant public health problem as they frequently progress to chronicity, significantly impact daily activities and comfort, and represent a huge financial burden to the patient and the health system. The aim of this review was to discuss the best approach for venous leg ulcers (VLUs). Online searches were conducted in Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, and reference lists and official guidelines. Keywords considered for this review were VLU, leg ulcer, varicose ulcer, compressive therapy, compression, and stocking. A complete assessment of the patient's overall health should be performed by a trained practitioner, focusing on history of diabetes mellitus, hypertension, dietetic habits, medications, and practice of physical exercises, followed by a thorough assessment of both legs. Compressive therapy is the gold standard treatment for VLUs, and the ankle-brachial index should be measured in all patients before compression application.
下肢溃疡是一个重大的公共卫生问题，因为它们常常会发展为慢性疾病，严重影响日常活动和舒适度，给患者和卫生系统带来巨大的经济负担。本综述的目的是探讨治疗下肢静脉溃疡（VLU）的最佳方法。我们在Ovid MEDLINE、Ovid EMBASE、EBSCO CINAHL数据库以及参考文献列表和官方指南中进行了在线搜索。本综述所考虑的关键词包括VLU、腿部溃疡、静脉曲张性溃疡、压迫疗法、压迫和弹力袜。应由经过培训的从业者对患者的整体健康状况进行全面评估，重点关注糖尿病史、高血压、饮食习惯、用药情况和体育锻炼习惯，随后对双腿进行全面评估。压迫疗法是VLU的金标准治疗方法，在所有患者应用压迫治疗前均应测量踝肱指数。
