行动不便的疗养院患者淤滞性水肿的治疗方案
Treatment protocol on stasis edema in poorly mobile nursing home patients.
作者信息
Benigni Jean-Patrick, Uhl Jean-François, Balet Florence, Chahim Maxime
机构信息
French University Group for Medical Compression, Paris Descartes University, Paris, France -
French University Group for Medical Compression, Paris Descartes University, Paris, France.
出版信息
Int Angiol. 2018 Oct;37(5):396-399. doi: 10.23736/S0392-9590.18.04025-7. Epub 2018 Sep 10.
BACKGROUND
Prolonged immobility in the sitting position in the elderly is known to produce venous stasis with leg edema and possible skin changes.
METHODS
The authors have tested a treatment protocol in 30 patients to quantify the reduction of volume caused by an adjustable compression Velcro® wrap (Circaid Juxtalite®, medi GmbH, Bayreuth, Germany) after 15 days and to compare its effect on the leg volume for the next 15 days with 15- to 20-mmHg compression stockings (CS).
RESULTS
The authors noted a volume decrease between T0 and T15 by 10.8% (52 legs) under Circaid Juxtalite®. At T30, they observed a non-significant difference between Circaid Juxtalite® (-1%) and the CS (1.3%).
CONCLUSIONS
A Velcro® adjustable compression wrap (Circaid Juxtalite®) is efficient in reducing stasis edema in the elderly. Stabilization of the leg volume with the use of 15-20 mmHg CS suggests that a high pressure to maintain results is not required to maintain results.
背景
已知老年人长时间久坐不动会导致静脉淤滞，出现腿部水肿并可能伴有皮肤变化。
方法
作者对30名患者测试了一种治疗方案，以量化使用可调节加压尼龙搭扣绷带（德国拜罗伊特美迪有限公司的Circaid Juxtalite®）15天后腿部体积的减少量，并在接下来的15天内将其对腿部体积的影响与15至20 mmHg的加压弹力袜（CS）进行比较。
结果
作者注意到，在Circaid Juxtalite®治疗下，从T0到T15腿部体积减少了10.8%（52条腿）。在T30时，他们观察到Circaid Juxtalite®（-1%）与CS（1.3%）之间无显著差异。
结论
可调节加压尼龙搭扣绷带（Circaid Juxtalite®）在减轻老年人淤滞性水肿方面有效。使用15 - 20 mmHg的CS可使腿部体积稳定，这表明维持效果并不需要高压。
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