Dissemond Joachim, Kröger Knut, Stücker Markus
Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Klinik für Gefäßmedizin, Angiologie, HELIOS Klinikum Krefeld, Krefeld, Deutschland.
Hautarzt. 2020 Apr;71(4):301-308. doi: 10.1007/s00105-020-04554-x.
For several decades, compression therapy, which is associated with few side effects, has been a basis for the conservative treatment of patients with phlebological and lymphological diseases. For the practical implementation of compression therapy, many different materials are available, some with system-specific advantages and disadvantages. Medical adaptive compression systems (MAK) are still a relatively new treatment option in Germany. Apart from the very good practical experience in clinical everyday life, the compilation of the scientific evidence of compression therapy also shows that the scientific data situation is significantly better than for many other medical areas, especially for the treatment of patients with venous diseases. It is important to note that compression therapy must reliably guarantee adequate compression pressure. If these conditions are met, it can be assumed on the basis of the currently available data that the clinical effectiveness of the different compression systems is comparably good. These aspects have now also been well tested for MAK, so that these analogies can be drawn. Therapists today can therefore choose between different, very effective therapy options and take individual factors, patient wishes and economic aspects into account when making their selection.
几十年来，副作用较少的压迫疗法一直是静脉学和淋巴学疾病患者保守治疗的基础。对于压迫疗法的实际应用，有许多不同的材料可供选择，有些材料具有特定系统的优缺点。在德国，医用自适应压迫系统（MAK）仍然是一种相对较新的治疗选择。除了在临床日常生活中有非常好的实践经验外，压迫疗法科学证据的汇编还表明，科学数据状况比许多其他医学领域要好得多，尤其是在治疗静脉疾病患者方面。需要注意的是，压迫疗法必须可靠地保证足够的压迫压力。如果满足这些条件，根据目前可用的数据可以假设，不同压迫系统的临床效果相当好。现在这些方面也已经在MAK上得到了很好的测试，因此可以得出这些类比。因此，如今治疗师可以在不同的、非常有效的治疗方案之间进行选择，并在做出选择时考虑个体因素、患者意愿和经济方面。
