Coelho Felipe, Araújo Walter Junior Boim, Belczak Sergio, Rui Eduarda Ferreira, Borsato Beatriz Begnini, Baldesserra Nathália Favaretto, de Oliveira Rodrigo Gomes
Pontifícia Universidade Católica do Paraná - PUCPR, Londrina, PR, Brasil.
Universidade Federal do Paraná - UFPR, Curitiba, PR, Brasil.
J Vasc Bras. 2023 Jun 30;22:e20220052. doi: 10.1590/1677-5449.202200522. eCollection 2023.
The use of compression dressings after phlebectomy is based solely on clinical experience due to the lack of a unified set of definitive recommendations, which makes clinical practice extremely heterogeneous.
To evaluate compression therapy with elastic stockings for 7 days after phlebectomy.
We randomly allocated 104 lower limbs with disease classified as C1 and C2 to 1 of 2 groups: an intervention group (64 limbs) - wearing elastic compression stockings for the first 7 days after phlebectomy; or a control group (40 limbs) - given conventional bandaging for 24 hours postoperatively. We compared clinical response by analyzing the evolution of symptoms, hematoma formation, and preoperative vs. postoperative limb volume.
Pain (median 1.0 vs. 1.5, p=0.0320) and limb volume (mean 43.7 vs. 99.8, p=0.0071) were significantly improved in patients wearing elastic compression stockings for 7 days after phlebectomy compared with controls.
Use of elastic compression therapy for 7 days after phlebectomy was effective for improving pain and lower limb volume.
由于缺乏一套统一的确切建议，静脉切除术之后使用加压敷料仅仅基于临床经验，这使得临床实践极为不同。
评估静脉切除术后使用弹力袜进行7天的加压治疗效果。
我们将104条疾病分类为C1和C2的下肢随机分为2组中的1组：干预组（64条下肢）——在静脉切除术后的前7天穿着弹力加压袜；或对照组（40条下肢）——术后24小时给予传统绷带包扎。我们通过分析症状演变、血肿形成以及术前与术后肢体体积来比较临床反应。
与对照组相比，静脉切除术后穿着弹力加压袜7天的患者疼痛（中位数1.0对1.5，p = 0.0320）和肢体体积（均值43.7对99.8，p = 0.0071）有显著改善。
静脉切除术后使用弹力加压治疗7天对改善疼痛和下肢体积有效。
