Sun Cong-Rui, Liu Ming-Yuan, Ni Qi-Hong, Cai Fei, Tang Feng, Yu Zi-You, Zhang Jian-Bin, Zhang Long, Zhang Wayne W, Li Chun-Min
Department of Vascular Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ann Vasc Surg. 2025 Jan;110(Pt B):183-203. doi: 10.1016/j.avsg.2024.07.083. Epub 2024 Jul 19.
In recent years, compression therapy has attracted gradually increasing clinical attention in lower extremity venous diseases. However, basic concepts and clear nomenclature, standard treatment methods, and consistent product standards for pressure equipment are lacking. Therefore, developing clinical guidelines for compression therapy is essential to improving the treatment of venous diseases.
Our panel generated strong (grade I), moderate (grade IIa and IIb), and weak (grade III) recommendations based on high-quality (class A), moderate-quality (class B), and low-quality (class C) evidence, using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach and the European Society of Cardiology (ESC) grading system.
The panels made 30 recommendations from current evidence, focusing on 7 fields of lower extremity venous disease (venous thromboembolism, post-thrombotic syndrome (PTS), chronic venous insufficiency (CVI), varicose veins, hemangioma and vascular malformations, lymphedema, and venous ulcers) and 18 topics.
Of the 30 recommendations made across the 18 topics, 7 were strong (grade I) and 17 were based on high-quality (class A) evidence, highlighting the need for further research of the use of compression therapy.
近年来，压迫疗法在下肢静脉疾病中逐渐受到越来越多的临床关注。然而，对于压力设备的基本概念和明确的命名法、标准治疗方法以及一致的产品标准仍缺乏。因此，制定压迫疗法的临床指南对于改善静脉疾病的治疗至关重要。
我们的专家小组基于高质量（A级）、中等质量（B级）和低质量（C级）证据，采用推荐分级、评估、制定与评价（GRADE）方法以及欧洲心脏病学会（ESC）分级系统，生成了强（I级）、中（IIa级和IIb级）和弱（III级）推荐。
专家小组根据现有证据提出了30条推荐，聚焦于下肢静脉疾病的7个领域（静脉血栓栓塞、血栓后综合征（PTS）、慢性静脉功能不全（CVI）、静脉曲张、血管瘤和血管畸形、淋巴水肿以及静脉溃疡）和18个主题。
在18个主题提出的30条推荐中，7条为强推荐（I级），17条基于高质量（A级）证据，这凸显了对压迫疗法应用进行进一步研究的必要性。
