Kumar Ashwini, Ranjan Nishit, Mudgal Shiv K, Patidar Vipin
General Surgery, All India Institute of Medical Sciences Deoghar, Deoghar, IND.
College of Nursing, All India Institute of Medical Sciences Deoghar, Deoghar, IND.
Cureus. 2024 Sep 10;16(9):e69138. doi: 10.7759/cureus.69138. eCollection 2024 Sep.
Background Varicose veins, affecting 8-10% of the population, are categorized as primary or secondary, depending on the etiology. The aim of the study is to assess the clinical profile of leg symptoms and reflux in the legs of varicose veins disease among patients reported in a tertiary hospital. Patients and methods An institution-based cross-sectional exploratory study comprising 56 patients with reflux in legs of varicose veins disease selected through purposive sampling, conducted in the OPD (outpatient department), general surgery, AIIMS (All India Institute of Medical Sciences) Deoghar. The standardized study instrument includes the Aberdeen varicose veins questionnaire, and patients' symptoms and concerns questionnaire, followed by a brief clinical examination based on CEAP (clinical, etiological, anatomical, and pathophysiological) classification and VCSS (venous clinical severity score) for C5/6 and color-flow duplex imaging of both lower limbs. Descriptive and inferential statistics were used for data analysis using IBM SPSS Statistics for Windows, Version 23 (IBM Corp., Armonk, NY). Results Bilateral presentation of the disease had been seen in 57.1% (n=32) participants, and the common history of present illness reported by participants included swelling along the veins (n=55, 98.2%), pain (n=51, 91.1%), and discoloration (n=33, 58.9%). The clinical grading revealed that most participants, i.e., 87.5% (n=49) had C2 and 75% (n=42) had C3 disease. The majority of participants 96.4% (n=54) suffered from primary varicose veins. Furthermore, all subjects exhibited superficial vein involvement, along with one individual having deep vein involvement and a few participants (n=35, 62.5%) having perforators. With this, the majority of participants (n=55, 98.2%) showed reflux pathology. Conclusion Varicose veins typically afflict men in their 40s and 50s who work in positions of extended standing. Limited awareness in the Santhal Pargana division, Jharkhand state, India may result in poor healthcare outcomes. Improving public awareness may help lessen disease-related consequences.
静脉曲张影响着8%至10%的人口，根据病因可分为原发性或继发性。本研究的目的是评估一家三级医院报告的静脉曲张疾病患者腿部症状和反流的临床特征。
在全印医学科学研究所迪奥加尔分院普通外科门诊进行了一项基于机构的横断面探索性研究，通过目的抽样选取了56例患有静脉曲张疾病腿部反流的患者。标准化研究工具包括阿伯丁静脉曲张问卷和患者症状与担忧问卷，随后根据CEAP（临床、病因、解剖和病理生理）分类和C5/6的静脉临床严重程度评分（VCSS）以及双下肢彩色血流超声成像进行简要临床检查。使用IBM SPSS Statistics for Windows，版本23（IBM公司，纽约州阿蒙克）进行数据分析，采用描述性和推断性统计。
57.1%（n = 32）的参与者出现双侧疾病，参与者报告的当前疾病常见病史包括静脉沿线肿胀（n = 55，98.2%）、疼痛（n = 51，91.1%）和变色（n = 33，58.9%）。临床分级显示，大多数参与者，即87.5%（n = 49）患有C2级疾病，75%（n = 42）患有C3级疾病。大多数参与者96.4%（n = 54）患有原发性静脉曲张。此外，所有受试者均表现为浅静脉受累，其中1人有深静脉受累，少数参与者（n = 35，62.5%）有穿通支受累。据此，大多数参与者（n = 55，98.2%）显示反流病理。
静脉曲张通常困扰40多岁和50多岁从事长期站立工作的男性。印度贾坎德邦桑塔尔帕根那斯分区的认识有限可能导致医疗保健结果不佳。提高公众意识可能有助于减轻与疾病相关的后果。
