Chatard H
Phlebologie. 1980 Jul-Sep;33(3):479-84.
The elementary physiology of the venous circulation of the lower limbs allows a ready understanding of the favourable effects of muscular exercise and sport in patients with venous insufficiency. However varicose veins may be produced or aggravated by sporting excesses (vicarious varices) or by the choice of certain sports (post-traumatic and post-thrombic varices). In patients with varicose veins and long reflux, sport is more encouraged than in patients with varicose veins and short reflux or patients with post-phlebitic syndrome, except when well adapted bandaging apparatus is used. Sports should be chosen in which the muscular effort is rhythmic and dynamic, while sports in which the effort is static are discouraged. Finally, in order to be useful rather than harmful to patients with venous insufficiency, the practice of sports should be carefully adjusted in amount.
下肢静脉循环的基本生理学知识有助于我们理解体育锻炼和运动对静脉功能不全患者的有益影响。然而，过度运动（代偿性静脉曲张）或某些运动的选择（创伤后和血栓后静脉曲张）可能会导致或加重静脉曲张。对于静脉曲张且反流时间长的患者，比起静脉曲张且反流时间短的患者或患有静脉炎后综合征的患者，更鼓励进行运动，除非使用了合适的绷带装置。应选择肌肉用力有节奏且动态的运动，而不鼓励用力为静态的运动。最后，为了对静脉功能不全患者有益而非有害，运动的强度应仔细调整。
