Samson R H, Showalter D P
Dermatol Surg. 1996 Apr;22(4):373-6. doi: 10.1111/j.1524-4725.1996.tb00334.x.
Cost-effective therapy that heals ulcers rapidly and prevents recurrence would significantly impact patient care and the health system.
To evaluate compression stockings for treatment of venous ulcerations and prevention of recurrent ulceration; to analyze patient compliance; and to evaluate cost of compression stocking therapy.
Stocking therapy healed venous ulcers in 53 patients. The effect of continued stocking use on ulcer recurrence rate and treatment costs was evaluated.
Twenty-five patients had good stocking usage; one developed recurrence (4%). Twenty-eight patients had bad or none usage; 22 had at least one recurrence (79%). Bad/none usage was associated with 31 of 32 (97%) recurrent ulcerations; good usage was associated with 52 of 58 (90%) nonrecurrent ulcers. Cost was a major reason for noncompliance.
Continued stocking use after ulcer healing will prevent most recurrences and will provide a significant cost saving to the nation's health care budget.
能迅速治愈溃疡并预防复发的经济高效疗法将对患者护理和卫生系统产生重大影响。
评估弹力袜治疗静脉性溃疡及预防溃疡复发的效果；分析患者的依从性；评估弹力袜治疗的成本。
弹力袜治疗使53例患者的静脉性溃疡愈合。评估继续使用弹力袜对溃疡复发率和治疗成本的影响。
25例患者弹力袜使用情况良好；1例复发（4%）。28例患者弹力袜使用情况不佳或未使用；22例至少复发1次（79%）。32例复发性溃疡中有31例（97%）与使用情况不佳/未使用有关；58例未复发溃疡中有52例（90%）与使用情况良好有关。成本是不依从的主要原因。
溃疡愈合后继续使用弹力袜可预防大多数复发，并将为国家医疗保健预算节省大量费用。
