Wang C L, Tang F T, Wong M K
Department of Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan, R.O.C.
J Formos Med Assoc. 1995 Dec;94 Suppl 2:S149-55.
We tested 80 spinal cord injury or lesion patients admitted to Department of Rehabilitation Medicine of Chang Gung Memorial hospital from Jan, 1994 to Aug, 1994, in order to assess the effectiveness of compression stockings of different pressures. The study group consisted of patients who, after leaving bed for 4 hours, had a volume change in the lower extremities greater than 50 c.c., as measured by a specially designed water bucket. One of the lower limb was used as the control group and the other limb was used as the experimental group. Different stocking compression pressure, 12 mmHg 20 mmHg, and 30 mmHg, were used for the experimental limb. No placebo stocking was used in the control group. Change in the lower limb volume and degree of comfort after leaving bed for 4 hours were measured. The experimental results reveal that wearing stocking with compression pressure, 12 mmHg, 20 mmHg, 30 mmHg, had therapeutic effects (P < 0.01). The therapeutic effects of the 12 mmHg stocking was less than the 20 mmHg and 30 mmHg stocking. There was no significant difference between the therapeutic effects of the 20 mmHg and 30 mmHg stocking. As for the degree of comfort, 12 mmHg was better than 20 mmHg, and 20 mmHg better than 30 mmHg. When choosing the type of compression stocking to treat lower leg edema in spinal cord injury or lesion patients, we suggest starting with 20 mmHg compression pressure stockings would be a better choice, as they are cheaper, more comfortable to wear and can provide the same therapeutic effects as 30 mmHg compression stockings.
我们对1994年1月至1994年8月入住长庚纪念医院康复医学科的80例脊髓损伤或病变患者进行了测试，以评估不同压力的压力袜的效果。研究组由那些卧床4小时后，通过特制水桶测量下肢体积变化大于50立方厘米的患者组成。将其中一条下肢作为对照组，另一条下肢作为实验组。对实验组下肢使用不同的压力袜压力，即12毫米汞柱、20毫米汞柱和30毫米汞柱。对照组未使用安慰剂压力袜。测量了卧床4小时后下肢体积的变化和舒适度。实验结果显示，穿着压力为12毫米汞柱、20毫米汞柱、30毫米汞柱的压力袜有治疗效果（P<0.01）。12毫米汞柱压力袜的治疗效果低于20毫米汞柱和30毫米汞柱压力袜。20毫米汞柱和30毫米汞柱压力袜的治疗效果之间没有显著差异。至于舒适度，12毫米汞柱优于20毫米汞柱，20毫米汞柱优于30毫米汞柱。在选择压力袜类型治疗脊髓损伤或病变患者的小腿水肿时，我们建议从20毫米汞柱压力的压力袜开始是更好的选择，因为它们更便宜，穿着更舒适，并且能提供与30毫米汞柱压力袜相同的治疗效果。
