Barr D M
General Medicine Clinic, VA Fort Ord, Monterey, Calif, USA.
Nurse Pract. 1996 Jul;21(7):55-6, 61-4, 71-2 passim; quiz 76-7. doi: 10.1097/00006205-199607000-00005.
The optimal clinical management of venous ulcers is not clear, but compression therapy is the mainstay of medical management. The Unna's boot is a popular and effective compression dressing for venous ulcers despite incomplete clinical endorsement and minimal research evidence supporting its advantages over other compression dressing modalities. This article reviews the most recent professional and research-based literature concerning the use of the Unna's boot for venous ulcer healing. It discusses issues of venous ulcer prevalence, risk factors, recurrence, financial impact, physiological and psychological complications, and treatment choices. An overview of venous ulcer etiology is provided, culminating in this disorder's clinical presentation. Relevant wound-healing theory is related and functional explanations are given of lower-limb arterial circulation assessment measures, compression therapy, and the Unna's boot. Clinical protocol guidelines and patient education are highlighted.
静脉性溃疡的最佳临床管理尚不清楚，但压力治疗是药物治疗的主要手段。尽管临床认可不充分且支持其优于其他压力敷料方式的研究证据极少，但Unna靴仍是用于静脉性溃疡的一种常用且有效的压力敷料。本文回顾了有关使用Unna靴促进静脉性溃疡愈合的最新专业文献和基于研究的文献。讨论了静脉性溃疡的患病率、危险因素、复发、经济影响、生理和心理并发症以及治疗选择等问题。提供了静脉性溃疡病因的概述，最终阐述了该疾病的临床表现。阐述了相关的伤口愈合理论，并对下肢动脉循环评估措施、压力治疗和Unna靴进行了功能解释。强调了临床方案指南和患者教育。
