血管压力治疗的共识与争议  

Consensus and debate on vascular compression therapy

作　　者：李春民[1] 任华亮[1] Li Chunmin;Ren Hualiang(Department of Vascular Surgery,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院血管外科,北京100020

出　　处：《血管与腔内血管外科杂志》2022年第11期1286-1288,共3页Journal of Vascular and Endovascular Surgery

摘　　要：压力治疗是防治静脉淋巴疾病的关键措施,血管疾病专家广泛认同各类压力器具在深静脉血栓形成、慢性静脉功能不全及淋巴水肿等疾病领域所发挥的基础作用。然而,近年来的一些临床研究却得出否定性的结果,引起较大争议,也促使医学界积极地重新审视血管压力治疗。临床普遍使用的梯度压力袜(GCS)能否有效防治深静脉血栓形成以及血栓形成后综合征(PTS)引发质疑。目前,关于下肢静脉曲张相关的压力治疗尚缺乏高质量的研究数据支持,因此亟需更多优质的临床试验,并加强血管压力器具的研发与改进。Compression therapy is the key measure to the prevention and treatment of venous lymphatic disease,and vascular specialists widely recognize the basic role of various compression devices in the treatment of deep venous thrombosis,chronic venous insufficiency and lymphedema.However,some clinical studies in recent years have yielded negative results,causing debate and pushing the academic community to re-examine the treatment of vascular compression.Whether the commonly used gradient compression stocking(GCS)can effectively prevent and treat deep venous thrombosis and post-thrombotic syndrome has been questioned.At present,compression treatment for varicose vein of the lower extremity is not supported by high-quality research data,so that there is urgent demand for high-quality clinical trials and strengthened development and improvement of compression devices.

关 键 词：压力治疗 血管外科 深静脉血栓形成 血栓形成后综合征 慢性下肢静脉功能不全 淋巴水肿 

分 类 号：R543[医药卫生—心血管疾病]