关键词: Endovenous laser ablation chronic venous insufficiency compliance compression therapy great saphenous vein

来  源:   DOI:10.1177/02683555241249222

Abstract:
OBJECTIVE: This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins.
METHODS: This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months.
RESULTS: Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; p = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (p < .001) and higher quality of life (p = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, p = .009).
CONCLUSIONS: In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.
摘要:
目的:本研究旨在探讨介入后加压治疗对无功能隐静脉腔内激光消融(EVLA)后临床结局的影响。
方法:这种前瞻性,控制,德国的多中心研究涉及493例静脉曲张患者,随访6个月。
结果:与没有压迫相比,压迫治疗显着减轻了症状(VCSS:1.4±1.6vs2.2±2.2;p=.007)。发现介入治疗后持续时间长达14天对于改善患者报告的疾病严重程度(p<.001)和更高的生活质量(p=.001)最有效。患者依从性高(82%),不依从性与更严重的疾病严重程度相关(VCSS1.4±1.5vs2.1±2.3,p=.009)。
结论:结论:介入后压迫治疗有利于减轻症状和改善生活质量。观察到患者对治疗的高依从性,和不依从性与更严重的疾病严重程度有关。
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