Year 2012 Vol. 20 No 2

TO HELP THE PRACTITIONER

S.A. SUSHKOV

COMPRESSIVE THERAPY AT CHRONIC VENOUS INSUFFICIENCY

EE “Vitebsk State Medical University”,
The Republic of Belarus

The questions concerning the application of the compressive therapy at the lower limbs chronic venous insufficiency are comprehensively viewed in the article. Its role in complex treatment of patients with the given pathology is demonstrated. The mechanism of the compressive therapy action is described in details. The characteristics of the present facilities is also given that can be used for a permanent compressive therapy as well as concrete recommendations are formulated dealing with their application in various clinical cases. The application technique of elastic compressive dressings, special compressive bondages, compressive knitwear is described. The questions of application of a variable (intermittent) compression are also studied. Indications and contraindications for its application are formulated; the recommendations on the application regimens of pneumocompression in different clinical classes are given.
The compressive therapy is shown to be an effective, scientifically grounded and promissory method of chronic venous insufficiency treatment. A properly performed compressive therapy results in venous outflow improvement, regress of signs of the disease as well as in improvement of subjective sensations of patients. At present it is an integral part of chronic venous insufficiency complex therapy.

Keywords: chronic venous insufficiency, compressive therapy, compressive knitwear, intermittent compression
p. 105 – 117 of the original issue
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Address for correspondence:
210023, Respublika Belarus', g. Vitebsk, pr. Frunze, d. 27, UО “Vitebskii gosudarstvennyi meditsinskii universitet”, kafedra obshchei khirurgii,
e-mail: sergery@nm.ru,
Sushkov Sergei Al'bertovich
Information about the authors:
Sushkov S.A., candidate of medical sciences, аssociate professor, vice-rector on scientific research work of EE “Vitebsk State Medical University.
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