Thermalisme et médecine vasculaire

P. Lacroix (Professeur des Universités, praticien hospitalier), V. Aboyans (Praticien hospitalier)
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Abstract

The therapeutic utilisation of mineral waters is very ancient. The physiological effects of immersion are now well known. Immersion results in a significant increase of diuresis, cardiac output and haemodilution. The subsequent improved tissue perfusion and decreased oedema are beneficial, in case of occlusive lower limb arteriopathy and in case of chronic venous insufficiency. Fourteen French spas are specialized in the management of arteriopathies, and 11 other centres in that of chronic venous insufficiency. Thermatology is a complementary therapy; it should be combined with a kinesitherapy and the management of risk factors. During the thermal procedure, health education should be undertaken. Main indications are ischemic lower limb arteriopathies, and chronic venous insufficiency whichever the posture.

热学与血管医学
矿泉水的治疗利用是非常古老的。浸泡的生理作用现在已经众所周知了。浸泡可显著增加利尿、心输出量和血液稀释度。在下肢动脉闭塞和慢性静脉功能不全的情况下,随后的组织灌注改善和水肿减少是有益的。法国有14家水疗中心专门治疗动脉疾病,另有11家中心治疗慢性静脉功能不全。热疗是一种补充疗法;它应该与运动疗法和风险因素的管理相结合。在热处理过程中,应进行健康教育。主要适应症是缺血性下肢动脉病变和慢性静脉功能不全,无论体位如何。
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