静脉疾病压迫疗法临床指南》。

IF 1.4 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Annals of vascular surgery Pub Date : 2025-01-01 DOI:10.1016/j.avsg.2024.07.083

Cong-Rui Sun , Ming-Yuan Liu , Qi-Hong Ni , Fei Cai , Feng Tang , Zi-You Yu , Jian-Bin Zhang , Long Zhang , Wayne W. Zhang , Chun-Min Li

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引用次数: 0

摘要

背景：近年来，压力疗法在下肢静脉疾病的临床治疗中逐渐受到越来越多的关注。然而，目前尚缺乏基本概念和明确的术语、标准的治疗方法以及一致的压力设备产品标准。因此，制定压力疗法的临床指南对于改善静脉疾病的治疗至关重要：我们的专家小组根据高质量（A 级）、中等质量（B 级）和低质量（C 级）的证据，采用建议、评估、发展和评价分级（GRADE）方法和欧洲心脏病学会（ESC）分级系统，提出了强（I 级）、中等（IIa 级和 IIb 级）和弱（III 级）的建议：专家小组根据现有证据提出了30项建议，主要涉及下肢静脉疾病的7个领域（静脉血栓栓塞症、血栓后综合征、慢性静脉功能不全、静脉曲张、血管瘤和血管畸形、淋巴水肿和静脉溃疡）和18个专题：在针对 18 个主题提出的 30 项建议中，有 7 项建议是强有力的（I 级），17 项建议是基于高质量（A 级）证据提出的，这突出表明有必要进一步研究如何使用压力疗法治疗......。

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Clinical Guidelines on Compression Therapy in Venous Diseases

Background

In recent years, compression therapy has attracted gradually increasing clinical attention in lower extremity venous diseases. However, basic concepts and clear nomenclature, standard treatment methods, and consistent product standards for pressure equipment are lacking. Therefore, developing clinical guidelines for compression therapy is essential to improving the treatment of venous diseases.

Methods

Our panel generated strong (grade I), moderate (grade IIa and IIb), and weak (grade III) recommendations based on high-quality (class A), moderate-quality (class B), and low-quality (class C) evidence, using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach and the European Society of Cardiology (ESC) grading system.

Results

The panels made 30 recommendations from current evidence, focusing on 7 fields of lower extremity venous disease (venous thromboembolism, post-thrombotic syndrome (PTS), chronic venous insufficiency (CVI), varicose veins, hemangioma and vascular malformations, lymphedema, and venous ulcers) and 18 topics.

Conclusions

Of the 30 recommendations made across the 18 topics, 7 were strong (grade I) and 17 were based on high-quality (class A) evidence, highlighting the need for further research of the use of compression therapy.

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来源期刊

Annals of vascular surgery 医学-外科

CiteScore

3.00

自引率

13.30%

发文量

603

审稿时长

50 days

期刊介绍： Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal: Clinical Research (reports of clinical series, new drug or medical device trials) Basic Science Research (new investigations, experimental work) Case Reports (reports on a limited series of patients) General Reviews (scholarly review of the existing literature on a relevant topic) Developments in Endovascular and Endoscopic Surgery Selected Techniques (technical maneuvers) Historical Notes (interesting vignettes from the early days of vascular surgery) Editorials/Correspondence