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. 2010 Oct;6(5):793-9.
doi: 10.5114/aoms.2010.17097. Epub 2010 Oct 26.

Comparison of the effectiveness of compression stockings and layer compression systems in venous ulceration treatment

Maria T Szewczyk  1 , Arkadiusz Jawień, Katarzyna Cierzniakowska, Justyna Cwajda-Białasik, Paulina Mościcka
Affiliations

Comparison of the effectiveness of compression stockings and layer compression systems in venous ulceration treatment

Maria T Szewczyk et al. Arch Med Sci. 2010 Oct.

Abstract

Introduction: The aim of the research was to compare the dynamics of venous ulcer healing when treated with the use of compression stockings as well as original two- and four-layer bandage systems.

Material and methods: A group of 46 patients suffering from venous ulcers was studied. This group consisted of 36 (78.3%) women and 10 (21.70%) men aged between 41 and 88 years (the average age was 66.6 years and the median was 67). Patients were randomized into three groups, for treatment with the ProGuide two-layer system, Profore four-layer compression, and with the use of compression stockings class II. In the case of multi-layer compression, compression ensuring 40 mmHg blood pressure at ankle level was used.

Results: In all patients, independently of the type of compression therapy, a few significant statistical changes of ulceration area in time were observed (Student's t test for matched pairs, p < 0.05). The largest loss of ulceration area in each of the successive measurements was observed in patients treated with the four-layer system - on average 0.63 cm2/per week. The smallest loss of ulceration area was observed in patients using compression stockings - on average 0.44 cm(2)/per week. However, the observed differences were not statistically significant (Kruskal-Wallis test H = 4.45, p > 0.05).

Conclusions: A systematic compression therapy, applied with preliminary blood pressure of 40 mmHg, is an effective method of conservative treatment of venous ulcers. Compression stockings and prepared systems of multi-layer compression were characterized by similar clinical effectiveness.

Keywords: bandage systems; compression stockings; compression therapy; venous ulcer.

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References

    1. Jawień A, Szewczyk MT, Kędziora-Kornatowska K, et al. Functional and biopsychosocial restrictions among patients with a venous ulcer. Arch Med Sci. 2006;2:36–41.
    1. Barwell J, Davies CE, Deacon J, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study) randomized controlled trial. Lancet. 2004;363:1854–9. - PubMed
    1. Guest M, Smith JJ, Tripuraneni G, et al. Randomized clinical trial of varicose vein surgery with compression versus compression alone for the treatment of venous ulceration. Phlebology. 2003;18:130–6.
    1. Kramer SA. Compression wraps for venous ulcer healing: a review. J Vasc Nurs. 1999;17:89–97. - PubMed
    1. Franks PJ, Moody M, Moffat CJ, et al. Randomised trial of cohesive short stretch versus four layer bandaging in the management of chronic venous ulceration. Wound Repair Regen. 2004;12:157–62. - PubMed