Effects of light compression on chronic venous disease, edema and comfort in women during pregnancy and postpartum period: a prospective randomized study.

IF 1.5 4区医学 Q3 PERIPHERAL VASCULAR DISEASE International Angiology Pub Date : 2024-11-04 DOI:10.23736/S0392-9590.24.05208-8

Aleksandra Frydrych-Szymonik, Katarzyna Ochałek, Agnieszka Jankowicz-Szymańska, Zbigniew Szyguła

{"title":"Effects of light compression on chronic venous disease, edema and comfort in women during pregnancy and postpartum period: a prospective randomized study.","authors":"Aleksandra Frydrych-Szymonik, Katarzyna Ochałek, Agnieszka Jankowicz-Szymańska, Zbigniew Szyguła","doi":"10.23736/S0392-9590.24.05208-8","DOIUrl":null,"url":null,"abstract":"Background: Lower limb edema associated with venous disorders is an increasingly common problem in pregnant women. The study aimed to assess the use of compression class 1 (ccl1=18-21 mmHg) in lower limb edema and CVD prevention in pregnant and postpartum women.Methods: 51 pregnant women (second trimester) were randomly recruited into either a study group CG with compression ccl1 or a control group NCG, both with physical activity (PA) recommendation. The assessment concerned venous system condition, limb size, and compression comfort. Edema was diagnosed as ≥10% measurement increase.Results: Venous reflux (8/22 CG, 1/16 NCG) and an onset of CVD (6/22 CG, 1/16 NCG) were diagnosed in the first measurement. After postpartum, a significant reduction of the great saphenous vein (GSV) diameter in the proximal part of the left lower limb in CG (P=0.014) and expansion of the small saphenous vein (SSV) in the proximal part of the left lower limb in NCG (P=0.028) were observed. An analysis of the limb sizes in the second measurement revealed a significant increase of all circumferences and volumes in the NCG, and of lower leg volumes in the CG. Edema was diagnosed in five women in the NCG in the second measurement. Consequently, compression was recommended for the new group (NCG+C), and a significant edema reduction (P=0.026) occurred in the third measurement.Conclusions: Compression ccl1 reduces the risk of edema, venous insufficiency, and improves women's quality of life during pregnancy and postpartum.","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Angiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S0392-9590.24.05208-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Lower limb edema associated with venous disorders is an increasingly common problem in pregnant women. The study aimed to assess the use of compression class 1 (ccl1=18-21 mmHg) in lower limb edema and CVD prevention in pregnant and postpartum women.

Methods: 51 pregnant women (second trimester) were randomly recruited into either a study group CG with compression ccl1 or a control group NCG, both with physical activity (PA) recommendation. The assessment concerned venous system condition, limb size, and compression comfort. Edema was diagnosed as ≥10% measurement increase.

Results: Venous reflux (8/22 CG, 1/16 NCG) and an onset of CVD (6/22 CG, 1/16 NCG) were diagnosed in the first measurement. After postpartum, a significant reduction of the great saphenous vein (GSV) diameter in the proximal part of the left lower limb in CG (P=0.014) and expansion of the small saphenous vein (SSV) in the proximal part of the left lower limb in NCG (P=0.028) were observed. An analysis of the limb sizes in the second measurement revealed a significant increase of all circumferences and volumes in the NCG, and of lower leg volumes in the CG. Edema was diagnosed in five women in the NCG in the second measurement. Consequently, compression was recommended for the new group (NCG+C), and a significant edema reduction (P=0.026) occurred in the third measurement.

Conclusions: Compression ccl1 reduces the risk of edema, venous insufficiency, and improves women's quality of life during pregnancy and postpartum.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

轻压法对孕期和产后妇女慢性静脉疾病、水肿和舒适度的影响：一项前瞻性随机研究。

背景：与静脉疾病相关的下肢水肿在孕妇中越来越常见。该研究旨在评估 1 级压力（ccl1=18-21 mmHg）在孕妇和产后妇女下肢水肿和心血管疾病预防中的应用。方法：51 名孕妇（怀孕后三个月）被随机招募到使用 ccl1 压力的研究组 CG 或对照组 NCG，两组均建议进行体育锻炼（PA）。评估内容包括静脉系统状况、肢体大小和压力舒适度。水肿的诊断标准是测量值增加≥10%：结果：第一次测量就诊断出静脉回流（8/22 CG，1/16 NCG）和心血管疾病（6/22 CG，1/16 NCG）。产后观察发现，CG 左下肢近端大隐静脉（GSV）直径明显缩小（P=0.014），NCG 左下肢近端小隐静脉（SSV）明显扩张（P=0.028）。对第二次测量的肢体尺寸进行分析后发现，NCG 的所有周长和体积均显著增加，而 CG 的小腿体积则显著增加。在第二次测量中，NCG 中有 5 名妇女被诊断出水肿。因此，建议对新组别（NCG+C）进行压力治疗，第三次测量结果显示水肿明显减轻（P=0.026）：压缩 ccl1 可降低水肿和静脉功能不全的风险，并提高妇女在孕期和产后的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Angiology 医学-外周血管病

CiteScore

2.80

自引率

28.60%

发文量

审稿时长

6-12 weeks

期刊介绍： International Angiology publishes scientific papers on angiology. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (ICMJE).