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Dtsch Med Wochenschr 2017; 142(09): 679-686
DOI: 10.1055/s-0042-117867
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Neue Entwicklungen in der Kompressionstherapie

New Developments in Compression Treatment
Stefanie Reich-Schupke
,
Kerstin Protz
,
Joachim Dissemond
,
Eberhard Rabe
Further Information

Publication History

Publication Date:
28 April 2017 (online)

Also available at
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Abstract

Patients with peripheral arterial occlusive disease who show an ankle arterial pressure of minimum 60 mmHg can be decongested by use of special padded bandages. Afterwards, medical compression stockings (class 1) with high strength and less elasticity are recommended. Mobile patients seem to benefit from progressive compression therapy with highest pressure above the calf. Compression after uncomplicated interventions of varicose veins or spider veins tends to be modified to a short and excentric compression in patients without risk factors. Valid datas are not available yet. Adaptive compression bandages show pros concerning efficiency, economy and more comfort for patients with edemas or ulcers.

Von Gummibandagen und Gummistrümpfen zur Hightech-Therapie: Seit Jahrzehnten gilt die Kompressionstherapie als Basismaßnahme in der phlebologischen und lymphologischen Therapie. Lange Zeit gab es nur marginale Veränderungen von Indikationen, Kontraindikationen, Anwendungen und Materialien. In den letzten Jahren aber überraschten zahlreiche Studienergebnisse und neue Entwicklungen, die eine dosierte und individualisierte Therapie ermöglichen.

Schlüsselwörter

Kompressionstherapie - Druckgradient - Ödem - Ulcus cruris

Key words

compression therapy - pressure gradient - edema - ulcus cruris
 

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