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Annales de Dermatologie et de Vénéréologie
Volume 142, n° 8-9
pages 469-475 (août 2015)
Doi : 10.1016/j.annder.2015.06.014
La compression veineuse dans l’insuffisance veineuse
Venous compression in venous insufficiency
 

C. Debure
 Service de rééducation vasculaire, groupe hospitalo-universitaire Paris-Ouest, hôpital Corentin-Celton, 4, parvis Corentin-Celton, 92130 Issy-les-Moulineaux, France 

Résumé

La compression est un traitement obligatoire de l’insuffisance veineuse à tous ses stades. Ce traitement recommandé par la HAS est toujours prescrit dans les protocoles d’essais thérapeutiques des ulcères veineux. Compte tenu de la multitude des matériaux, des habitudes de chaque médecin, il est important d’éviter le dogmatisme et de s’adapter essentiellement aux résultats thérapeutiques à savoir qu’un traitement bien contrôlé doit apporter une amélioration des troubles trophiques, un confort au malade alors qu’un traitement mal installé est mal toléré, voire néfaste et rejeté par le patient. Les fabricants ont fait de gros progrès pour réaliser des bas ou des bandes de compression ; néanmoins pour évaluer ce traitement selon la méthodologie de la médecine fondée sur des preuves exigée par les sociétés savantes il convient d’être rigoureux dans les études cliniques : les principes actifs, les mode d’action et les « posologies » doivent être précisés.

The full text of this article is available in PDF format.
Summary

Compression is a mandatory therapeutic measure in all stages of venous insufficiency. This treatment, recommended by the French Health Authority (HAS), is consistently included in the protocols of therapeutic studies involving venous ulcers. Given the great variety in materials available and in the approaches of individual doctors, it is essential to avoid a dogmatic approach and instead to adapt treatment to the therapeutic results based on the premise that well-controlled treatment should result in improvement in trophic disorders and in patient comfort, while poor treatment is badly tolerated, even potentially harmful, and rejected by patients. Manufacturers have made great progress in the design of compression hose and bandages; however, to assess this treatment using the evidence-based medical methods stipulated by learned societies, great rigour is demanded in clinical trials, and the active substances, mode of action and requisite “dosages” must be precisely defined.

The full text of this article is available in PDF format.

Mots clés : Compression veineuse, Insuffisance veineuse des membres inférieurs, Ulcères de jambe veineux, Syndrome post-thrombotique

Keywords : Venous compression, Venous insufficiency of the lower limbs, Venous leg ulcers, Post-thrombotic syndrome




© 2015  Published by Elsevier Masson SAS.
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