2013 Vol. 24 No

Transcription

1 2013 Vol. 24 No

2 333 Table 1 Compression bandages available in Japan Classification Feature Name Distributor Short stretch non-cohesive Comprilan Terumo co. non-cohesive Rosidal K Nak co. cohesive Comprihaft Terumo co. cohesive Rosidalhaft Nak co. cohesive Compression Alcare co. Middle stretch non-cohesive Elascot Alcare co. cohesive Coban 3M Long stretch non-cohesive Supportex Alcare co. Fontaine stage I II ABI ABI mmhg 7 8 Evidence mmhg 1 Mayrovitz 28 mmhg 1.76 ml/min/100 cc 2.17 ml/min/100 cc 1.80 ml/min/100 cc 1.50 ml/min/100 cc mmhg mmhg 10 stiffness stiffness 1 cm mmhg 2 B1 static stiffness index 11 / 100 <70 70 < < < 12 Table 1 58

3 2013 Vol. 24 No Fig. 1 Interface pressure at the thigh over 8 hours. Adapted from ref. 19. Twenty-seven legs from twenty-seven healthy volunteers were bandaged with three bandage methods on three different days. Interface pressure over 8 hours were measured at the thigh. SS: orthopedic wool, two-layers of short stretch bandages, CS: orthopedic wool, two-layers of cohesive short stretch bandages, LS: orthopedic wool, two-layers of long stretch bandages Fig. 2 Modified static stiffness index over time. Twenty-seven legs from twenty-seven healthy volunteers were bandaged with three bandage methods on three different days. Interface pressure at sitting position and at standing position was obtained at B1. SS: orthopedic wool, two-layers of short stretch bandages, CS: orthopedic wool, two-layers of cohesive short stretch bandages, LS: orthopedic wool, two-layers of long stretch bandages Modified static stiffness index was obtained by subtracting interface pressure at sitting position from interface pressure at standing position. 13, 14 15, 16 therapeutic phases B Fig Damstra Mosti 21 modified stiffness Fig. 2 stiffness 13,

4 333 22~24 O Meara Fig Artiflex 2-Comprilan Fig. 3 Interface pressure on manequin. A manequin was bandaged with three bandage methods. In each group, measurement was repeated six times, and average was obtained. SS: orthopedic wool, two-layers of short stretch bandages, CS: orthopedic wool, two-layers of cohesive short stretch bandages, LS: orthopedic wool, two-layers of long stretch bandages 3-Comprilan 2 20 Fig Artiflex 2-Comprilan 3-Comprihaft 3 26 AMI Fig mm 60

5 2013 Vol. 24 No Fig. 4 Air pack type analyzer (AMI-3037, AMI Co., Japan). ±1 13, 27 1-Artiflex 2-Comprilan 3-Elodur 4-Coban3M 1 International Society of Lymphology: The diagnosis and treatment of peripheral lymphedema Concensus Document of the International Society of Lymphology. Lymphology 2009; 42: Gohel MS, Barwell JR, Taylor M, et al: Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): randomised controlled trial. BMJ 2007; 335: 83 3 Delis KT, Nicolaides AN, Labropoulos N, et al: The acute effects of intermittent pneumatic foot versus calf versus simultaneous foot and calf compression on popliteal artery hemodynamics: a comparative study. J Vasc Surg 2000; 32: Faenza A, Faenza S, Selleri S, et al: Compression treatment in patients with chronic venous insufficiency and severe ischemia. Phlebology 1995; Suppl 1: Vin F, Benigni JP; International Union of Phlebology, et al: Compression therapy. International Consensus Document Guidelines according to scientific evidence. Int Angiol 2004; 23: Partsch H, Flour M, Smith PC, et al: Indications for compression therapy in venous and lymphatic disease consensus based on experimental data and scientific evidence. Under the auspices of the IUP. Int Angiol 2008; 27: Blair SD, Wright DD, Backhouse CM, et al: Sustained compression and healing of chronic venous ulcers. BMJ 1988; 297: Milic DJ, Zivic SS, Bogdanovic DC, et al: The influence of different sub-bandage pressure values on venous leg ulcers healing when treated with compression therapy. J Vasc Surg 2010; 51: Mayrovitz HN: Compression-induced pulsatile blood flow changes in human legs. Clin Physiol 1998; 18: Schubert V, Fagrell B: Local skin pressure and its effects on skin microcirculation as evaluated by laser-doppler fluxmetry. Clin Physiol 1989; 9: Partsch H: The static stiffness index: a simple method to assess the elastic property of compression material in vivo. Dermatol Surg 2005; 31: Einarson E: Compression bandages. Phlebology 1995; 2: Hirai M: Changes in interface pressure under elastic and short-stretch bandages during posture changes and exercise. Phlebology 1998; 13: Hafner J, Botonakis I, Burg G: A comparison of multilayer bandage systems during rest, exercise, and over 2 days of wear time. Arch Dermatol 2000; 136: Partsch B, Mayer W, Partsch H: Improvement of ambulatory venous hypertension by narrowing of the femoral vein in congenital absence of venous valves. Phlebology 1992; 7: Partsch H, Menzinger G, Mostbeck A: Inelastic leg com- 61

6 333 pression is more effective to reduce deep venous refluxes than elastic bandages. Dermatol Surg 1999; 25: Partsch H: Compression therapy of the legs. A review. J Dermatol Surg Oncol 1991; 17: Callam MJ, Haiart D, Farouk M, et al: Effect of time and posture profiles obtained by three different types of compression. Phlebology 1991; 6: Miyazaki K, Hirai M, Koyama A, et al: Interface pressure is affected by slippage of bandages at thigh. Int Angiol 2012; 31: Damstra RJ, Brouwer ER, Partsch H: Controlled, comparative study of relation between volume changes and interface pressure under short-stretch bandages in leg lymphedema patients. Dermatol Surg 2008; 34: ; discussion Mosti G, Partsch H: Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss. J Vasc Surg 2010; 52: Scriven JM, Taylor LE, Wood AJ, et al: A prospective randomised trial of four-layer versus short stretch compression bandages for the treatment of venous leg ulcers. Ann R Coll Surg Engl 1998; 80: Partsch H, Damstra RJ, Tazelaar DJ, et al: Multicentre, randomised controlled trial of four-layer bandaging versus short-stretch bandaging in the treatment of venous leg ulcers. VASA 2001; 30: Franks PJ, Moody M, Moffatt CJ, et al: Randomized trial of cohesive short-stretch versus four-layer bandaging in the management of venous ulceration. Wound Repair Regen 2004; 12: O Meara S, Tierney J, Cullum N, et al: Four layer bandage compared with short stretch bandage for venous leg ulcers: systematic review and meta-analysis of randomised controlled trials with data from individual patients. BMJ 2009; 338: b Hafner J, Botonakis I, Burg G: A comparison of multilayer bandage systems during rest, exercise, and over 2 days of wear time. Arch Dermatol 2000; 136: Kominami Y: Air-pack type multi-point contact surface pressure measuring system and its method of calibration. J Text Mac Soc 1996; Suppl 1: Abstract Compression Therapy Using Elastic Bandages for Venous Ulcer and Lymphedema: Knowledge to Perform Effective Treatment Keiko Miyazaki 1 and Kasumi Kondo 2 1 Department of Surgery, Midori Hospital 2 Department of Nursing, Midori Hospital Key words: venous ulcers, lymphedema, compression therapy, compression bandages, interface pressure Compression therapy using elastic bandages is basic and effective treatment for venous ulcer or lymphedema. Though, its methods and theories were often discussed based on clinical observations and not on objective studies. We introduced recent findings about compression therapy using compression bandages and our experimental studies. To prevent pressure loss, bandages should be multi-layered. Cohesive bandages might be a little helpful at the thigh. Including long-stretch bandages into one of the layers is also effective to prevent the pressure loss, but they should be applied carefully in order not to produce too much pressure. Jpn J Phlebol 2013; 24 (3):