LOTHIAN AND FORTH VALLEY LEG ULCER HEALING TRIAL .1. ELASTIC VERSUS NONELASTIC BANDAGING IN THE TREATMENT OF CHRONIC LEG ULCERATION

被引:60
作者
CALLAM, MJ
HARPER, DR
DALE, JJ
BROWN, D
GIBSON, B
PRESCOTT, RJ
RUCKLEY, CV
机构
[1] ROYAL EDINBURGH & ASSOC HOSP,VASC SURG UNIT,LAURISTON PL,EDINBURGH EH3 9HB,MIDLOTHIAN,SCOTLAND
[2] UNIV EDINBURGH,MED STAT UNIT,EDINBURGH EH8 9YL,MIDLOTHIAN,SCOTLAND
[3] FALKIRK & DIST ROYAL INFIRM,DEPT SURG,FALKIRK,SCOTLAND
[4] LOTHIAN HLTH BOARD,EDINBURGH,SCOTLAND
关键词
COMPRESSION; ELASTIC; LEG ULCER; NONELASTIC;
D O I
10.1177/026835559200700402
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: To determine whether elastic or non-elastic bandaging is more effective in healing chronic venous ulcers. Design: Randomized trial with factorial design and interaction analysis, enabling independent evaluation of both bandaging and dressings within the single-trial format. The duration of treatment was 12 weeks or until ulcer-healing, whichever occurred sooner. Setting: The Leg Ulcer Clinics of Edinburgh and Falkirk and District Royal Infirmaries, Scotland. Patients: 132 patients with chronic leg ulcers and clinical evidence of chronic venous disease, and excluding those with Doppler ultrasound ankle/brachial pressure indices of less than 0.8, diabetes or rheumatoid disease. There were 28 withdrawals who were classified for analysis as treatment failures. Interventions: Elastic or non-elastic multilayer bandage systems were applied using similar application techniques by a team of trained nurse specialists. All other treatments were standardized, including the randomization of dressings to either a knitted viscose or a hydrocellular polyurethane dressing. Main outcome measure: Complete ulcer healing. Results: In the elastic group 35 out of 65 ulcers (54%) healed within 12 weeks compared with 19 out of 67 (28%) in the non-elastic group (95% confidence limits for percentage healed, 9% to 42%). Ulcer pain was also reported significantly less often in the elastic group (48% of visits versus 29%; p=0.03). Conclusion: When applied by similar multilayer bandaging techniques, elastic bandaging was significantly better than non-elastic bandaging in the treatment of chronic venous leg ulcer.
引用
收藏
页码:136 / 141
页数:6
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