What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey

被引:228
作者
Bradbury, A
Evans, C
Allan, P
Lee, A
Ruckley, CV
Fowkes, FGR
机构
[1] Univ Edinburgh, Wolfson Unit Prevent Peripheral Vasc Dis, Edinburgh EH8 9AG, Midlothian, Scotland
[2] Univ Edinburgh, Royal Infirm, Dept Surg & Clin Sci, Vasc Surg Unit, Edinburgh EH3 9YW, Midlothian, Scotland
[3] Royal Infirm, Dept Med Imaging, Edinburgh, Midlothian, Scotland
基金
英国惠康基金;
关键词
D O I
10.1136/bmj.318.7180.353
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To define the relations between age, sex, lower limb symptoms, and the presence of trunk varicose veins on clinical examination. Design Cross sectional population study. Setting 12 general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh. Participants An age stratified random sample of 1566 people (699 men and 867 women) aged 18-64 selected from the computerised age-sex registers of participating practices. Main outcome measures Self administered questionnaire on the presence of lower limb symptoms and physical examination to determine the presence and severity of varicose veins. Results Women were significantly mole likely than men to report lower limb symptoms such as heaviness or tension, swelling, aching, restless legs, cramps, and itching. The prevalence of symptoms tended to increase with age in both sexes. In men, only itching was significantly related to the presence and severity of trunk varices (linear test for trend, P = 0.011). In women there was a significant relation between trunk varices and the symptoms of heaviness or tension (P less than or equal to 0.001), aching (P less than or equal to 0.001), and itching (P less than or equal to 0.005). However, the level of agreement between the presence of symptoms and trunk varices was too low to be of clinical value, especially in men. Conclusions Even in the presence of trunk varices, most lower limb symptoms probably have a non-venous cause. Surgical extirpation of trunk varices is unlikely to ameliorate such symptoms in most patients.
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页码:353 / 356
页数:8
相关论文
共 16 条
[1]   HOW SUCCESSFUL IS VARICOSE-VEIN SURGERY - A PATIENT OUTCOME STUDY FOLLOWING VARICOSE-VEIN SURGERY USING THE SF-36 HEALTH ASSESSMENT QUESTIONNAIRE [J].
BAKER, DM ;
TURNBULL, NB ;
PEARSON, JCG ;
MAKIN, GS .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1995, 9 (03) :299-304
[2]   EPIDEMIOLOGY OF VARICOSE-VEINS [J].
CALLAM, MJ .
BRITISH JOURNAL OF SURGERY, 1994, 81 (02) :167-173
[3]  
*DEP HLTH SOC SEC, 1988, HOSP EP STAT 1987 88
[4]   Edinburgh Vein Study: Methods and response in a survey of venous disease in the general population [J].
Evans, CJ ;
Fowkes, FGR ;
Ruckley, CV ;
Allan, PL ;
Carson, MN ;
Kerracher, EMG ;
Lee, AJ .
PHLEBOLOGY, 1997, 12 (04) :127-135
[5]  
EVANS CJ, IN PRESS J EPIDEMIOL
[6]  
EVANS CJ, IN PRESS J VASC SURG
[7]  
FORREST APM, 1995, PRINCIPLES PRACTICE, P289
[8]  
FOWKES FGR, 1996, PHLEBOLOGY, V41, P2
[9]  
JOHNSON G, 1995, VASCULAR SURG, P1825
[10]  
JONES HJS, 1997, EUR J VASC ENDOVASC, V14, P130