asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/akh2022-007asurgery-353Research ArticleФЛЕБОЛОГИЯPHLEBOLOGYЭффективность компрессионной и флеботропной терапии варикозной болезни у беременныхEfficacy of compression and phlebotropic therapy varicose veins in pregnant womenhttps://orcid.org/0000-0001-5353-205XХрыщановичВ. Я.KhryshchanovichV. Ya.

Хрыщанович Владимир Янович, д.м.н., профессор, профессор кафедры общей хирургии;

220116, Минск, проспект Дзержинского, 83

Vladimir Ya. Khryshchanovich, Dr. Sci. (Med.), Professor, Professor of the Department of General Surgery,

83, Dzerzhinsky Ave., Minsk, 220116

vladimirkh77@mail.ruhttps://orcid.org/0000-0002-8386-1791РоговойН. А.RogovoyN. A.

Роговой Николай Александрович, к.м.н., доцент, доцент кафедры общей хирургии,

220116, Минск, проспект Дзержинского, 83

Nicolay A. Rogovoy, Cand. Sci. (Med.), Associate Professor of the Department of General Surgery, 

83, Dzerzhinsky Ave., Minsk, 220116

kolia_med@mail.ruhttps://orcid.org/0000-0003-2267-579XСкобелеваН. Я.SkobelevaN. Ya.

Скобелева Наталья Яновна, аспирант кафедры акушерства и гинекологии, 220116, Минск, проспект Дзержинского, 83;

врач акушер-гинеколог, заведующий акушерским отделением патологии  беременности, 220114, Минск, ул. Франциска Скорины, 16

Natalia Ya. Skobeleva, Postgraduate Student, Department of Obstetrics and Gynecology, 83, Dzerzhinsky Ave., Minsk, 220116;

Obstetrician-Gynecologist, Head of the Obstetric Department of Pregnancy Pathology, 16, Frantsisk Skorina St., Minsk, 220114

nataliaskobeleva@yandex.byhttps://orcid.org/0000-0002-4150-282XКраськоО. В.KraskoO. V.

Красько Ольга Владимировна, к.т.н., доцент, ведущий научный сотрудник; лаборатория биоинформатики,

220012, Минск, ул. Сурганова, д. 6

Olga V. Krasko, Cand. Sci. (Tech.), Associate Professor, Lead Researcher at the Bioinformatics Laboratory,

6, Surganova St., Minsk, 220012

krasko@newman.bas-net.byБелорусский государственный медицинский университетБеларусьBelarussian State Medical UniversityBelarusБелорусский государственный медицинский университет; Клинический родильный дом Минской областиБеларусьBelarussian State Medical University; Clinical Maternity Hospital of Minsk RegionBelarusОбъединенный институт проблем информатики Национальной академии наук БеларусиБеларусьUnited Institute of Informatics Problems of the National Academy of Sciences of BelarusBelarus20232205202320194104Copyright © Хрыщанович В.Я., Роговой Н.А., Скобелева Н.Я., Красько О.В., 20232023Хрыщанович В.Я., Роговой Н.А., Скобелева Н.Я., Красько О.В.Khryshchanovich V.Y., Rogovoy N.A., Skobeleva N.Y., Krasko O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/353Введение

Введение. Беременность является ведущей причиной развития варикозной болезни (ВБ) у женщин. Терапевтические мероприятия в период гестации включают ношение компрессионного трикотажа и назначение венотоников.

Цель

Цель. Оценить клиническую эффективность градуированной компрессии и адъювантной флеботропной терапии у беременных с варикозной болезнью.

Материалы и методы

Материалы и методы. В исследование были включены 88 беременных женщин, 30 из которых использовали компрессионные чулки (1-я группа), 28 женщин наряду с компрессией принимали венотоник (2-я группа), 30 пациенток вошли в группу контроля. Установление степени тяжести варикозной болезни проводили при помощи шкалы Venous Clinical Severity Score (VCSS). Показатель качества жизни рассчитывали при помощи специфического опросника Chronic Venous Insufficiency Questionnaire (CIVIQ-20). Определение окружности голеней производили посредством измерительной ленты в вертикальном положении.

Результаты и обсуждение

Результаты и обсуждение. В конце исследования было выявлено снижение показателя VCSS (p < 0,001 и p < 0,008) в обеих группах лечения, тогда как в группе контроля отмечалось нарастание степени тяжести варикозной болезни (p < 0,001). На заключительном этапе наблюдения показатель качества жизни в группах лечения продемонстрировал тенденцию к улучшению, в то время как в группе контроля фиксировалось снижение качества жизни. В 1-й и 2-й группах наблюдалось билатеральное уменьшение окружности голени (p < 0,001), при этом была обнаружена превосходящая эффективность адъювантной флеботропной терапии в купировании отека.

Выводы

Выводы. Совместное применение эластической компрессии и венотоника является более эффективным в устранении венозного отека у беременных с варикозной болезнью. 

Introduction

Introduction. Pregnancy is the leading cause of varicose veins(VVs) in women. Therapeutic measures during pregnancy include the wearing of compression hosiery and the phlebotropic therapy.

Purpose

Purpose. To evaluate the clinical effectiveness of graduated elastic compression and phlebotropic therapy in pregnant women with VVs.

Materials and methods

Materials and methods. A total of 88 pregnant women were included, 30 of whom used compression stockings (group 1), 28 women received phlebotonics together with compression (group 2) and 30 were controls. VVs severity was determined using the Venous Clinical Severity Score (VCSS). Quality of life (QoL) was calculated using the Chronic Venous Insufficiency Questionnaire (CIVIQ-20). The calf circumference was measured with a measuring tape in an orthostatic position.

Results and discussion

Results and discussion. At the end of the study there was a decrease in VCSS (p < 0.001 and p < 0.008) in both treatment groups, whereas the control group showed an increase in VCSS severity (p < 0.001). At the end of follow-up the QOL score in the treatment groups showed a tendency to improve while the control group showed a decrease in QOL. A bilateral decrease in tibial circumference (p < 0.001) was seen in groups 1 and 2 and the adjuvant phlebotropic treatment was found to be superior in controlling the oedema.

Conclusions

Conclusions. The combined use of elastic compression and phlebotonics is more effective in eliminating venous oedema in pregnant women with VVs. 

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The authors declare that there are no conflicts of interest present.