ما هو علاج الخط الأول لدوالي الأوردة في الأطراف السفلية؟

References

DOI: 10.1016/j.jscai.2025.103729

• For patients with symptomatic varicose veins, the SCAI guideline panel suggests compression therapy rather than no compression therapy (conditional recommendation, very low certainty of evidence).
• The first line of treatment for CVD is conservative therapy, which generally includes compression therapy, venotonic medications, lifestyle changes, weight loss if applicable, and wound care for patients with ulcerative disease.
• Compression garments can take the form of bandages, stockings, Velcro wrap devices, pumps, or a combination of these items.
• In patients with symptomatic varicose veins, compression may reduce discomfort (standard mean difference, 0.68; 95% CI, 0.87-0.49), which studies measured using a numerical rating scale from 0 or 1 (least pain) to 10 (most pain).
• Compression may also reduce volume of edema (mean difference [MD], 0.21 L; 95% CI, 0.29-0.12) and improve QoL (MD, 6.87 points lower; 95% CI, 13.1-0.64 points lower) assessed with the Charing Cross Venous Ulcer Questionnaire from 0 (best QoL) to 100 (worst QoL).