Effects of different treatment duration of gradient pressure after great saphenous vein varicotomy

Zhang Huimin; Zhang Na; Sun Shujie

doi:10.3969/j.issn.1674-3245.2023.06.022

Abstract：Objective To observe the effect of different pressure treatment schemes on patients with great saphenous vein varicosity after operation.Methods 150 patients undergoing varicose vein surgery admitted to our hospital from June 2021 to December 2022 were divided into 3 groups,with 50 patients in each group.Patients in group A were treated with gradient compression stockings(GCS)after 24 hours of postoperative compression with elastic bandages.GCS was used 24 hours a day for 7 consecutive days for a total of 1 week.Group B patients underwent daytime pressure therapy for more than 12 hours after continuous use for 7 days,for a total of 2 weeks.Group C patients underwent daytime pressure therapy for more than 12 hours after continuous use for 7 days,for a total of 4 weeks.Compare the pain levels and leg circumference differences among three groups of patients at 1,2,and 4 weeks after surgery.Compare the incidence of complications among three groups.Compare the HASTI and AVVQ before and 3 months after surgery.Results Group C excluded 1 dropout case.There was no statistically significant difference in VAS scores between the three groups at 1 week,2 weeks,and 4 weeks after surgery(P>0.05).At the first and fourth weeks after surgery,the difference in leg circumference between the three groups was compared,and there was no statistically significant difference(P>0.05).At the second week after surgery,the difference in leg circumference between group A was higher than that between group B and group C,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications,HASTI and AVVQ scores between the three groups(P>0.05).Conclusion The auxiliary pressure treatment after great saphenous vein varicose surgery is helpful to the postoperative recovery of patients.Postoperative GCS pressure therapy for 2 weeks can significantly reduce pain and swelling,but lasting for more than 2 weeks does not bring benefits to the relief of postoperative pain and swelling,prevention of complications,and improvement of short-term quality of life.