TITLE:
Patients with Chronic Venous Insufficiency: Treatment Modalites of Venous Impairment and Its Complications during Two Years Period in Primary Care Center
AUTHORS:
Zeynep Gökalp Çevik
KEYWORDS:
Chronic Venous Insufficiency, Medications, Leg Complaints, Compression Therapy
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.8,
August
21,
2015
ABSTRACT:
Background: Venous disease is a common health problem in developed
countries. The aim of this study was to research the medical treatment strategy,
complication due to venous impairment including leg ulcer, deep and/or
superficial phlebothrombosis related to chronic venous insufficiency (CVI) two
years follow-up. Patients and Methods: This prospective study has been planned
in our Family and Children Health Center. 196 patients who have CVI have been
included for the study. The mean age of these patients was 45.0 ± 12.4 y (17 - 80
y). One hundred patients were female and the remaining 96 patients were male. The
main complaints of the patients were leg pain, visible varices, skin
hyperpigmentation and leg edema. Twenty-eight patients were hypertensive and 22
were diabetics. Cardiovascular specialists did recommend a mikronize flavonoid
fractions, calcium dobesilat or oxerutine as a medical treatment. Also,
compression bandage or stockings have been recommended additionally. Results:
During two years period, leg ulcer developed in 10 patients (7 female and 3
male). Deep venous thrombosis has been detected by doppler USG in these
patients who used antiaggregant and anticoagulants. We also detected deep venous
thrombosis in two pregnant women. Control doppler ultrasonography showed that
venous regurgitation increased from grade I to grade III or IV in 44 patients
(33 female, 11 male; p