RESULTS OF A COMPARATIVE STUDY OF THE EFFICIENCY OF THERAPY AND PREVENTION OF COMPLICATIONS WITH COMPRESSION PRODUCTS IN PREGNANT WOMEN WITH CHRONIC VENOUS INSUFFICIENCY


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Abstract

Objective. To compare the efficiency of therapy and prevention of thromboembolic events with VENOTEKS compression knitwear and elastic bandages, their safety, and patient compliance. Subjects and methods. A multicenter, open-label comparative randomized prospective clinical trial was conducted in 75 pregnant women with chronic venous insufficiency (CVI). Clinical, laboratory, and instrumental studies were performed. Results. The trial revealed the high efficacy of VENOTEKS compression knitwear as a means of the treatment and prevention of CVI progression during pregnancy. As compared with elastic bandages, the compression knitwear resulted in a more pronounced reduction in subjective symptoms and in the clinical class of CVI. There was no evidence for the impact of the compression knitwear on the hemostasis or there were no differences between he groups in the hemodynamic changes in the venous system of the lower extremity. There was a higher patient compliance with compression knitwear. The trial failed to record thrombotic or thromboembolic events and to establish individual intolerance and the negative impact of compression knitwear. Conclusion. Class II compression and Venoteks anti-embolism knitwear may be recommended as an effective, safe, and comfortable means for treating and preventing complications due to CVI in pregnancy and postpartum and for preventing thromboembolic events in the use of different methods for delivering a baby.

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About the authors

A. V MURASHKO

V.F. Snegirev Clinic of Obstetrics and Gynecology; I.M. Sechenov First Moscow State Medical University

Email: murashkoa@mail.ru

N. V BASHMAKOVA

Ural Research Institute of Maternity and Infancy Care, Ministry of Health and Social Development of Russia

I. V DANKOVA

Ural Research Institute of Maternity and Infancy Care, Ministry of Health and Social Development of Russia

N. V KRASIKOV

OOO LMS Clinic "Be Healthy", Moscow

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