Short-Term Efficacy And Safety Of A New Type Of Intermittent Pneumatic Compression Device After Varicose Vein Surgery

ObjectiveWe evaluated the short-term clinical efficacy and safety of the new intermittent pneumatic compression device in patients with great saphenous vein varicose C2-C4 after surgery.MethodsAccording to clinical guidelines for diagnosis and treatment,we have developed diagnostic criteria,inclusion criteria,and exclusion criteria,and selected 42 patients(42 affected limbs)who received intracavitary laser treatment in our hospital from September 2022 to January 2023,with a CEAP grading of C2-C4 for lower limb varicose veins.In addition,based on different postoperative pressure treatment methods,we were randomized into a conventional pressure treatment group(control group)and a conventional pressure treatment combined with new intermittent inflation pressure treatment group(experimental group).We conducted a 1-month follow-up survey on two groups of patients,collecting,recording,and analyzing outcome indicators such as preoperative and postoperative lower limb circumference,pain score(VAS score),venous clinical severity score(VCSS score),quality of life score(QOL score),and postoperative bruising degree.Then we used SPSS software to compare and analyze the statistical differences between the two groups of patient data.ResultsA total of 42 patients(42 affected limbs)were included in this study,including 18 in the experimental group(18 affected limbs)and 24 in the control group(24 affected limbs).After one month of pressure treatment after great saphenous vein varicose surgery,the average thigh and calf circumference of the two groups of patients were smaller than that before surgery,and the thigh circumference of the patients in the experimental group was more significantly reduced(P<0.05).We observed significant differences(P<0.05)in clinical severity,quality of life,and postoperative pain between the two groups of patients by using Visual Analog Scale(VAS score),Venous Clinical Severity Scale(VCSS score),and Quality of Life(QOL)scores.Compared with the control group,the incidence of postoperative ecchymosis in the new IPC treatment group was significantly reduced(62.5%vs 44.4%,P<0.05),and the maximum diameter of ecchymosis was smaller(3.55±4.07 vs 1.18±1.59,P<0.05).ConclusionWe found that routine pressure treatment combined with new IPC treatment after great saphenous vein varicose surgery can more effectively alleviate the postoperative lower limb swelling and pain,reduce the occurrence of postoperative ecchymosis,and improve the quality of life of patients.