论文标题

下腿压缩及其对腿部软组织的生物力学作用

Lower leg compression and its biomechanical effects on the soft tissues of the leg

论文作者

Chassagne, Fanette, Badel, Pierre, Molimard, Jérôme

论文摘要

下腿的弹性压缩是静脉功能不全的传统预防和治愈方法。在介绍了与压缩疗法相关的医疗策略之后,本章在诊所以及工程学和概述中发展了当前的进步,并概述了本综述引起的更重要的知识。压缩袜可以通过为腿提供压力来行动。使用袜子的压力产生主要取决于袜子的刚度和大小,腿的大小,也取决于腿部形态。在绷带的情况下,必须概述摩擦的作用,因为维持缠绕在腿上的绷带的主要因素,也是压力产生的影响因素。除了产生压力外,表面静脉对压缩的反应还取决于静脉尺寸和脂肪刚度。但是机械评估不应掩盖其他因素的重要性,例如肌肉收缩或护士形成。这些结果的重要影响将是改善压缩治疗的个性化。

Elastic compression of the lower leg is the traditional preventive and curative treatment of venous insufficiency. After presenting the medical strategies related to compression therapies, this chapter develops current advances in clinics as well as in engineering and outline the more important knowledge arising from this review. Compression hosiery acts by providing pressure to the leg. Pressure generation using socks mainly depends on the stiffness and the size of the socks, the size of the leg, but also the leg morphology. In the case of bandages, the role of friction must be outlined, as the main factor in maintaining the bandage wrapped around the leg, but also as an influencing factor in pressure generation. Besides generated pressure, response of superficial veins to compression also depends on the vein size and the fat stiffness. But mechanical assessments should not mask the importance of other factors such as muscular contraction or nurse formation. An important impact of these results would be head towards an improved personalization of compression treatment.

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