Avtor/Urednik		Mlačak, Blaž
Naslov		Artrogeni zastojni sindrom pri bolnikih z golenjo razjedo
Prevedeni naslov		Arthrogenic congestive syndrome in patients with crural ulcer
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 66, št. 3
Leto izdaje		1997
Obseg		str. 113-6
Jezik		slo
Abstrakt		Backgraund. Arthrogenic congestive syndrome is one of the worst complications of chronic venous insufficiency (CVI). This study aimed to establish the incidence of arthrogenic congestive syndrome in patients with crural ulcer. It further attempted to define risk factors connected with CVI. Methods. The research group consisted of 38 patients, 29 female and 9 male, aged 48-87 years. They all had CVI and a crural ulcer. Arthrogenic congestive syndrome was diagnosed if the mobility of the joint was less than 15 degrees in comparison to the healthy leg while the systolic pressure in the artery of foot was normal, and if the circumference of the crus at the ankle was 2 cm larger than at the same spot of the healthy side. The difference in the number of risk factors for varicosis and CVI between the research and control groups was tested by Hi/2. Results. Arthrogenic congestive syndrome was diagnosed in 36.8 patients with crural ulcer. Plethysmography showed a pathological line for all patients, while the results for all healthy examines were normal. Eighty-four percent of the patients were overweight, 89.5 were flat in both feet, 55.2 had to stand at work, 93% of the women had more than one child while a positive family history was established for 55.3% of the patients. In the research group, if compared with the control group, significantly more persons without varicose veins had positive family history (P<0.01), excessive weight and flat feet, while the women had more than one child (P<0.05). Conclusions. The research indicated the arthrogenic congestive syndrome to be a frequent complication in patients with varicose crural ulcers. Therefore, some measures are indicated to prevent the development of crural ulcer and arthrogenic congestive syndrome.
Izvleček		Izhodišča. Artrogeni zastojni sindrom je eden od najhujših zapletov pri kronični venski insuficienci (KVI). Cilj naše raziskave je bil ugotoviti pogostost pojavljanja artrogenega zastojnega sindroma pri bolnikih z golenjo razjedo. Nadalje smo želeli ugotoviti dejavnike ogrožanja, ki so povezani s pojavom KVI. Metode. V skupini je bilo 38 bolnikov s KVI in golenjo razjedo med 48. in 87.letom starosti, od tega 29 žensk in 9 moških. Artrogeni zastojni sindrom, kot zaplet pri golenji razjedi smo diagnosticirali, če je bila gibljivost sklepa manjša od 15 stopinj v primerjavi z zdravo nogo ob istočasno normalnih vrednostih sistoličnih tlakov na stopalnih arterijah in če je bil obseg goleni v višini gležnja 2 cm večji od nasprotne strani na istem mestu. Razliko v zastopanosti dejavnikov ogrožanja za varikozo in KVI med testno in kontrolno skupino smo testirali s hi-kvadrat testom. Rezultati. Artrogeni zastojni sindrom smo ugotovili pri 36,8% oseb z golenjo razjedo. Vsi bolniki so imeli patološko pletizmografsko krivuljo, medtem ko so bili rezultati preiskav pri vseh zdravih preiskovancih v mejah normale. 84% bolnikov je imelo zvečano telesno težo, 89,5% plosko stopalo, 55,2% je imelo stoječi poklic, 93% žensk je rodilo več kot enega otroka in pri 55,3% bolnikov smo ugotovili pozitivno familiarno anamnezo. V testni skupini je bilo v primerjavi s kontrolno skupino brez varic pomembno večje število oseb s pozitivno familiarno anamnezo (P<0,01), z zvečano telesno težo, s ploskim stopalom in žensk, ki so večkrat rodile (P<0,05). Zaključki. Raziskava kaže, da je artrogeni zastojni sindrom pogosti zaplet pri bolnikih z varikozno golenjo razjedo. Zato so potrebni preventivni ukrepi, s katerimi lahko učinkovito preprečimo razvoj golenje razjede in nastanek artrogenega zastojnega sindroma.
Deskriptorji		VARICOSE ULCER VENOUS INSUFFICIENCY MIDDLE AGE AGED CASE-CONTROL STUDIES RISK FACTORS PLETHYSMOGRAPHY