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医用弹力袜的保养因为很多穿弹力袜的人群需要进行溃疡护理或者涂抹皮肤保湿剂，这些液体会弄脏弹力袜并降低弹力袜的使用寿命。因此如果可能的话，尽量在每天穿过袜子后及时清洗。清洗的时候使用少量的温和洗涤剂在温水中清洗，尽量采用手洗的方法。弹力袜不建议使用机器烘干，因为加热会破坏弹性纤维，加速磨损。因此会推荐长期穿着弹力袜的人群购买两双用以换洗。
所有的织物的弹性都因为使时间过长和反复洗涤而下降。为了保持合适的压力，理想情况下，应该每6个月更换新的医用弹力袜。[35,36]
小结医用弹力袜穿着方便，是下肢静脉慢性疾病效果很好的非手术治疗方法。为了提高使用者的依从性和治疗效果，需要医生帮助使用者选择最合适的医用弹力袜并予以细致的穿着指导。
本文由张强医生集团国际静脉病中心朱筱吟医生译自UpToDate最后更新于2019年9月11日Authors：David G Armstrong, DPM, MD, PhDAndrew J Meyr, DPMSectionEditors: Joseph L Mills, Sr, MDJohn F Eidt, MDDeputyEditor: Kathryn A Collins, MD, PhD, FACSContributor Disclosures
本系列为UpToDate静脉病临床指南。UpToDate 是基于循证医学原则的临床决策支持系统，汇集了全世界 6000 余名知名医生作者、编辑和同行评议者的智慧。目前遍布全球 180 多个国家的 110 万名医务人员和 32,000 家医疗机构使用UpToDate。
参考文献
16. Partsch H. Compression therapy of the legs. A review. J Dermatol Surg Oncol 1991;
17:799.17. Somerville JJ, Brow GO, Byrne PJ, et al. The effect of elastic stockings on superficial venous pressures in patients with venous insufficiency. Br J Surg 1974; 61:979.
18. O’Donnell TF Jr, Rosenthal DA, Callow AD, Ledig BL. Effect of elastic compression on venous hemodynamics in postphlebitic limbs. JAMA 1979; 242:2766.
19. Mayberry JC, Moneta GL, DeFrang RD, Porter JM. The influence of elastic compression stockings on deep venous hemodynamics. J Vasc Surg 1991; 13:91.
20. Nehler MR, Moneta GL, Woodard DM, et al. Perimalleolar subcutaneous tissue pressure effects of elastic compression stockings. J Vasc Surg 1993; 18:783.
21.Jones NA, Webb PJ, Rees RI, Kakkar VV. A physiological study of elastic compression stockings in venous disorders of the leg. Br J Surg 1980; 67:569.
22. Christopoulos D, Nicolaides AN, Szendro G. Venous reflux: quantification and correlation with the clinical severity of chronic venous disease. Br J Surg 1988; 75:352.
23. Abu-Own A, Shami SK, Chittenden SJ, et al. Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency. J Vasc Surg 1994; 19:1074.
24. Gjöres JE, Thulesius O. Compression treatment in venous insufficiency evaluated with foot volumetry. Vasa 1977; 6:364.Lattimer CR, Kalodiki E, Kafeza M, et al. Quantifying the degree graduated elastic compression stockings enhance venous emptying. Eur J Vasc Endovasc Surg 2014; 47:75.
25. Beidler SK, Douillet CD, Berndt DF, et al. Multiplexed analysis of matrix metalloproteinases in leg ulcer tissue of patients with chronic venous insufficiency before and after compression therapy. Wound Repair Regen 2008; 16:642.
26. Couzan S, Leizorovicz A, Laporte S, et al. A randomized double-blind trial of upward progressive versus degressive compressive stockings in patients with moderate to severe chronic venous insufficiency. J Vasc Surg 2012; 56:1344.
27. Mosti G, Partsch H. High compression pressure over the calf is more effective than graduated compression in enhancing venous pump function. Eur J Vasc Endovasc Surg 2012; 44:332.
28. Mosti G, Partsch H. Compression stockings with a negative pressure gradient have a more pronounced effect on venous pumping function than graduated elastic compression stockings. Eur J Vasc Endovasc Surg 2011; 42:261.
29. Lim CS, Davies AH. Graduated compression stockings. CMAJ 2014; 186:E391.
30. Bowling K, Ratcliffe C, Townsend J, Kirkpatrick U. Clinical thromboembolic detterrent stockings application: are thromboembolic detterrent stockings in practice matching manufacturers application guidelines. Phlebology 2015; 30:200.
31. Sippel K, Seifert B, Hafner J. Donning devices (foot slips and frames) enable elderly people with severe chronic venous insufficiency to put on compression stockings. Eur J Vasc Endovasc Surg 2015; 49:221.
32. London NJ, Donnelly R. ABC of arterial and venous disease. Ulcerated lower limb. BMJ 2000; 320:1589.
33. Willenberg T, Lun B, Amsler F, Baumgartner I. Ease of application of medical compression-stocking systems for the treatment of venous ulcers. Eur J Vasc Endovasc Surg 2010; 40:129.
34. Choucair M, Phillips TJ. Compression therapy. Dermatol Surg 1998; 24:141.35. Veraart JC, Daamen E, de Vet HC, Neumann HA. Elastic compression stockings: durability of pressure in daily practice. Vasa 1997; 26:282.
