[Evaluation of venous therapy. Venous tonics, vascular protectants and thermal cures. What are the advantages for the patient?].
In the first section, the authors describe some epidemiological features and give an account of the capillary structure and the structure of different veins. They describe the venous physiology and its modulations, in order to be able to give a precise description of different venous affections: venous senescence, chronic venous insufficiency, thrombophlebitis. The particular features of these three pathologies and their action mechanisms enable the authors to envisage appropriate phleboactive therapy, and to evaluate it in advance. As far as the actual notion of evaluating these venous therapies is concerned, the authors make clear that there is no difference between thermal therapies and phleboactive allopathic therapies. They concentrate on describing a unique methodology in two stages considering the thermal establishment as a pharmaceutic laboratory and as an out-patient hospital for follow-up treatment. This therapeutic evaluation comprises two sections: preparation at the laboratory (pharmaco-clinical stage, animal experimentation) and the second stage of therapeutic clinical tests on humans. The authors define a rigorous, quantified methodology based on homogeneous samples in the framework of a computerised medical file consisting of a base and polyvalent satellites. Satellite 3, assembling the elements of the therapeutic form, deals, for example, with phlebotonics, vascular protectors and thermal cures. A detailed list of different phleboactive therapies is drawn up, making it possible to analyse their specific respective effects, and therefore to give specific prescriptions. The patient can hope for preventive measures and a cure with fewer after-effects in the context of a general, well-conducted sanitary education. The authors conclude that patients, doctors and the organizations concerned will benefit greatly from this.
Garreau
C
C
Centre Médical et Thermal Fleur de Gascogne, Barbotan-les-Thermes.
Garreau-Gomez
B
B
Doumenjou
J M
JM
D001452:Balneology; D005069:Evaluation Studies as Topic; D006801:Humans; D013924:Thrombophlebitis / Q000517:prevention & control / Q000628:therapy*; D014689:Venous Insufficiency / Q000517:prevention & control / Q000628:therapy*
Evaluation des thérapeutiques veineuses. Veinotoniques, protecteurs vasculaires, et cures thermales. Quels avantages pour le patient?