摘要
目的探讨定量运动护理对老年男性II期下肢动脉闭塞症患者疗效。方法采用回顾性、单中心、随机对照临床试验。选取2010年1月～2012年6月间大连大学附属中山医院收治的下肢动脉硬化闭塞症（ASO）II期男性患者40例为研究对象。将患者随机分为对照组和试验组，（n=20）。对照组采用常规药物治疗。试验组在常规药物治疗基础上，根据病情轻重、跛行严重程度等采用定量运动护理。试验组患者出院后，每周来院在护士监护下平坡步行机上作步行锻炼2次，分别于6、12个月后评估定量运动护理后无痛行走距离（PFWO）、最大行走距离（MWD）及下肢血流灌注量扫描，评估下肢缺血改善情况。结果试验组的缺血表现均较对照组显著改善，甚至消失；试验组6月后PFWD和MWD较出院时分别提高了170.6％和205.3％，12月后则分别提高了288.6％和347.3％。下肢血流灌注量扫描，对照组与试验组比较【6月：（0．51±0.04）m／。VS【064±005）m／s，P〈0.05：12月（0.49±0.04）m／sVS（0.76±0.06）m／s，P〈0.01】，且试验组17例患者可见彩色血流或星点状血流显示，考虑侧支循环形成，而对照组仅2例。结论定量运动护理显著增加下动脉闭塞症II期患者的下肢血流灌注量以及PFWD、MWD临床效果显著。
Objective To explore the quantitative exercise care in elderly men II of efficacy in patients with peripheral arterial occlusive disease. Method A retrospective, single-center, randomized, controlled clinical trials.Select 40 male adult patients with arteriosclerosis obliterans （ASO） II admitted in Zhongshan Hospital of Dalian University of Vascular Surgery from January 1, 2010 to June 2012.The patients were randomly divided into control and experimental groups, each of 20 cases. The control group in the conventional medical therapy. Experimental group on the basis of conventional drug therapy, According to the severity severity of lameness to the use of quantitative exercise care. Experimental group patients after discharge gone to the hospital under the supervision of nurses walking machine for flat slope walking exercise 2 times weekly. To assess the quantitative exercise care after painless walking distance （PWD）, maximum walking distance （MWD） and lower limb perfusion scan,To assess improvements in lower limb isehemiaAfter 6 and 12 months respectively. Results Ischemia in the experimental group significantly improved performance than in the control group ; or even disappear about Quantitative exercise care in 6,12 month.PWD and MWD in the experimental group than the discharge was increased by 170.6% and 205.3% in a quantitative exercise care after June.After 12 months, respectively, increased 288.6% and 347.3%.Compared control group with experimental group, the lower limb perfusion scan [June：（0.51± 0.04）m/s VS （0.64±0.05）m/s, P〈0.05; 12 months： （0.49±0.04） m/s VS （0.76±0.06） m/s, P〈0.01], and 17 patients in the test group showed visible color flow or star point-like blood flow concerned with the formation of collateral circulation,while only two cases in the control group. ConcLusion Quantitative exercise care that significantly increased limb perfusion and PWD, MWD of lower extremity arterial occlusive disease 1I patients have significant clinical effect.
出处
《当代医学》
2014年第9期117-119,共3页
Contemporary Medicine
基金
大连市卫生局科研立项项目
