[1]谭逢梅,李文华.步行锻炼对血栓闭塞性脉管炎患者PTA术后患肢侧支循环的影响[J].医学信息,2020,33(23):177-178.[doi:10.3969/j.issn.1006-1959.2020.23.053]
 TAN Feng-mei,LI Wen-hua.The Effect of Walking Exercise on the Collateral Circulation of the Affected Limb After PTA in Patients with Thromboangiitis Obliterans[J].Medical Information,2020,33(23):177-178.[doi:10.3969/j.issn.1006-1959.2020.23.053]
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步行锻炼对血栓闭塞性脉管炎患者PTA术后患肢侧支循环的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年23期
页码:
177-178
栏目:
护理研究
出版日期:
2020-12-01

文章信息/Info

Title:
The Effect of Walking Exercise on the Collateral Circulation of the Affected Limb After PTA in Patients with Thromboangiitis Obliterans
文章编号:
1006-1959(2020)23-0177-02
作者:
谭逢梅李文华
(西南医科大学附属医院血液内科,四川 泸州 646000)
Author(s):
TAN Feng-meiLI Wen-hua
(Department of Hematology,Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan,China)
关键词:
步行锻炼血栓闭塞性脉管炎PTA踝肱指数
Keywords:
Walking exerciseThromboangiitis obliteransPTAAnkle brachial index
分类号:
R47
DOI:
10.3969/j.issn.1006-1959.2020.23.053
文献标志码:
A
摘要:
目的 探讨步行锻炼对血栓闭塞性脉管炎患者PTA术后患肢侧支循环的影响。方法 选取2017年2月~2018年2月我院行PTA手术的血栓闭塞性脉管炎患者40例作为研究对象,采用随机数字表法分为对照组和治疗组,每组20例。对照组给予常规护理,治疗组在对照组基础上进行步行锻炼,比较两组出院当日、治疗后3、6、12个月踝肱指数(ABI)、无痛行走距离(PFWD)、最大行走距离变化(MWD)。结果 两组出院当日ABI、PFWD、MWD比较,差异无统计学意义(P>0.05)。治疗组治疗后3、6、12个月ABI、PFWD、MWD高于出院当日和对照组,差异有统计学意义(P<0.05);两组治疗后6、12个月ABI、PFWD、MWD比较,差异无统计学意义(P>0.05)。结论 步行锻炼能够促进血栓闭塞性脉管炎患者PTA术后患肢侧支循环的建立,可有效改善患肢血液循环。
Abstract:
Objective To investigate the effect of walking exercise on the collateral circulation of the affected limb after PTA in patients with thromboangiitis obliterans.Methods 40 patients with thromboangiitis obliterans who underwent PTA surgery in our hospital from February 2017 to February 2018 were selected as the research objects.They were divided into control group and treatment group by random number table method, with 20 cases in each group. The control group was given routine nursing care, and the treatment group took walking exercise on the basis of the control group,the ankle-brachial index (ABI), painless walking distance (PFWD), and maximum walking distance (MWD) were compared between the two groups on the day of discharge, 3, 6, and 12 months after treatment.Results There was no significant difference in ABI, PFWD, and MWD on the day of discharge between the two groups (P>0.05). The ABI, PFWD, and MWD of the treatment group were higher than those on the discharge day and the control group at 3, 6, and 12 months after treatment,the difference was statistically significant (P<0.05); the comparison of ABI, PFWD, and MWD between the two groups at 6 and 12 months after treatment,the difference was not statistically significant (P>0.05).Conclusion Walking exercise can promote the establishment of collateral circulation in the affected limb after PTA in patients with thromboangiitis obliterans, and can effectively improve the blood circulation of the affected limb.

参考文献/References:

[1]王嘉桔,赵文光,孙思翘,等.血栓闭塞性脉管炎治疗方法的演变和现状(百年回顾之三)[J].中国血管外科杂志(电子版),2011(2):80-83,87. [2]Mixson JD,Brothers TE.Revascularization of smokers with claudication is not predicted to limit qualityoflife despite a higher risk of late failure[J].J Vasc Surg,2017,65(1):128-135. [3]Cacione DG,Macedo CR,Baptista-Silva JC.Pharmacological treatment for Buerger’s disease[J].Cochrane Database Syst Rev,2016(3):CD011033. [4]刘冰,黄任平.血栓闭塞性脉管炎外科与腔内治疗疗效研究[J].中国实用外科杂志,2016,36(12):1298-1301. [5]Rivera-Chavarría IJ,Brenes-Gutiérrez JD.Thromboangiitis obliterans(Buerger’s disease)[J].Ann Med Surg (Lond),2016(7):79-82.

相似文献/References:

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更新日期/Last Update: 1900-01-01