运动训练对老年下肢动脉硬化闭塞症非介入术患者的疗效观察  

Curative effect of sports training in elderly patients with atherosclerosis obliterans of the lower limbs undergoing non-intervention operation

作　　者：朱利月[1] 刘新文[1] 俞志红[2] 寿晓玲[3] 严婷[1] 赵晓霞[1] 

机构地区：[1]浙江医院康复治疗中心,浙江杭州310013 [2]浙江医院干部保健科 [3]浙江医院心脏康复科

出　　处：《中华全科医学》2016年第3期482-484,共3页Chinese Journal of General Practice

基　　金：浙江省科技厅公益技术研究社会发展项目(2015-C33121);浙江省医药卫生一般研究计划项目(2014-KYA005;2012-KYA001;2014-KYB015)

摘　　要：目的通过6MWT、CPET、ABI等评估方法,对老年下肢动脉硬化闭塞症行非介入治疗术患者进行有氧运动等治疗干预,观察其疗效。方法入选下肢动脉硬化闭塞症非介入治疗术患者65例,随机分为对照组和研究组,2组观察前后均行6MWT、CPET评估和ABI值检测,测得6MWD,跛行距离、VO_(2peak)、无氧阈、METs、ABI等值。对照组行常规治疗无规范运动训练干预,研究组在常规治疗基础上,根据CPET结果制定个体化运动处方,指导运动训练3个月,3个月后复查6MWT、CPET和ABI等值。结果研究组运动训练3个月后,6MWT结果显示,步行距离较干预前增加75.75 m,跛行距离增加71.4 m。CPET结果显示,与干预前比较VO2peak增加169.2 ml/min,峰值kg VO2增加,2.46 ml/(kg·min),AT值增加2.19 ml/(kg·min),代谢当量增加0.5 METs,ABI值增加0.08,上述各项值与干预前比较差异均有统计学意义(P<0.05)。研究组运动训练3个月后与对照组同期比较,各项指标差异均有统计学意义(P<0.05)。结论个体化运动处方指导下的有氧运动训练能有效改善老年下肢动脉硬化闭塞症非介入术患者症状和步行距离、提高运动耐力和ABI值。Objective To assess the curative effect of aerobic exercise in the elderly patients with arteriosclerosis obliterans（ ASO） of the lower extremity undergoing non-interventional therapy. Methods A total of 65 patients with ASO of the lower extremity undergoing non-interventional therapy were enrolled and randomly assigned to study group and control group. The 6-min walk test（ 6MWT）,cardiopulmonary exercise testing（ CPET） assessment and ankle brachial index（ ABI） detection were performed in both groups. The control group received the routine treatment,while the study group received additional aerobic exercise for three months. 6MWT,CPET and ABI were rechecked after the treatment.Results In the study group,the walking distance increased by 75. 75 m,claudication distance increased by 71. 4 m,VO2 peakincreased 169. 2 ml / min[2. 46 ml /（ kg·min） ],AT value increased 2. 19 ml / kg·min,the metabolic equivalent increased 0. 5 METs,and ABI values increased by 0. 08,the difference were significantly as compared with the values before exercise intervention（ P〈0. 05）. After the treatment,the difference in the above indexes between the two groups were significantly different（ P〈0. 05）. Conclusion The aerobic exercise under the guidance of the individualized exercise prescription can effectively improve symptoms,walking distance,exercise endurance and ABI values in the elderly patients with h ASO of the lower extremity undergoing non-interventional therapy.

关 键 词：运动训练 下肢动脉硬化闭塞症 

分 类 号：R543.5[医药卫生—心血管疾病] R493[医药卫生—内科学]