运动训练综合康复对老年下肢动脉硬化闭塞症患者行支架置入术后血管功能及预后的影响  

Effects of comprehensive rehabilitation including exercise training on vascular function and prognosis of elderly patients with lower extremity arteriosclerosis occlusive disease after stent implantation

作　　者：杜亚丽[1] 吴伟伟[1] 张杰[1] 赵亮[1] Du Yali;Wu Weiwei;Zhang Jie;Zhao Liang(Department of Vascular Surgery,Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing,101149,P.R.China)

机构地区：[1]首都医科大学附属北京潞河医院血管外科,北京101149

出　　处：《老年医学与保健》2022年第4期747-750,共4页Geriatrics & Health Care

摘　　要：目的 探究包含运动训练的综合康复对下肢动硬化脉闭塞症(PAD)支架植入患者术后血管功能及预后的影响。方法 选取2019年3月—2020年9月于首都医科大学附属北京潞河医院接受支架植入术后的老年PAD患者74例,采用数字法随机分为观察组(n=37)和对照组(n=37)。在常规治疗的基础上,对照组采用常规康复,观察组采用包含运动训练的综合康复。观察并比较2组的术后血管功能[踝肱指数(ABI)、血管生存质量量表(VascuQOL)和跛行距离(DOC)]及预后情况。结果 术后康复1年,2组ABI、VascuQOL和DOC指标值均显著高于同组康复前(P<0.05),而2组ABI、VascuQOL和DOC指标值差异无统计学意义(P>0.05);观察组康复总有效率和遵医优良率均明显高于对照组(P<0.05),并且观察组术后并发症发生率和血管再狭窄率均显著低于对照组(P<0.05)。结论 采用包含运动训练的综合康复方案能够有效改善老年PAD患者支架植入术后的血管功能和预后,降低并发症的发生率。Objective To explore the effects of comprehensive rehabilitation including exercise training on vascular function and prognosis of patients with lower extremity arteriosclerosis occlusive disease after stent implantation.Methods A total of 74 elderly patients with lower extremity arteriosclerosis occlusive disease who underwent stent implantation in Beijing Luhe Hospital Affiliated to Capital Medical University from March 2019 to September 2020 were selected and randomly divided into observation group(n=37) and control group(n=37) by numerical method.On the basis of conventional treatment,the control group received conventional rehabilitation,and the observation group received comprehensive rehabilitation including exercise training.The postoperative vascular function [ankle-brachial index(ABI),vascular quality of life(VascuQOL) and distance of claudication(DOC)] and prognosis were observed and compared between the two groups.Results After one year of rehabilitation,the index values of ABI,VascuQOL and DOC of the two groups were significantly higher than those of the same group before rehabilitation(P<0.05),while there was no significant difference in the index values of ABI,VascuQOL and DOC between the two groups(P>0.05).The total effective rate of rehabilitation and the excellent rate of medical complianceof the observation group were significantly higher than those of the control group(P<0.05),and the incidence of postoperative complications and the rate of vascular restenosis in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The comprehensive rehabilitation including exercise training can effectively improve the vascular function and prognosis of elderly patients with lower extremity arteriosclerosis occlusive disease after stent implantation,and reduce the incidence of complications.

关 键 词：老年 下肢动脉硬化闭塞症 血管支架植入术 运动训练 血管功能 预后 

分 类 号：R654.4[医药卫生—外科学]