步行训练在下肢动脉硬化闭塞症患者中的康复效果  

Rehabilitationeffect of walking training in patients with lower limb arteriosclerosis obliterans

作　　者：黄利平[1] 余艳 阮强[1] 吉林[1] 郭伟昌[1] HUANG Li-ping;YU Yan;RUAN Qiang;JI Lin;GUO Wei-chang(The First People's Hospital of Yibin,Yibin 644000,China)

机构地区：[1]宜宾市第一人民医院,四川宜宾644000

出　　处：《心血管病防治知识（学术版）》2023年第17期16-19,共4页Prevention and Treatment of Cardiovascular Disease

基　　金：宜宾市卫生健康委员会(宜卫函[2020]320号)。

摘　　要：目的探讨步行训练在下肢动脉硬化闭塞症(ASO)患者中的康复效果。方法选取2020年7月至2022年7月在该院血管外科手术治疗后的59例FontaineⅡ-Ⅲ期ASO患者,随机分为对照组(n=30,未规律步行训练)和实验组(n=29,规律渐进性步行训练方法),比较两组6月后跛行距离、ABI、BMI、血脂的各项指标改善情况。结果两组患者Fontaine分期构成比无明显差异(P>0.05);与对照组比较,实验组患者训练6个月后,跛行距离、ABI、BMI的各项指标显著改善(P<0.05),血脂因每次复查的差异及服用降脂药物的关系,实验组与对照组的指标对比无明显差异(P>0.05)。结论步行训练对FontaineⅡ-Ⅲ期ASO患者中的BMI、双侧肢体ABI及跛行距离的改善具有明显作用,可为ASO类患者提供一种既简单又节约大量的经济费用的切实可行的康复方法。Objective To investigate the rehabilitation effect of walking training in patients with lower limb arteriosclerosis obliterans(ASO).Methods A total of 59 patients with Fontaine stage II-III ASO who underwent surgical treatment in Department of Vascular Surgery in our hospital from July 2020 to July 2022 were enrolled and randomly divided into control group with 30 patients(without regular walking training)and experimental group with 29 patients(regular progressive walking training),andthe two groups were compared in terms of the improvement inclaudication distance,ankle-brachial index(ABI),body mass index(BMI),and blood lipids after 6 months.Results There was no significant difference in the composition ratio of patients with different Fontaine stages between the two groups(P>0.05).Compared with the control group,the experimental group had significant improvements in claudication distance,ABI,and BMI after 6 months of training(P<0.05),and there was no significant difference in blood lipids between the experimental group and the control group due to the difference in blood lipid examination and the administration of lipid-lowering drugs(P>0.05).Conclusion Walking training can significantly improve BMI,ABI of bilateral limbs,and claudication distance in patients with Fontaine stage II-IIIASO,which provides a practical,simple,and economicalrehabilitation method for ASO patients.

关 键 词：下肢动脉硬化闭塞症 步行训练 康复效果 

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