下肢运动训练对外周动脉疾病患者小腿经皮氧分压及运动能力的影响

发布时间：2018-01-24 22:42

本文关键词： 平板运动踏车运动外周动脉疾病经皮氧分压运动能力　出处：《中国康复医学杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的:探讨平板及踏车运动对外周动脉疾病患者小腿经皮氧分压(Tc PO2)及运动能力的影响,为不同人群最适运动处方的制定提供方法与依据。方法:将80例外周动脉疾病患者随机分为对照组(26例)、平板运动组(27例)及踏车运动组(27例),对照组予以常规药物治疗,平板及踏车运动组在对照组的基础上分别予以12周平板运动及踏车运动,3组患者在治疗前后行小腿经皮氧分压、6min步行试验及行走受损问卷(WIQ)评估。结果:治疗前三组患者小腿经皮氧分压基线、6min步行试验及行走受损问卷评估均无显著差异(P0.05);12周运动后,与治疗前相比,对照组患者各项评估较治疗前并无显著性差异(P0.05),而平板及踏车运动组均较治疗前改善(P0.05);组间对比,平板及踏车运动组各项评估均优于对照组(P0.05);平板运动组与踏车运动组相比,两组间经皮氧分压基线并无显著差异(P0.05),平板运动组6min步行距离优于踏车运动组(P0.05),而在行走受损问卷评估中踏车运动组表现出更好的爬梯能力,但两组间差异并不显著(P0.05)。结论:下肢运动能够改善外周动脉疾病患者小腿微循环情况,提高患者的运动能力,同时平板及踏车运动有着相似受益程度,对于不能安全行走及运动耐力较低的患者而言,踏车运动可能更为适合。
[Abstract]:Objective: to investigate the effects of treadmill exercise on the transcutaneous partial pressure of oxygen (Tc PO2) and motor ability in the calf of patients with peripheral artery disease. Methods: 80 patients with peripheral artery disease were randomly divided into control group (n = 26). The treadmill exercise group (n = 27) and the treadmill exercise group (n = 27) were treated with routine drug therapy. The treadmill exercise group and the treadmill exercise group were treated with treadmill exercise and treadmill exercise respectively for 12 weeks on the basis of the control group. Before and after treatment, the patients in the three groups were assessed with the leg percutaneous partial pressure of oxygen (PPO) 6 minutes walking test and walking impairment questionnaire (WIQQ). Results: before treatment, the baseline of the leg percutaneous partial pressure of oxygen was measured in the three groups of patients. There was no significant difference in 6-minute walking test and the evaluation of walking impairment questionnaire (P 0.05). After 12 weeks of exercise, there was no significant difference in the evaluation of the patients in the control group compared with before treatment, while in the treadmill and treadmill exercise groups, there was no significant difference between before and after treatment, and that in the treadmill exercise group was better than that before treatment. The evaluation of treadmill exercise group was better than that of control group (P 0.05). There was no significant difference between the treadmill exercise group and the treadmill exercise group in the baseline of the transcutaneous oxygen partial pressure (P0.05). The 6-minute walking distance of the treadmill exercise group was better than that of the treadmill exercise group (P0.05). The treadmill exercise group showed better climbing ability in the evaluation of walking impairment questionnaire. However, the difference between the two groups was not significant (P 0.05). Conclusion: lower extremity exercise can improve the microcirculation of the leg in patients with peripheral artery disease, and improve the motor ability of the patients. At the same time, treadmill and treadmill exercise have similar benefits. Treadmill exercise may be more suitable for patients who can not walk safely and have lower exercise endurance.
【作者单位】：南京中医药大学康复医学系;江苏省省级机关医院;
【基金】：全国高校博士点基金项目(20123237120008) 江苏省高校自然科学基金(107KJ320010) 江苏省普通高校研究生科研创新计划项目(SJLX_0424)
【分类号】：R87
【正文快照】： 方法:将80例外周动脉疾病患者随机分为对照组(26例)、平板运动组(27例)及踏车运动组(27例),对照组予以常规药物治疗,平板及踏车运动组在对照组的基础上分别予以12周平板运动及踏车运动,3组患者在治疗前后行小腿经皮氧分压、6min步行试验及行走受损问卷(WIQ)评估。结果:治疗前

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