| 高真真,潘思京,季 鹏,王 磊.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[J].中国康复医学杂志,2015,(2):127~131 |
| 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 点此下载全文 |
| 高真真 潘思京 季 鹏 王 磊 |
南京中医药大学康复医学系，南京市汉中路282号，南京中医药大学(汉中门校区)
，210029 |
| 基金项目：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） |
| DOI： |
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| 摘要： |
| 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（TcPO2）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(P＞0.05)；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（P＞0.05），而平板及踏车运动组均较治疗前改善(P＜0.05)；组间对比，平板及踏车运动组各项评估均优于对照组(P＜0.05)；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(P＞0.05)，平板运动组6min步行距离优于踏车运动组(P＜0.05)，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(P＞0.05)。
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。 |
| 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 |
| Effects of lower limb exercise training on calf transcutaneous oxygen tension and exercise capacity in patients with peripheral arterial disease Download Fulltext |
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| Nanjing University of Chinese Medicine, 210029 |
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| Abstract: |
| Abstract
Objective:To investigate the effects of treadmill and cycle ergometer exercise on calf transcutaneous oxygen tension（TcPO2） and exercise capacity in patients with peripheral arterial disease and provide a suitable method and basis for making exercise prescription to different populations.
Method: Eighty patients with peripheral arterial disease were randomly divided into control group (n=26), treadmill exercise group (n=27) and cycle ergometer exercise group (n=27). The control group received conventional drug therapy,treadmill and cycle ergometer exercise group were respectively given supernumerary 12 weeks treadmill exercise and cycle ergometer exercise, calf TcPO2, 6min walking test (6MWT) and walking impairment questionnaire(WIQ) were used in evaluation before and after exercise.
Result: Before treatment, in three groups patient's calf TcPO2 baseline,6MWT and WIQ showed no significant difference (P>0.05); After 12 weeks exercise, in all aspects of the evaluation,control group patients had no significant difference than before (P>0.05),while the treadmill and cycle ergometer exercise group improved than before (P<0.05) and better than control group (P<0.05); There was no significant difference in calf TcPO2 baseline between treadmill and cycle ergometer exercise group(P>0.05), 6min walking distance in treadmill exercise group was longer than that in cycle ergometer exercise group(P<0.05), while in the WIQ assessment,exercise group showed better climbing ability, but there was no significant difference between the two groups (P>0.05).
Conclusion: Lower limb exercise can improve calf microcirculation and exercise capacity in patients with peripheral arterial disease,moreover, treadmill and cycle ergometer exercise have similar benefit for patients who can't walk safely and with low exercise endurance,cycle ergometer exercise may be more appropriate. |
| Keywords:treadmill exercise cycle ergometer exercise peripheral arterial disease transcutaneous oxygen tension exercise capacity |
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