CAJ | 학술논문

目的：探讨定量运动护理对老年男性Ⅱ期下肢动脉闭塞症患者疗效。方法采用回顾性、单中心、随机对照临床试验。选取2010年1月～2012年6月间大连大学附属中山医院收治的下肢动脉硬化闭塞症（ASO）Ⅱ期男性患者40例为研究对象。将患者随机分为对照组和试验组，（n=20)。对照组采用常规药物治疗。试验组在常规药物治疗基础上，根据病情轻重、跛行严重程度等采用定量运动护理。试验组患者出院后，每周来院在护士监护下平坡步行机上作步行锻炼2次，分别于6、12个月后评估定量运动护理后无痛行走距离（PFWD）、最大行走距离(MWD)及下肢血流灌注量扫描，评估下肢缺血改善情况。结果试验组的缺血表现均较对照组显著改善，甚至消失；试验组6月后PFWD和MWD较出院时分别提高了170.6%和205.3%，12月后则分别提高了288.6%和347.3%。下肢血流灌注量扫描，对照组与试验组比较[6月：(0.51±0.04) m/s VS (0.64±0.05) m/s，P＜0.05；12月：(0.49±0.04) m/s VS (0.76±0.06) m/s，P＜0.01]，且试验组17例患者可见彩色血流或星点状血流显示，考虑侧支循环形成，而对照组仅2例。结论定量运动护理显著增加下肢动脉闭塞症Ⅱ期患者的下肢血流灌注量以及PFWD、MWD，临床效果显著。
목적：탐토정량운동호리대노년남성Ⅱ기하지동맥폐새증환자료효。방법채용회고성、단중심、수궤대조림상시험。선취2010년1월～2012년6월간대련대학부속중산의원수치적하지동맥경화폐새증（ASO）Ⅱ기남성환자40례위연구대상。장환자수궤분위대조조화시험조，（n=20)。대조조채용상규약물치료。시험조재상규약물치료기출상，근거병정경중、파행엄중정도등채용정량운동호리。시험조환자출원후，매주래원재호사감호하평파보행궤상작보행단련2차，분별우6、12개월후평고정량운동호리후무통행주거리（PFWD）、최대행주거리(MWD)급하지혈류관주량소묘，평고하지결혈개선정황。결과시험조적결혈표현균교대조조현저개선，심지소실；시험조6월후PFWD화MWD교출원시분별제고료170.6%화205.3%，12월후칙분별제고료288.6%화347.3%。하지혈류관주량소묘，대조조여시험조비교[6월：(0.51±0.04) m/s VS (0.64±0.05) m/s，P＜0.05；12월：(0.49±0.04) m/s VS (0.76±0.06) m/s，P＜0.01]，차시험조17례환자가견채색혈류혹성점상혈류현시，고필측지순배형성，이대조조부2례。결론정량운동호리현저증가하지동맥폐새증Ⅱ기환자적하지혈류관주량이급PFWD、MWD，림상효과현저。
Objective To explore the quantitative exercise care in elderly men Ⅱ of efficacy in patients with peripheral arterial occlusive disease. Method A retrospective, single-center, randomized, controlled clinical trials.Select 40 male adult patients with arteriosclerosis obliterans (ASO)Ⅱadmitted in Zhongshan Hospital of Dalian University of Vascular Surgery from January 1, 2010 to June 2012.The patients were randomly divided into control and experimental groups, each of 20 cases. The control group in the conventional medical therapy. Experimental group on the basis of conventional drug therapy, According to the severity, severity of lameness to the use of quantitative exercise care. Experimental group patients after discharge gone to the hospital under the supervision of nurses walking machine for flat slope walking exercise 2 times weekly. To assess the quantitative exercise care after painless walking distance (PWD), maximum walking distance (MWD) and lower limb perfusion scan,To assess improvements in lower limb ischemiaAfter 6 and 12 months respectively. Results Ischemia in the experimental group significantly improved performance than in the control group , or even disappear about Quantitative exercise care in 6,12 month.PWD and MWD in the experimental group than the discharge was increased by 170.6%and 205.3%in a quantitative exercise care after June.After 12 months, respectively, increased 288.6%and 347.3%.Compared control group with experimental group, the lower limb perfusion scan [June:(0.51± 0.04) m/s VS (0.64±0.05) m/s, P<0.05;12 months:(0.49±0.04) m/s VS (0.76±0.06) m/s, P<0.01], and 17 patients in the test group showed visible color flow or star point-like blood flow concerned with the formation of collateral circulation,while only two cases in the control group. Conclusion Quantitative exercise care that significantly increased limb perfusion and PWD, MWD of lower extremity arterial occlusive diseaseⅡpatients have significant clinical effect.