CAJ | 학술논문

目的：观察以踝臂指数值为依据的护理方案应用于下肢外周动脉病变患者的效果。方法72例下肢外周动脉病变患者，随机分为观察组（36例）和对照组（36例），对照组患者采用基础护理，观察组患者在基础护理基础上，根据踝臂指数值设计专科护理方案。结果观察组患者第12周踝臂指数值、第12周无痛行走距离、第4周最大行走距离及第12周最大行走距离与对照组比较，差异均有统计学意义（P＜0.05或P＜0.01）。结论依据下肢外周动脉病变检测的踝臂指数值，对患者有计划实施专科护理，可早期筛查临床下肢血管病变患者，改善患者临床疗效。
목적：관찰이과비지수치위의거적호리방안응용우하지외주동맥병변환자적효과。방법72례하지외주동맥병변환자，수궤분위관찰조（36례）화대조조（36례），대조조환자채용기출호리，관찰조환자재기출호리기출상，근거과비지수치설계전과호리방안。결과관찰조환자제12주과비지수치、제12주무통행주거리、제4주최대행주거리급제12주최대행주거리여대조조비교，차이균유통계학의의（P＜0.05혹P＜0.01）。결론의거하지외주동맥병변검측적과비지수치，대환자유계화실시전과호리，가조기사사림상하지혈관병변환자，개선환자림상료효。
Objective To explore the effect of ankle-brachial index on nursing practice for patients with peripheral arterial diseases. Methods Seventy-two patients with peripheral arterial disease were divided into observation group with specialized nursing according to ankle-brachial index and control group with basic nursing. Results Ankle-brachial index was higher for patients with specialized nursing at 12th week (P<0.05). Pain-free walking distance and maximum walking distance in observation group were significantly further than those in control group at 12th week (P<0.01). Maximum walking distance in observation group were significantly further than that in control group at 4th week (P<0.05). Conclusion Specialized nursing based on ankle-brachial index can improve the condition of patients with peripheral arterial diseases.