外周動脈疾患の患者の呼吸機能,機能的運動能力,および足首-腕指数の関係
1Istanbul Okan University, Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation, Istanbul, Türkiye.
まとめ
周辺動脈疾患 (PAD) は,足首-腕指数 (ABI) によって示されるように,よりよい呼吸機能と運動能力に関連しています. 呼吸器機能の改善はPADの管理に役立ちます.
科学分野:
- 心臓病科
- 肺科
- 運動 生理学
背景:
- 周辺動脈疾患 (PAD) は動脈硬化症の一般的な表れである.
- 機能的状態の評価はPAD患者の管理に不可欠です.
研究 の 目的:
- PAD患者における呼吸機能と機能的運動能力と足首-腕指数 (ABI) の関係を調査する.
主な方法:
- 横断的な研究デザイン
- 呼吸機能はスピロメトリー (FEV1,FVC,FEV1/FVC,FEF25,FEF75,FEF25-75) によって評価される.
- 6分ウォークテスト (6MWT) で測定された機能的運動能力; 足首-腕指数 (ABI) も測定された.
主要な成果:
- 95人のPAD患者 (平均年齢52. 0 ± 8. 3歳) が含まれており,平均ABIは0. 86 ± 0. 17でした.
- ABIとFEV1,FVC,PEF,および6MWT (p < 0. 001) の間に有意な正の相関が認められた.
- 他の呼吸器機能のパラメータもABIと有意な正の関連を示した (p < 0. 05).
結論:
- 高いABI値は,PAD患者の呼吸機能と機能的運動能力の改善と相関しています.
- 呼吸器のパラメータを評価し,呼吸器のリハビリテーションを行うことは,PADの管理に役立つかもしれません.
さらに関連する動画
07:09Assessment of Pulmonary Capillary Blood Volume, Membrane Diffusing Capacity, and Intrapulmonary Arteriovenous Anastomoses During Exercise
Published on: February 20, 2017
13.3K
14:52Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
11.5K
関連する概念動画
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
34
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
34
01:23Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
01:26Peripheral Artery Disease IV: Nursing Management
43
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
43
01:30Peripheral Artery Disease I: Introduction
32
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
32
01:27Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
01:27Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
38
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
38