深静脉血栓形成后运动的影响:系统性审查
B Rook1, M J E van Rijn2, E P Jansma3
1Emergency Department, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Journal of the European Academy of Dermatology and Venereology : JEADV
|September 21, 2023
概括
身体炼对于深静脉血栓症 (DVT) 患者来说是安全和有益的. 参与体育活动可以改善生活质量,减轻疼痛,并降低血栓后综合征 (PTS) 的严重程度.
科学领域:
- 血管医学 血管医学
- 康复医学 康复医学 康复医学
- 运动生理学 运动生理学
背景情况:
- 血栓后综合征 (PTS) 显著影响患者的生活质量 (QoL),并在深静脉血栓形成 (DVT) 后产生经济成本.
- 生活方式干预,如体育炼,是缓解PTS严重程度和增强QoL的潜在策略.
研究的目的:
- 系统地审查身体活动对急性或先前DVT患者的直接和长期影响.
- 评估运动对PTS症状,生活质量和发病率/严重程度的影响.
主要方法:
- 进行了系统审查,包括从2007年到2022年3月的研究,补充了现有的审查.
- 包括10项研究 (7项RCT,3项队列研究),评估DVT后的运动干预措施 (早期动员,短期,长期运动).
- 研究质量使用GRADE类检查清单进行评估,并根据PRISMA指南报告结果.
主要成果:
- 早期动员改善了QoL,减少了疼痛,在2年后显著降低了PTS严重程度.
- 长时间的监督性炼增强了QoL,静脉功能不全症状和肌肉功能.
- 没有研究报告过由于体力活动而增加PTS风险或症状恶化.
结论:
- 身体炼是DVT后患者的安全有效干预措施,改善QoL,减少疼痛,降低PTS严重程度.
- 有指导的,个性化的运动计划可以作为对DVT和PTS患者有价值的补充疗法.
- 需要进一步的研究来优化培训计划,以改善成人和儿童的面向患者的结果.
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