为患有外周动脉封闭性疾病的患者提供运动训练
Maja Ingwersen1, Ina Kunstmann, Carolin Oswald
1Institute of Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany; Institute of Physical and Rehabilitation Medicine, Sophien and Hufeland Hospital Weimar, Academic Teaching Hospital, University of Jena, Jena, Germany; Institute of Sports Science, Department of Sports Medicine, Kiel University, Kiel, Germany.
监督的运动训练提高了行走能力,并降低了患有外围动脉封闭性疾病 (PAOD) 和间歇性关节障碍的人的死亡风险. 可访问的计划对于患者的参与和更好的健康结果至关重要.
科学领域:
- 心血管医学 心血管医学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 周围动脉封闭性疾病 (PAOD) 影响了许多人,间歇性关严重影响了生活质量.
- 目前的指导方针建议监督运动训练,但医生转诊和计划的可用性仍然有限.
- 改善运动可访问性对于提高患者流动性和长期健康结果至关重要.
研究的目的:
- 审查证据支持运动训练的间歇性声.
- 确定克服处方和患者遵守药物的障碍的策略.
主要方法:
- 一个全面的PubMed和体育科学期刊的文献综述.
- 包括元分析,随机对照试验 (RCT) 和队列研究.
- 对改善运动参与的干预措施的分析.
主要成果:
- 与不运动相比,运动训练与死亡风险降低有关 (RR 0.65-0.78).
- 观察到最大步行距离的显著改善:136米 (家庭) 到180-310米 (监督).
- 综合干预措施,包括目标设定和反,进一步提高步行距离和运动持续时间.
结论:
- 运动显然提高了行走能力,并降低了间歇性关患者的死亡率.
- 需要各种各样的工具 (数字,遥测) 和可访问的血管炼小组.
- 定期的医生与患者接触和增强的计划可用性是增加患者参与的关键.
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