在成功的血管干预后,额外的运动治疗对具有症状的外周动脉疾病的人的效果
Gabriel Cucato1, Paulo Pl Longano2, Daniel Perren3
1Department of Sport, Exercise, and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, UK.
对于周围动脉疾病 (PAD) 的下肢重血管化后,监督的运动疗法对步行距离有不确定的好处. 需要更多的研究来证实有效性和安全性.
科学领域:
- 血管外科 血管外科
- 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:
- 周围动脉疾病 (PAD) 涉及下肢动脉狭窄,通常用重血管化治疗.
- 监督运动治疗是PAD的标准二次预防策略.
- 目前正在调查辅助监督运动在重血管化后的作用.
研究的目的:
- 评估PAD患者下肢重血管化后监督炼计划与标准护理的影响.
- 评估对步行距离,生活质量和其他相关结果的影响.
主要方法:
- 包括随机对照试验,比较监督炼后的血管化与标准护理.
- 主要结果:最大步行距离,六分钟步行测试,无痛步行距离.
- 二次结果:脚-手臂指数,死亡率,生活质量,重新干预率.
主要成果:
- 确定了7项与376名参与者的研究;证据确定性非常低.
- 分析显示,与基线相比,最大步行距离的变化没有显著改善.
- 运动可能会改善绝对最大步行距离,但对其他结果的证据非常不确定.
结论:
- 监督运动的证据是非常不确定的,特别是在步行距离和生活质量方面.
- 没有报道任何伤害,但需要更多高质量的研究.
- 辅助运动治疗的最终作用需要进一步研究.
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