在生活在未被诊断的下肢外周动脉疾病的个体中,症状描述者
Rebecca J L Brown1,2, Diane Treat-Jacobson2, Erica Schorr2
1Veterans Affairs Health Services Research and Development Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN, USA.
Western journal of nursing research
|August 29, 2024
概括
周围动脉疾病 (PAD) 通常表现为运动期间除了腿部疼痛之外的非典型症状. 识别这些微妙的迹象,如坐着时的不适或小腿外的疼痛,对于更好的诊断至关重要.
科学领域:
- 血管医学 血管医学
- 诊断症状学 诊断症状学
背景情况:
- 周围动脉疾病 (PAD) 经常表现为症状超出典型的音.
- 由于缺乏检测非典型症状的工具,大量患有PAD的个体仍未被诊断出来.
研究的目的:
- 在社区样本中识别特定的症状描述符,以区分外围动脉疾病 (PAD).
- 为了调查PAD的非典型表现.
主要方法:
- 从22名持久下肢症状的参与者收集了症状描述符.
- 使用脚-手臂指数 (ABI) 与运动来分类参与者是否患有PAD.
主要成果:
- 59%的参与者表现出积极的ABI,表明PAD.
- 疼痛在行走时没有改善,难以跟上他人步伐,坐着时感到不舒服,小腿/大腿外疼痛等症状与积极的ABI相关.
- 不典型的症状,如坐着时的不适和小腿/大腿外的疼痛,与积极的ABI负相关.
结论:
- 非典型症状在患有下肢症状暗示PAD的个体中普遍存在.
- 精确地描述症状表现对于改善周围动脉疾病 (PAD) 的识别和诊断至关重要.
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