疾病严重程度对慢性静脉不全患者身体功能的影响:一个横截面研究
Wagner Jorge Ribeiro Domingues1, Emely Kércia Santiago de Souza Brandão2, Lenon Corrêa de Souza3
1Graduate Program in Operational Human Performance, Air Force University, Rio de Janeiro, Brazil; Graduate Program in Human Movement Sciences, Universidade Federal do Amazonas, Manaus, Brazil.
概括
与晚期 (CEAP C5-C6) 患者相比,较不严重的慢性静脉缺陷 (CVI) 阶段 (CEAP C3-C4) 的患者表现出更好的身体功能,包括更长的步行距离和更高的短期身体性能电池 (SPPB) 评分. 这凸显了CVI严重程度对流动性的影响.
科学领域:
- 血管医学 血管医学
- 生理学 生理学 生理学
- 生物医学科学 生物医学科学
背景情况:
- 慢性静脉缺陷 (CVI) 显著影响患者的身体功能.
- CVI 临床严重程度对步态,平衡和手握强度的具体影响需要进一步阐明.
研究的目的:
- 为了比较早期CVI (CEAP C3-C4) 与晚期CVI (CEAP C5-C6) 的患者的身体功能.
- 评估CVI疾病严重程度对步行速度,平衡和手握强度的影响.
主要方法:
- 一项涉及96名被诊断患有CVI的患者的横截面研究 (CEAP C3-C6).
- 通过六分钟步行测试 (6MWT),短物理性能电池 (SPPB),步行速度和手握强度来评估身体功能.
- 使用曼·惠特尼U测试进行统计比较,以区分CEAP C3-C4和CEAP C5-C6组.
主要成果:
- 与CEAP C5-C6患者相比,CEAP C3-C4阶段的患者显示6MWT距离 (451m vs 383m) 显著更长 (p=0.001).
- 在较不严重的CVI组中观察到较高的SPPB总分 (11比10分;p=0.029).
- 两组之间在步行速度或手握强度方面没有发现统计学上显著的差异 (P > 0.05).
结论:
- CVI的临床严重程度是身体功能的重要决定因素.
- 与较严重的CVI (CEAP C5-C6) 相比,较不发达的CVI (CEAP C3-C4) 患者在功能测试中表现出更好的行走能力和表现.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
968
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
968
Varicose Veins I: Introduction
133
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
133
Varicose Veins II: Diagnostic Studies and Interprofessional Care
164
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
164
Venous Return
11.5K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
11.5K
Venous Thrombosis IV: Nursing Management
182
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
182
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
270
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
270


