回顾性队列研究分析了间歇性形症患者对监督的运动治疗和随后的再血管化的反应
Elizabeth J Bouch1, Suzanne Austerberry1, Frank L Bowling1,2
1Manchester Academic Vascular Research and Innovation Centre (MAVRIC), Manchester Vascular Centre, Manchester University NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK.
对间歇性关节障碍 (IC) 的监督运动疗法 (SET) 可以预防重血管化. 在SET后,疼痛发作距离 (POD) 的75%改善显著减少了对重血管化的需求,改善了生活质量.
科学领域:
- 血管外科 血管外科
- 康复医学 康复医学 康复医学
- 患者的治疗结果.
背景情况:
- 监督运动疗法 (SET) 是间歇性音 (IC) 的推第一线治疗方法.
- 重血管是为不响应者保留的,但伴随着风险和成本.
- 确定不太可能从SET中受益的患者对于优化治疗途径至关重要.
研究的目的:
- 评估患者对SET的反应及其随后的再血管化需求.
- 在IC患者中确定SET后重血管化的预测因子.
主要方法:
- 对142名接受医院SET治疗的患者进行了回顾性队列研究 (2016-2020年).
- 收集的数据包括人口统计数据,疼痛开始距离 (POD),再血管化状态和生活质量 (QoL).
主要成果:
- 在SET后POD的≥75%改善与需要重血管化的可能性显著降低 (p <0.019).
- 目前吸烟者不太可能需要再血管 (p < 0.05).
- 曾经进行过重血管化的患者更有可能需要重复手术 (p = 0.0071).
结论:
- 在SET后的POD显著改善 (≥75%) 是避免重血管化的强有力的指标.
- 提高SET后的QoL与避免重血管化的可能性更高相关.
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