间歇性跛行的监督性运动训练：三年持续获益

Supervised exercise training for intermittent claudication: lasting benefit at three years.

作者信息

Ratliff D A, Puttick M, Libertiny G, Hicks R C J, Earby L E, Richards T

机构信息

Vascular Unit, Department of Surgery, Northampton General Hospital NHS Trust, Billing Road, Northampton NN1 5BD, UK.

出版信息

Eur J Vasc Endovasc Surg. 2007 Sep;34(3):322-6. doi: 10.1016/j.ejvs.2007.04.014. Epub 2007 Jun 22.

DOI:10.1016/j.ejvs.2007.04.014

PMID:17587612

Abstract

OBJECTIVES

To assess the long-term outcome of supervised exercise training for intermittent claudication.

METHODS

A prospective study was undertaken of all patients referred to a single centre with intermittent claudication (>46 m). Patients underwent supervised exercise training twice weekly for 10 weeks, with regular follow-up to 3 years. Actual Claudication Distance (ACD), Maximum Walking Distance (MWD) and ankle-brachial pressure indices (ABPI) were measured.

RESULTS

In 202 patients the initial median ACD and MWD were 112 m and 197 m. Following exercise therapy both the median ACD and MWD increased to 266 m and 477 m at three months, increases of 237% and 242% respectively (p<0.001). At three years the median ACD and MWD were 250 m and 372 m, increases of 223% and 188% respectively (p<0.001). There was no significant change in ACD or MWD at 3 months compared to 1, 2 or 3 years. ABPI remained unchanged throughout.

CONCLUSIONS

Supervised exercise training has long term benefit in patients with intermittent claudication. Results seen at 12 weeks are sustained at three years.

摘要

目的

评估间歇性跛行患者接受有监督的运动训练的长期效果。

方法

对所有转诊至单一中心的间歇性跛行（>46米）患者进行前瞻性研究。患者每周接受两次有监督的运动训练，为期10周，并定期随访3年。测量实际跛行距离（ACD）、最大行走距离（MWD）和踝臂压力指数（ABPI）。

结果

202例患者的初始中位ACD和MWD分别为112米和197米。运动治疗后，三个月时中位ACD和MWD分别增加到266米和477米，分别增加了237%和242%（p<0.001）。三年时，中位ACD和MWD分别为250米和372米，分别增加了223%和188%（p<0.001）。与1年、2年或3年相比，3个月时ACD或MWD无显著变化。ABPI在整个过程中保持不变。