Kruidenier L M, Bendermacher B L W, Willigendael E M, Teijink J A W, Prins M H
Atrium Medisch Centrum, afd. Heelkunde, Postbus 4446, 6401 CX Heerlen.
Ned Tijdschr Geneeskd. 2008 Feb 9;152(6):321-3.
Intermittent claudication is the most important symptom of peripheral arterial disease. Walking is the main treatment for intermittent claudication and is usually prescribed as a single recommendation to 'go home and walk'. A recent Cochrane systematic review of 7 randomised trials and 1 controlled trial compared a supervised walking regimen with non-supervised exercise therapy. Supervised exercise therapy showed statistically significant benefits compared with non-supervised exercise therapy. Further research is needed to determine the clinical relevance of this difference, with a focus on quality of life. Long-term results with supervised exercise therapy should be studied in future trials.
间歇性跛行是外周动脉疾病最重要的症状。步行是治疗间歇性跛行的主要方法，通常作为单一建议开出处方，让患者“回家走路”。最近一项Cochrane系统评价纳入了7项随机试验和1项对照试验，比较了有监督的步行方案与无监督的运动疗法。与无监督的运动疗法相比，有监督的运动疗法显示出具有统计学意义的益处。需要进一步研究以确定这种差异的临床相关性，重点关注生活质量。未来的试验应研究有监督的运动疗法的长期效果。
