外周血管疾病和下肢截肢患者的运动测试与训练
Exercise testing and training in patients with peripheral vascular disease and lower extremity amputation.
作者信息
Priebe M, Davidoff G, Lampman R M
机构信息
Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor.
出版信息
West J Med. 1991 May;154(5):598-601.
Patients with peripheral vascular disease have a high risk of coronary artery disease. The risk is even greater when the peripheral vascular disease leads to lower extremity amputation. Exercise testing using lower extremity exercise has been the "gold standard" for screening for coronary artery disease, but many patients with peripheral vascular disease and those with amputations have difficulty doing this type of exercise. Arm exercise ergometry has been shown to be a safe and effective alternative for the detection of coronary artery disease in patients who cannot do leg exercise. This test has also been used to determine safe exercise levels and may be able to predict the ultimate level of prosthetic use in amputees. Exercise training with arm ergometry also improves cardiovascular efficiency and upper body strength in poorly conditioned patients. Studies are needed to appreciate fully the role of exercise testing and training in the recovery of these patients after amputation.
外周血管疾病患者患冠状动脉疾病的风险很高。当外周血管疾病导致下肢截肢时，这种风险会更高。使用下肢运动进行运动测试一直是筛查冠状动脉疾病的“金标准”，但许多外周血管疾病患者和截肢患者难以进行此类运动。对于无法进行腿部运动的患者，手臂运动测力计已被证明是检测冠状动脉疾病的一种安全有效的替代方法。该测试还被用于确定安全的运动水平，并且可能能够预测截肢者假肢使用的最终水平。使用手臂测力计进行运动训练还可以提高身体状况不佳患者的心血管效率和上身力量。需要开展研究以充分认识运动测试和训练在这些患者截肢后恢复过程中的作用。
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