Salameh Maya J, Ratchford Elizabeth V
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Phys Med Rehabil Clin N Am. 2009 Nov;20(4):627-56. doi: 10.1016/j.pmr.2009.06.004.
The prevalence of peripheral arterial disease is high and will continue to grow with our aging population. It is often under diagnosed and under treated due to a general lack of awareness on the part of the patient and the practitioner. The evidence-base is growing for the optimal medical management of the patient with peripheral arterial disease; in parallel, endovascular revascularization options continue to improve. Exercise training for claudication rehabilitation plays a critical role. Comprehensive care of the peripheral arterial disease patient focuses on the ultimate goals of improving quality of life and reducing cardiovascular morbidity and mortality.
外周动脉疾病的患病率很高,且随着我国人口老龄化将持续上升。由于患者和从业者普遍缺乏认识,该病常常诊断不足且治疗不足。外周动脉疾病患者最佳药物治疗的证据基础正在不断扩大;与此同时,血管内血运重建选择也在持续改善。运动训练对间歇性跛行康复起着关键作用。外周动脉疾病患者的综合护理侧重于改善生活质量以及降低心血管发病率和死亡率这些最终目标。