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初级保健提供者进行保肢治疗所需了解的内容。

What the primary care provider needs to know for limb salvage.

作者信息

Street Tiffany K

机构信息

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.

出版信息

Methodist Debakey Cardiovasc J. 2012 Oct-Dec;8(4):57-9. doi: 10.14797/mdcj-8-4-57.

DOI:10.14797/mdcj-8-4-57
PMID:23342193
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3549655/
Abstract

Primary care providers are often the first providers to evaluate a patient for peripheral arterial disease (PAD). Understanding the various presentations of PAD symptoms can prevent the disease from progressing to critical limb ischemia and eventual limb loss. This article provided the primary care provider with information needed to prevent limb loss and promote limb salvage, including risk factor management, clinical presentation, physical exam findings, and treatment options.

摘要

初级保健提供者通常是首批评估患者是否患有外周动脉疾病(PAD)的医疗人员。了解PAD症状的各种表现可防止疾病进展为严重肢体缺血并最终导致肢体丧失。本文为初级保健提供者提供了预防肢体丧失和促进肢体挽救所需的信息,包括风险因素管理、临床表现、体格检查结果和治疗选择。

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本文引用的文献

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Drug therapy for improving walking distance in intermittent claudication: a systematic review and meta-analysis of robust randomised controlled studies.用于改善间歇性跛行步行距离的药物治疗:对稳健随机对照研究的系统评价和荟萃分析。
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2
Pharmacologic risk factor management in peripheral arterial disease: a vade mecum for vascular surgeons.外周动脉疾病的药物风险因素管理:血管外科医生手册
J Vasc Surg. 2008 May;47(5):1108-15. doi: 10.1016/j.jvs.2007.12.033. Epub 2008 Apr 18.
3
Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II).外周动脉疾病管理跨学会共识(TASC II)
J Vasc Surg. 2007 Jan;45 Suppl S:S5-67. doi: 10.1016/j.jvs.2006.12.037.
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Intermittent claudication: an overview.间歇性跛行:概述
Atherosclerosis. 2006 Aug;187(2):221-37. doi: 10.1016/j.atherosclerosis.2005.11.027. Epub 2005 Dec 28.
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Relationship between HbA1c level and peripheral arterial disease.糖化血红蛋白水平与外周动脉疾病之间的关系。
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Meta-analysis: glycosylated hemoglobin and cardiovascular disease in diabetes mellitus.荟萃分析:糖尿病患者糖化血红蛋白与心血管疾病
Ann Intern Med. 2004 Sep 21;141(6):421-31. doi: 10.7326/0003-4819-141-6-200409210-00007.
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Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999-2000.美国外周动脉疾病的患病率及危险因素:1999 - 2000年国家健康和营养检查调查结果
Circulation. 2004 Aug 10;110(6):738-43. doi: 10.1161/01.CIR.0000137913.26087.F0. Epub 2004 Jul 19.
8
Exercise training for claudication.间歇性跛行的运动训练
N Engl J Med. 2002 Dec 12;347(24):1941-51. doi: 10.1056/NEJMra021135.
9
Peripheral arterial disease detection, awareness, and treatment in primary care.基层医疗中周围动脉疾病的检测、认知与治疗
JAMA. 2001 Sep 19;286(11):1317-24. doi: 10.1001/jama.286.11.1317.
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Edinburgh Artery Study: prevalence of asymptomatic and symptomatic peripheral arterial disease in the general population.爱丁堡动脉研究:普通人群中无症状和有症状外周动脉疾病的患病率
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