Patru S, Marcu I R, Matei D, Bighea A C
University of Medicine and Pharmacy of Craiova, Department of Physical Medicine and Rehabilitation.
Curr Health Sci J. 2018 Jan-Mar;44(1):34-38. doi: 10.12865/CHSJ.44.01.06. Epub 2018 Mar 23.
Smoking should be identified as a major risk factor for Peripheral arterial disease. The purpose of this prospective, randomized, controlled clinical study was to determine whether a rehabilitation program is more efficient than the usual healthcare assistance (medication, hygiene and diet) for improving walking function on the smoking and nonsmoking patients with PAD. For smokers, there were no significant differences after 12 weeks and also 24 weeks, although the 4MWS mean values increased compared to the control. At 24 weeks study time point nonsmokers in the group performed special massage techniques along with the supervised kinesiotherapy had significantly greater improvement in their 4MWS, compared to the group with physical exercises or control. A well-structured rehabilitation program, in terms of intensity, duration and frequency may be of great help for improving the functional status of these patients with peripheral ischemia syndrome.
吸烟应被视为外周动脉疾病的主要危险因素。这项前瞻性、随机、对照临床研究的目的是确定康复计划对于改善吸烟和不吸烟的外周动脉疾病患者的行走功能是否比常规医疗护理（药物治疗、卫生和饮食）更有效。对于吸烟者，在12周和24周后均无显著差异，尽管与对照组相比，4分钟步行速度（4MWS）的平均值有所增加。在24周的研究时间点，与进行体育锻炼或作为对照的组相比，该组中接受特殊按摩技术以及有监督的运动疗法的不吸烟者在4MWS方面有显著更大的改善。就强度、持续时间和频率而言，精心构建的康复计划可能对改善这些外周缺血综合征患者的功能状态有很大帮助。
