Del Río Solá Ma Lourdes, Puerta Carlos Vaquero
Vascular Surgery Department, University Hospital of Valladolid, Valladolid, Spain.
Vascular Surgery Department, University Hospital of Valladolid, Valladolid, Spain.
Ann Vasc Surg. 2019 Nov;61:83-90. doi: 10.1016/j.avsg.2019.05.015. Epub 2019 Aug 2.
To determine whether functional electrical stimulation (FES) is able to improve ischemic pain and quality of life of patients with diabetic arteriopathy (DA) in grade-IIa Leriche-Le Fontaine.
This is a single-blinded, randomized, prospective cohort study. We included patients diagnosed with grade-IIa Leriche-Le Fontaine peripheral arterial disease in both lower extremities with and without diabetes mellitus (DM). The ankle-brachial index was 0.4-0.9. Patients were randomized into two experimental groups: nondiabetic (non-DM) (n = 71) and diabetic (DM) (n = 71). The patients received FES while walking for 1 hr on a supervised treadmill. Three months of follow-up were conducted after treatment.
A total of 168 patients were randomized; 142 completed the study, with 71 in each group. Both groups reported an improvement after the treatment, but the improvement was statistically significant in the DM group, in which all the parameters studied improved. Greater benefits were observed in all the parameters in the DM group after the follow-up, except for the test of the meters walked in 6 min.
The use of FES during daily walking is effective in patients with DA, reducing intermittent claudication and improving the quality of life of these patients.
确定功能性电刺激（FES）是否能够改善IIa级勒里什 - 勒方丹（Leriche-Le Fontaine）糖尿病性动脉病（DA）患者的缺血性疼痛和生活质量。
这是一项单盲、随机、前瞻性队列研究。我们纳入了诊断为双下肢IIa级勒里什 - 勒方丹周围动脉疾病且伴有或不伴有糖尿病（DM）的患者。踝肱指数为0.4 - 0.9。患者被随机分为两个实验组：非糖尿病组（非DM）（n = 71）和糖尿病组（DM）（n = 71）。患者在有监督的跑步机上行走1小时期间接受FES。治疗后进行3个月的随访。
共有168例患者被随机分组；142例完成了研究，每组各71例。两组在治疗后均报告有改善，但DM组的改善具有统计学意义，其中所有研究参数均有所改善。随访后，DM组除步行6分钟的测试外，所有参数均观察到更大益处。
在日常行走期间使用FES对DA患者有效，可减轻间歇性跛行并改善这些患者的生活质量。
