运动训练对静脉功能不全患者的疗效：一项双盲、随机对照试验。
The efficiency of exercise training in patients with venous insufficiency: A double blinded, randomized controlled trial.
机构信息
Department of Physiotherapy and Rehabilitation, Institute of Postgraduate Education, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
出版信息
Phlebology. 2021 Jul;36(6):440-449. doi: 10.1177/0268355520985759. Epub 2021 Jan 10.
BACKGROUND
Exercise training (ET) is current treatment method for venous insufficiency (VI). The comprehensive effect of ET in addition to compression therapy (CT) in VI is not clear.
METHOD
Twenty-four patients with VI were randomly divided into exercise group (EG) and control group (CG). While CG received only CT, EG was applied ET consisting of aerobic, strengthening and stretching exercises in addition to CT for 2 days/week, 6 weeks at hospital under the supervision of physiotherapist. All the patients were assessed with Chronic Venous Disease Quality Of Life Questionnaire-20, Short Form-36, Duplex Doppler Ultrasonography, Venous Clinical Severity Score, hand-held dynamometer, Visual Analogue Scale, circumference measurements, 6 minute-walking test, and 10-meter-walking test before and after the treatment.
RESULT
Except of hemodynamic status and edema (p > 0.05), all parameters were significantly different in favor of EG (p < 0.05).
CONCLUSION
ET in addition to CT was more effective and safe treatment in VI.
背景
运动训练（ET）是静脉功能不全（VI）的当前治疗方法。ET 联合压迫疗法（CT）对 VI 的综合效果尚不清楚。
方法
24 例 VI 患者随机分为运动组（EG）和对照组（CG）。CG 仅接受 CT，EG 在 CT 基础上接受有氧运动、力量训练和伸展运动的 ET，每周 2 天，共 6 周，由物理治疗师在医院监督进行。所有患者在治疗前后均采用慢性静脉疾病生活质量问卷-20、SF-36、双功能超声、静脉临床严重程度评分、握力计、视觉模拟评分、周长测量、6 分钟步行试验和 10 米步行试验进行评估。
结果
除血流动力学状态和水肿（p>0.05）外，EG 的所有参数均显著优于 CG（p<0.05）。
结论
ET 联合 CT 治疗 VI 更有效且安全。
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