Clifford P C, Davies P W, Hayne J A, Baird R N
Br Med J. 1980 Jun 21;280(6230):1503-5. doi: 10.1136/bmj.280.6230.1503.
Twenty-one patients (19 men and two women) with disabling exercise-related leg pain attended a physiotherapy department on one afternoon each week for an exercise training programme lasting one month. The clinical diagnosis of intermittent claudication and localisation of the atherosclerotic occlusions were confirmed in all but one case by pulse volume recordings and segmental Doppler systolic pressure measurements. Two patients whose symptoms worsened underwent arterial reconstruction. Post-training assessment at six months showed that the remaining 18 patients walked 80% further and performed 75% more step-ups. They also felt much healthier, having unduly restricted their activities before because they had feared the onset of ischaemic leg pain. These results suggest that supervised exercise training is a simple and effective method of treating patients with intermittent claudication.
21例（19名男性和2名女性）患有与运动相关的致残性腿痛的患者，每周一下午到理疗科参加为期一个月的运动训练项目。除1例患者外，其余患者均通过脉搏容积记录和节段性多普勒收缩压测量确诊为间歇性跛行，并确定了动脉粥样硬化闭塞的部位。2例症状加重的患者接受了动脉重建手术。六个月后的训练后评估显示，其余18例患者行走距离增加了80%，登台阶次数增加了75%。他们还感觉健康得多，因为之前担心缺血性腿痛发作而过度限制了活动。这些结果表明，有监督的运动训练是治疗间歇性跛行患者的一种简单有效的方法。
