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[疗养院内下肢动脉重建术后患者的康复治疗]

[Rehabilitation of patients after reconstructive surgery of lower limb arteries in the environment of a health resort hospital].

作者信息

Cierpka L, Markiel Z, Borecki J, Samorodny J, Tarnawiecka A

机构信息

I Katedry i Kliniki Chirurgii Ogólnej i Naczyń Sl. AM, Katowicach.

出版信息

Pol Tyg Lek. 1994;49(16-17):379-81.

PMID:7708558
Abstract

The study comprises results concerning 89 patients (77 men and 12 women) who, after reconstructive operations on lower limb arteries (bypass, profundoplasty) because of atherosclerotic ischaemia, were treated in a sanatorium. The average period after operation was 39 weeks. When both lower limbs had been operated on, the limb considered by the patient as the weaker one was assessed. 26 limb (29.2%) showed pulse in the feet, 14 limbs (15.7%) showed pulse in the popliteal and femoral artery, while 49 limbs (55%) showed pulse in the groin only. The rehabilitation cycle lasted 24 days and comprised gymnastics (exercises in movement) and physiotherapy. The blood flow was assessed by such objective measurement methods as march test on moving track and the ABI measurement, also through the subjective assessment by the patient. The data underwent statistical processing. The limping distance on the moving track was prolonged in 73 patients (82%), the ABI increased in 67 patients (67.4%), while 72 patients assessed their blood flow as improved (80.8%).

摘要

该研究涵盖了89名患者(77名男性和12名女性)的结果,这些患者因动脉粥样硬化性缺血接受下肢动脉重建手术(搭桥术、股深动脉成形术)后,在疗养院接受治疗。术后平均时间为39周。当双下肢都接受手术时,评估患者认为较弱的那条肢体。26条肢体(29.2%)足部可触及脉搏,14条肢体(15.7%)腘动脉和股动脉可触及脉搏,而49条肢体(55%)仅腹股沟处可触及脉搏。康复周期持续24天,包括体操(运动练习)和物理治疗。通过移动轨道上的行军试验和踝臂指数测量等客观测量方法评估血流,同时也通过患者的主观评估进行。数据进行了统计处理。73名患者(82%)在移动轨道上的跛行距离延长,67名患者(67.4%)的踝臂指数增加,而72名患者(80.8%)评估其血流有所改善。

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