Santilli J D, Rodnick J E, Santilli S M
University of Minnnesota School of Medicine, Minneapolis, USA.
Am Fam Physician. 1996 Mar;53(4):1245-53.
Claudication is exercise-induced lower extremity pain that is caused by ischemia and relieved by rest. This underreported condition affects at least 10 percent of persons over 70 years of age and 2 percent of those 37 to 69 years of age. Claudication is usually caused by atherosclerotic narrowing of the arteries that supply blood to the lower extremities. The diagnosis may be suspected based on the history and the physical examination, and it is confirmed by Doppler segmental pressures and an ankle/brachial index. Initial treatment includes vigorous risk factor modification and an exercise program. Further treatment includes pentoxifylline and, occasionally, endovascular or bypass procedures.
间歇性跛行是由缺血引起的运动诱发的下肢疼痛，休息后可缓解。这种未得到充分报道的疾病至少影响10%的70岁以上人群和2%的37至69岁人群。间歇性跛行通常由供应下肢血液的动脉粥样硬化性狭窄引起。根据病史和体格检查可怀疑诊断，并通过多普勒节段压力和踝/臂指数进行确诊。初始治疗包括积极改变危险因素和进行运动计划。进一步治疗包括己酮可可碱，偶尔还包括血管内或搭桥手术。
