抗阻运动联合Buerger运动在2型糖尿病下肢血管病变治疗中的应用

Application of resistant exercise combined with Buerger exercise in patients with diabetic foot

目的 探讨抗阻运动联合Buerger运动在2型糖尿病下肢血管病变治疗中的应用效果.方法将2016年2～8月宁波市第四医院收治的2型糖尿病下肢血管病变的患者120例按入院的先后顺序随机分成抗阻运动组、Burger运动组、联合运动组各40例.抗阻运动组行抗阻运动,Burger运动组行Buerger运动,联合运动组行抗阻运动联合Buerger运动.观察三组的自感症状、踝肱指数（ABI）和足背动脉平均血流速度（DAMV）的变化.结果三组的临床自感症状明显减少（抗阻运动组：显效10例,有效14例;Burger组：显效15例,有效17例;联合运动组：显效22例,有效13例）,联合运动组的有效率高于抗阻运动组及Buerger运动组（抗阻运动组：60.0％;Burger运动组：80.0％;联合运动组：87.5％,χ^2=11.333,P〈0.05）;三组的ABI较治疗前增加,联合运动组的ABI比值[（0.933±0.113）]高于抗阻运动组[（0.866±0.112）]及Buerger运动组[（0.888±0.111）]（t=1.796、2.663,均P〈0.05）;三组的DAWV较治疗前增加,联合运动组的DAWV[（7.023±0.535）cm/s]高于抗阻运动组[（6.633±0.552）cm/s]及Buerger运动组[（6.772±0.435）cm/s]（t=2.302、3.209,均P〈0.05）.结论抗阻运动联合Buerger运动有利于改善糖尿病下肢血管病变的患者下肢血管中循环血流速度和血流量,同时改善患者的周围神经病变的自感症状.

Objective To investigate the application of resistive exercise combined with Buerger exercise in lower extremity vascular disease of type 2 diabetes mellitus .Methods According to the order of admission ,120 type 2 diabetes mellitus patients with lower extremity vascular disease were randomly divided into resistance exercise group ,Buerger exercise group and combined exercise group ,with 40 cases in each group .The resistance exercise group was given resistance exercise ,the Buerger exercise group was given Buerger exercise ,and the combined exercise group was given resistance exercise combined with Buerger movement .The changes of self -inductance ,ABI and DAWV of the three groups were observed .Results The clinical symptoms of the three groups were significantly reduced （ the resistance exercise group：markedly effective in 10 cases,effective in 14 cases;the Burger exercise group：markedly effective in 15 cases,effective in 17 cases;the combined exercise group： markedly effective in 22 cases,effective in 13 cases）,the effective rate of the combined exercise group was higher than that of the resistance exercise group and Buerger exercise group （ the resistance exercise group：60.0%;the Burger exercise group：80.0%;the combined exercise group：87.5%,χ^2=11.333,P 〈0.05）.The ABI of the three groups were higher than those before treatment,and the ABI ratio of the combined exercise group [（0.933 ±0.113）]was higher than that of the resistance exercise group[（0.866 ±0.112）] and the Buerger exercise group[（0.888 ±0.111）]（t=1.796,2.663,all P〈0.05 ） .The DAWV of the three groups increased compared with those before treatment , and the DAWV of the combined exercise group[（7.023 ±0.535）cm/s]was higher than that of the resistance exercise group [（6.633 ±＆nbsp;0.552）cm/s] and the Buerger exercise group [（6.772 ±0.435） cm/s] （t =2.302,3.209,all P 〈0.05）. Conclusion Resistant exercise combined with Buerger exercise is helpful to improve the blood flow velocity and blood flow in the lower extremity vessel of patients with diabetic lower limb vascular disease , and can improve the self-sensitization symptoms of peripheral neuropathy in patients .