个体化运动处方对下肢动脉硬化闭塞症患者行走能力的影响

Effect of individual exercise prescription on walking ability of patients with arteriosclerosis obliterans of lower limbs

目的探讨个体化运动处方能否改善下肢动脉硬化闭塞症(ASO)患者的行走能力。方法采用便利抽样法抽取2017年3月至2018年5月就诊于山西大医院血管外科的下肢ASO患者64例,将64例踝肱指数(ABI)在0.6~0.9的ASO患者按照随机数字表法分成观察组32例和对照组32例,对照组患者采用常规护理干预,观察组患者采用基于个体化运动处方的护理方案干预,分别在入院时、干预12周后对患者进行ABI、行走受损问卷(WIQ)的测定。结果对照组干预前后ABI值差异无统计学意义(P>0.05),观察组患者干预前后ABI值分别为(0.72±0.15)、(0.77±0.13)分,差异有统计学意义(t=2.254,P<0.05)。2组干预前行走距离、步行速度比较差异无统计学意义(P>0.05),观察组干预后行走距离、步行速度分别为(498.38±77.11)m、(50.44±11.27)分,对照组分别为(461.72±64.64)m、(44.02±9.86)分,2组比较差异均有统计学意义(t=2.06、2.43,P<0.05)。结论个体化运动处方可以改善患肢缺血程度,提高患者的行走距离和步行速度,且方便实施,值得临床推广。

Objective To explore whether individualized exercise prescription can improve the walking ability of patients with lower extremity arteriosclerosis occlusion(ASO).Methods A total of 64 ASO patients with ankle brachial index(ABI)between 0.6 and 0.9 were randomly divided into the observation group(32 cases)and the control group(32 cases),Patients in the control group received routine nursing intervention,and patients in the observation group received nursing intervention based on individualized exercise prescription,ABI and walking impaired questionnaire(WIQ)scales were measured at admission and 12 weeks after intervention.Results There was no statistically significant difference in ABI values before and after the intervention of the control group(P>0.05),and ABI values before and after the intervention of the observation group were 0.72+0.15 and 0.77+0.13 respectively(t=2.254,P<0.05).There was no statistically significant difference in walking distance and walking speed before intervention(P>0.05)in the two groups;the walking distance and walking speed after intervention in the observation group were(498.38±77.11)m and(50.44±11.27);the control group was(461.72±64.64)m and(44.02±9.86),and the differences were statistically significant(t=2.06,2.43,P<0.05).Conclusions Individualized exercise prescription can improve the degree of ischemia of the affected limb,improve the walking distance and walking speed of the patients,and it is convenient to implement and worthy of clinical promotion.