下肢缺血症的非手术治疗
下肢,,间歇性跛行；下肢缺血；步行锻炼,1临床资料,2非手术治疗的内容,3讨论,【参考文献】
【摘要】 目的 观察分析步行锻炼对下肢缺血症的疗效。方法 自2003年2月～2004年1月，收治下肢间歇性跛行患者33例(56条患肢)，每周在步行机上行走锻炼2次，辅以相应的药物治疗，3个月为1个疗程。结果 诊断为动脉硬化闭塞的31例(53条患肢)中，27例(49条患肢)下肢的缺血表现显著改善或消失，无痛行走距离(PWD)和最大行走距离(MWD)分别提高338.49%和297.66%；2例(2条患肢)有好转，PWD和MWD提高60%和50%；2例(2条患肢)无效。诊断为血栓闭塞性脉管炎的1例(2条患肢)和高血凝综合征1例(1条患肢)，PWD和MWD提高456.32%和489.45%，足趾溃疡均愈合。结论 步行锻炼是治疗间歇性跛行(IC)有效的方法。【关键词】 间歇性跛行；下肢缺血；步行锻炼
Non-surgical treatment for ischemia of lower limbs
HONG Biao,WANG Wei,JI Li-ping,et al.
Department of Vascular Surgery,Tongren Hospital,Shanghai 200050,China
【Abstract】 Objective To assess the effect of walking exercise in treating ischermia of lower limbs.Methods Between February,2003 and January,2004,33 patients(56 lower limbs)with intermittent claudication were treated with treadmill exercise and adjuvant antiplatelet and antithrombotic therapy for 3 months.Results Among 31 patients(53 lower limbs)diagnosed as arterial occlusive disease,27 patients(49 lower limbs)had their clinical features significantly improved or subsided with the PWD and MWD increased in 338.49% and 297.66% respectively;in 2 patients (2 lower limbs) the increase of PWD and MWD were 50% and 60%;the nonoperative therapy failed in 2 patients(2 lower limbs).The PWD and MWD of a patient with Buergers disease (2 lower limbs) and another with hypercoagulate syndrome (1 lower limb) increased by 456.32% and 489.45%respectively,and the ulcers on the toes all healed.Conclusion Walking exercise is an effective choice in the treatment of ischemic intermittent claudication of lower limbs. ......
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