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目的观察艾灸及平板运动对外周动脉疾病下肢经皮氧分压及运动功能的影响。方法将58例轻、中度外周动脉疾病患者按随机数字表法分为对照组(18例)、艾灸组(20例)和平板运动组(20例)。对照组患者只接受常规药物治疗,艾灸组在常规治疗的基础上予艾条灸足三里、三阴交及涌泉穴治疗,平板运动组在常规基础上予平板运动治疗;艾灸组和平板运动组患者均为每天1次,每周5次,共12周。观察各组治疗前后踝肱指数(Ankle-Brachial Index,ABI)、小腿经皮氧分压(transcutaneous oxygen tension,TcPO_2)、6分钟步行试验(6-min walking test,6MWT)及行走受损问卷(walking impairment questionnaire,WIQ)的评估结果。结果分别与本组治疗前及对照组比较,治疗后艾灸组及平板运动组ABI差异无统计学意义(P>0.05),TcPO_2、6MWT及WIQ值均明显提高(P<0.01),且平板运动组患者6MWT及WIQ评估均优于艾灸组(P<0.01)。结论艾灸及平板运动均可以改善外周动脉疾病患者下肢经皮氧分压及运动能力。
Objective To observe the effects of moxibustion and treadmill exercise on the transcutaneous oxygen partial pressure and motor function of peripheral arterial disease. Methods Fifty-eight patients with mild to moderate peripheral arterial disease were divided into control group (n = 18), moxibustion group (n = 20) and treadmill exercise group (n = 20) by random number table. Patients in the control group received only conventional drug treatment. The moxibustion group was treated with Zusanli (Moxibustion) acupuncture at Moxibustion, Sanyinjiao and Yongquan points on the basis of routine treatment. The moxibustion group and the treadmill exercise Group patients were once daily, 5 times a week for a total of 12 weeks. The ankle-brachial index (ABI), transcutaneous oxygen tension (TcPO_2), 6-min walking test (6MWT) and walking impairment questionnaire walking-sick questionnaire, WIQ). Results There was no significant difference in ABI between moxibustion group and treadmill exercise group before and after treatment (P> 0.05), TcPO_2, 6MWT and WIQ values were significantly increased (P <0.01) Exercise group 6MWT and WIQ assessment were better than moxibustion group (P <0.01). Conclusion Moxibustion and treadmill exercise can improve percutaneous oxygen pressure and exercise capacity in patients with peripheral arterial disease.