本文選題：buerger運(yùn)動(dòng) + 下肢動(dòng)脈硬化閉塞癥�。� 參考：《吉林大學(xué)》2017年碩士論文

【摘要】：目的:探討buerger運(yùn)動(dòng)對(duì)下肢動(dòng)脈硬化閉塞癥病人股乆動(dòng)脈行支架術(shù)后患側(cè)肢體血液循環(huán)、支架通暢率及術(shù)后患者生活質(zhì)量的影響。方法:選取2016年1月-2016年10月在吉林大學(xué)第一醫(yī)院行下肢股乆動(dòng)脈支架的100例患者隨機(jī)分為對(duì)照組50例,其中男性42例,女性8例,干預(yù)組50例,男性44例,女性6例。兩組患者均接受常規(guī)的出院指導(dǎo)及隨訪,由責(zé)任護(hù)士進(jìn)行,包括用藥指導(dǎo)、飲食指導(dǎo)、心理護(hù)理、運(yùn)動(dòng)指導(dǎo),比如散步、打太極拳等,不能進(jìn)行劇烈活動(dòng),比如踢足球、打籃球等。干預(yù)組在此基礎(chǔ)上,不僅由責(zé)任護(hù)士進(jìn)行上述指導(dǎo)外,還由研究者本人給予buerger運(yùn)動(dòng)指導(dǎo)。教會(huì)患者本人及同住家屬此運(yùn)動(dòng)的方法,運(yùn)動(dòng)頻次及注意事項(xiàng)等。并在出院后一周、每個(gè)月給予電話隨訪監(jiān)督buerger運(yùn)動(dòng)完成情況。比較兩組患者出院后3個(gè)月、6個(gè)月患側(cè)肢體踝肱指數(shù)值、側(cè)支循環(huán)形成情況、支架的通暢率,及出院后6個(gè)月兩組患者的生活質(zhì)量。結(jié)果:將兩組患者一般資料(年齡、性別、吸煙史、合并癥)進(jìn)行比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。兩組患者出院后3個(gè)月、6個(gè)月踝肱指數(shù)(ABI)值的比較:干預(yù)組較對(duì)照組在出院后3個(gè)月、6個(gè)月ABI值都有明顯提高,差異有統(tǒng)計(jì)學(xué)意義(P0.001)。兩組患者出院后3個(gè)月、6個(gè)月側(cè)支循環(huán)形成比較:兩組患者出院后3個(gè)月患側(cè)肢體側(cè)支循環(huán)形成比較無(wú)統(tǒng)計(jì)學(xué)意義;出院后6個(gè)月干預(yù)組側(cè)支循環(huán)形成較對(duì)照組有所提高,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者出院后3個(gè)月、6個(gè)月支架通暢率的比較:兩組患者支架通暢率在出院后3個(gè)月、6個(gè)月比較,差異無(wú)統(tǒng)計(jì)學(xué)意義。兩組患者生活質(zhì)量的比較:出院后6個(gè)月,干預(yù)組的生理機(jī)能、一般健康狀況、精神健康評(píng)分均高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)組自身干預(yù)前后比較(除情感職能和精力)均明顯改善,差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組自身前后比較,生理職能、軀體疼痛、一般狀況、社會(huì)功能有所改善,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.buerger運(yùn)動(dòng)能提高下肢動(dòng)脈硬化閉塞癥病人股乆動(dòng)脈行支架術(shù)后患側(cè)肢體血液循環(huán);2.buerger運(yùn)動(dòng)對(duì)改善下肢動(dòng)脈硬化閉塞癥病人術(shù)后股乆動(dòng)脈支架通暢率效果并不明顯;3.buerger運(yùn)動(dòng)能提高下肢動(dòng)脈硬化閉塞癥病人股乆動(dòng)脈行支架術(shù)后患者的生活質(zhì)量。但在情感職能及精力方面改善效果并不明顯。
[Abstract]:Objective: to investigate the effect of buerger exercise on blood circulation, patency rate of stents and quality of life of patients with arteriosclerotic obliteration of lower extremity after stenting. Methods: from January 2016 to October 2016, 100 patients with femoral stents were randomly divided into control group (n = 42), female (n = 8), intervention group (n = 50), male (n = 44) and female (n = 6). The patients in both groups received routine discharge guidance and follow-up, including medication guidance, diet guidance, psychological care, exercise guidance, such as walking, Taijiquan, etc., and were not able to engage in strenuous activities, such as playing football. Play basketball, etc. On this basis, the intervention group was guided not only by the responsible nurses, but also by the researcher himself. The method, frequency and attention of this exercise are taught to the patients themselves and their family members. The completion of buerger exercise was monitored by telephone follow-up one week after discharge. The values of ankle-brachial index, collateral circulation, the patency rate of stents and the quality of life of the two groups were compared 3 and 6 months after discharge. Results: the general data (age, sex, smoking history, complications) of the two groups were compared, the difference was not statistically significant (P0.05), comparable. Comparison of ankle brachial index (ABI) between the two groups at 3 and 6 months after discharge: the ABI values in the intervention group were significantly higher than those in the control group at 3 and 6 months after discharge (P0.001). There was no significant difference between the two groups in the formation of collateral circulation in the affected limbs 3 months after discharge and 6 months after discharge, and the formation of collateral circulation in the intervention group was higher than that in the control group at 6 months after discharge, and there was no significant difference in the formation of collateral circulation between the two groups at 3 months and 6 months after discharge. The difference was statistically significant (P0.05). Comparison of stent patency rate between the two groups at 3 and 6 months after discharge: there was no significant difference in stent patency rate between the two groups at 3 months and 6 months after discharge. Comparison of quality of life between the two groups: 6 months after discharge, the physiological function, general health status, mental health score of the intervention group were higher than those of the control group. The difference was statistically significant (P0.05); the intervention group before and after intervention (except emotional function and energy) significantly improved, the difference was statistically significant (P0.05); the control group before and after comparison, physiological functions, body pain, general status, Social function improved, the difference was statistically significant (P0.05). Conclusion 1. Buerger exercise can improve the blood circulation of the affected limb after stenting in patients with arteriosclerosis obliterans of lower extremities. 2. Buerger exercise can improve the patency rate of stents of femoral arteries in patients with arteriosclerosis obliterans of lower extremity after operation. Buerger exercise can improve the quality of life of patients with lower extremity arteriosclerosis obliterans after stenting. But the effect of improvement in emotional function and energy is not obvious.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R543.5

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