THE IMPORTANCE OF FUNCTIONAL EXAMINATION OF PATIENTS AND ASSESSMENT OF PERIPHERAL HEMODYNAMICS IN THE REHABILITATION OF PATIENTS WITH OBLITERATING ATHEROSCLEROSIS OF THE VESSELS OF THE LOWER EXTREMITIES

IF 0.3 Q4 REHABILITATION Acta Balneologica Pub Date : 2023-01-01 DOI:10.36740/abal202304103
Іgor A. Shumeyko, Alexei V. Ligonenko, Anatoliy B. Zubacha, Irina A. Chornaya, Alexei V. Storogenko, Ivan M. Mamontov, Roman A. Yarochenko
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Abstract

Aim: To evaluate the effectiveness of the treatment and clarify the medical and social criteria for the rehabilitation of patients with obliterating atherosclerosis of the vessels of the lower extremities. Materials and Methods: A comprehensive clinical and instrumental examination of 54 patients who underwent various types of operations for obliterating atherosclerosis of the vessels of the lower extremities 3 years ago and 11 non-operated patients who made up the control group was conducted.All examined (men) aged from 45 to 60 years. The average duration of the disease was about 7 years. Operations were performed mainly in the II and III stages of the disease. Results: A complex clinical and functional examination of the patients revealed: in most of them, after the operation, the general condition improved or the process stabilized, periodic lameness decreased, and the intensity of pain decreased. However, intermittent lameness still persisted in 93% of them, and pain in the lower limbs at rest occurred in 41%. Calf muscle spasms were noted in 70% of patients, frostbite of the feet persisted in 51%. The pulse on the peripheral arteries was determined in 36% of the examined. Conclusions: The main criterion for the rehabilitation of obliterating atherosclerosis of the lower extremities patients is the degree of blood circulation compensation achieved as a result of the operation. The obtained data open wide opportunities for social and labor rehabilitation of patients with obliterating atherosclerosis of the lower extremities, which allows 53% of them to return to working capacity.
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下肢血管闭塞性动脉粥样硬化患者功能检查及外周血血流动力学评估在康复中的重要性
目的:评价下肢血管闭塞性动脉粥样硬化患者的治疗效果,明确下肢血管闭塞性动脉粥样硬化患者康复的医学和社会标准。材料与方法:对3年前行过各种类型下肢血管动脉粥样硬化清除手术的54例患者和11例未行手术的患者作为对照组进行全面的临床和仪器检查。所有受试者(男性)年龄在45 - 60岁之间。平均病程约为7年。手术主要在II期和III期进行。结果:对患者进行复杂的临床和功能检查发现:大多数患者术后一般情况改善或过程稳定,周期性跛行减少,疼痛强度减轻。然而,其中93%的患者仍然存在间歇性跛行,41%的患者在休息时出现下肢疼痛。70%的患者出现小腿肌肉痉挛,51%的患者持续出现足部冻伤。在36%的被检查者中,外周动脉的脉搏被确定。结论:下肢闭塞性动脉粥样硬化患者手术后血液循环代偿程度是其康复的主要标准。获得的数据为下肢闭塞性动脉粥样硬化患者的社会和劳动康复提供了广泛的机会,其中53%的患者恢复了工作能力。
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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