【摘要】 目的 觀察空氣波壓力治療儀對糖尿病下肢動脈血管病變的影響。方法 選取2006年10月—2009年5月住院的2型糖尿病下肢動脈血管病變患者30例,採用四階段壓力治療儀治療,觀察治療膕動脈、脛前動脈、脛後動脈和足背動脈的內徑和血流量。結果 糖尿病下肢動脈血管病變經壓力治療儀治療後,膕動脈、脛前動脈、脛後動脈和足背動脈內徑均增加, 但差異無顯著性。膕動脈、脛前動脈、脛後動脈和足背動脈血流量在治療後均增加, 脛後動脈和足背動脈血流在治療前後差異有顯著性(P<0.05及P<0.01)。經空氣波氣壓治療後, 30例受試者均感覺行走有力,有間歇性跛行的12例患者最大耐受行走距離明顯增加。結論 空氣波氣壓治療對糖尿病下肢動脈血管病變具有肯定的治療作用。其可以擴張膕動脈、脛前動脈、脛後動脈和足背動脈的內徑,增加其血流量,但是其最主要的靶向部位在脛後動脈和足背動脈,擴張這些較小的肢端動脈,可有效改善症狀。
【關鍵詞】 空氣波壓力治療;糖尿病;下肢血管
[Abstract] Objective To evaluate the effects of air pressure massage by digital four-tiered rippling system on the lower limb blood vessel in diabetic patients. Methods The study was performed in 30 patients with diabetes related lower limb vascular disease. Before and after air pressure massage treatment for 28 days, vascular diameter and blood flow velocity of poplitea artery, anterior tibialis artery, posterior tibialis artery and dorsal pedal artery were measured by Doppler ultrasonography lts After the treatment with air pressure massage, the vascular diameters of poplitea artery, anterior tibialis artery, posterior tibialis artery and dorsal pedal artery were dilated; however, there were no significantly statistical differences. After the treatment with air pressure massage treatment, blood flow velocity of femoral artery, poplitea artery, anterior tibialis artery, posterior tibialis artery and dorsal pedal artery were increased, and there were significant differences in posterior tibial artery and dorsal pedal artery. After the treatment with air pressure massage, all the patients feel well. Maximal walking distance of 12 patients with intermittent claudication were lusion Air pressure massage treatment causes a significant improvement of diabetes related lower limb vascular disease. Furthermore, the results demonstrated the major effects on posterior tibialis artery and dorsal pedal artery. Air pressure massage treatment can dilate the smaller artery, which is important and helpful for patients to improve symptoms and signs.
[Key words] air pressure massage ; diabetes; lower limb blood vessel
隨著我國人們生活水平的不斷提高,人群飲食不合理現象逐漸顯現，動脈粥樣硬化症的發病率也隨之增加,這種現象在糖尿病患者中尤其顯著。下肢血管病變是2型糖尿病常見慢性併發症之一。2型糖尿病(T2-DM)確診時, 8%～10%的患者已有明顯的下肢動脈硬化性病變[1]，嚴重影響患者的生活質量,治療費用巨大。改善糖尿病患者下肢血液供應,從而有效治療糖尿病足、降低截肢率一直是糖尿病領域研究的重點之一。本文主要探討四階段空氣波壓力治療對糖尿病下肢動脈血管病變的影響。
1 資料與方法
1.1 資料 選取本院內科2006年10月—2009年5月住院的2型糖尿病患者30例,其糖尿病診斷符合1999年WHO診斷標準。其中男18例,女12例;年齡35～70歲,平均( 54.7 ±10.2)歲,糖尿病病程2個月～14年,平均(5.9 ±4.1)年,糖尿病下肢動脈血管病變病史0～8年。所有的患者均行雙下肢動脈多普勒檢查,證實存在雙下肢動脈血管病變。
1.1.1 診斷標準 血管內膜粗糙、增厚、血栓形成或動脈粥樣硬化斑塊、內徑變細、血流量減少。
1.1.2 排除標準 丹毒、肺水腫、急性靜脈血栓、