空气波压力治疗对糖尿病血管病变影响.docVIP

空气波压力治疗对糖尿病血管病变影响 　【摘要】 目的 观察空气波压力治疗仪对糖尿病下肢动脉血管病变的影响。方法 选取2006年10月—2009年5月住院的2型糖尿病下肢动脉血管病变患者30例,采用四阶段压力治疗仪治疗,观察治疗腘动脉、胫前动脉、胫后动脉和足背动脉的内径和血流量。结果 糖尿病下肢动脉血管病变经压力治疗仪治疗后,腘动脉、胫前动脉、胫后动脉和足背动脉内径均增加, 但差异无显著性。腘动脉、胫前动脉、胫后动脉和足背动脉血流量在治疗后均增加, 胫后动脉和足背动脉血流在治疗前后差异有显著性(Plt;0.05及Plt;0.01)。经空气波气压治疗后, 30例受试者均感觉行走有力,有间歇性跛行的12例患者最大耐受行走距离明显增加。结论 空气波气压治疗对糖尿病下肢动脉血管病变具有肯定的治疗作用。其可以扩张腘动脉、胫前动脉、胫后动脉和足背动脉的内径,增加其血流量,但是其最主要的靶向部位在胫后动脉和足背动脉,扩张这些较小的肢端动脉,可有效改善症状。 【关键词】 空气波压力治疗;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 examination.Results 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 increased.Conclusion 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 help