| Purpose:To explore the effects of rapid walking exercise on walking ability and quality of life in patients with lower extremity peripheral artery disease.Methods:patients with lower extremity peripheral artery disease who were admitted to our department from May 2018 to December 2018 were selected as subjects.Randomized controlled clinical trial design was used.According to the principle of complete randomization,60 patients with arteriosclerosis obliterans of lower extremities were divided into fast walking group(fast walking group)and walking exercise group(control group).Both groups were given conventional treatment to control cardiovascular risk factors,and oral anti-platelet aggregation was performed with aspirin(100 mg po qd)+sarpogrelate(100 mg po tid)for a 12-week walking exercise.The time of observation was recorded at baseline and 12 weeks after exercise.Observations were collected including pre-and post-treatment:sputum index,6-minute walk test,painless walking distance,farthest walking distance,and quality of life assessment(SF-36).At 12 weeks,it is necessary to complete the exercise compliance rate and measure the average exercise time.Results:The final effective case was 50,the rapid step group was 25,and the control group was 25.The differences in general data between the two groups were not statistically significant and comparable.ABI comparison of the two groups of patients after 12 weeks of walking exercise:The ABI value of the fast-step group was increased after 12 weeks of walking exercise,but the difference was not statistically significant(P=0.914).Comparison of the 6-minute walk test,painless walking distance,and the farthest walking distance of the two groups of patients after 12 weeks of walking exercise:the fast-step group was compared with the control group after 12 weeks of walking exercise,6-minute walk test,painless walking distance,and the farthest walk The distance was significantly improved,and the difference was statistically significant(P<0.001).The SF-36 scores of the two groups were compared after 12 weeks of walking exercise:the SF-36 scores in the fast-step group were significantly higher than those in the control group after 12 weeks of walking exercise,and the difference was statistically significant(P<0.001).The compliance rate of the two groups of patients,the average exercise time comparison:the control group in the exercise compliance rate,the average time per exercise was better than the fast-step group,the difference was statistically significant(P<0.05).Conclusion:1.Walking exercise can significantly improve walking ability and quality of life in patients with lower extremity peripheral artery disease.2.Fast walking exercise is more significant than walking exercise in improving the walking ability and quality of life of lower extremity peripheral artery disease. |
