Abstract:

Objective To search，summarize and evaluate the best evidence of exercise training in patients with peripheral arterial disease（PAD），which could further provide evidence-based medical bases for clinical exercise training intervention in patients with PAD. Methods All evidence on exercise training in patients with PAD were retrieved from UpToDate，Society for Vascular Surgery（SVS） website，European Society for Vascular Surgery（ESVS） website，Cochrane Library，PubMed，Springer Link，Embase，Cumulative Index to Nursing and Allied Health Literature（CINAHL），Med-live website，Chinese Society of Vascular Surgery，the Chao-Xing journal database，China National Knowledge Infrastructure（CNKI），Wan-Fang database，and other Chinese and foreign technological journal databases. Evidence was obtained from guidelines，clinical decisions，expert consensuses，evidence summaries，systematic evaluation，and meta-analysis. The retrieval time limit was from the establishment of databases until July 1，2021. There were 2 researchers who evaluated the literature quality and extracted the data. Results A total of 14 articles were included in the present analysis. A total of 20 pieces of best evidence were extracted from 7 aspects，including exercise safety，exercise timing，exercise mode，exercise intensity，exercise time，effect evaluation，and tips. Conclusion The exercise training could improve the walking ability and the quality of life of PAD patients. Thereby，it is recommended that exercise training intervention should be conducted while ensuring safety. The evidence summary process of this study is rigorous and comprehensive. In clinical practice，the medical staff should consider the actual application environment and individual situation of patients when using the evidence.

Key words: Peripheral Artery Disease, Exercise Training, Summary of Evidence, Evidence-Based Nursing

摘要：

目的 检索、汇总外周动脉疾病（peripheral arterial disease，PAD）患者运动训练的最佳证据，为临床外周动脉疾病患者运动训练干预提供循证依据。 方法 检索UpToDate、美国血管外科学会网站、欧洲血管外科学会网站、Cochrane Library、PubMed、Springer Link、Embase、CINAHL、医脉通、中华医学会血管外科分会网站、超星期刊数据库、中国知网、万方数据库、中文科技期刊数据库针对PAD患者进行运动训练的证据。证据来源包括临床指南、证据总结、专家共识、系统评价及荟萃分析等。文献检索时限为建库至2021年7月1日。此外，由2名研究者对所纳入的文献质量进行评价和提取所需资料。 结果 共纳入14篇文献。从运动安全、运动时机、运动方式、运动强度、运动时间、效果评价、注意事项7个方面，共提取20条最佳证据。 结论 运动训练可以提高PAD患者的步行能力，改善生活质量，建议在保证安全的前提下应进行运动训练干预。该研究证据总结过程严谨、内容全面。在实际临床工作中，医护人员在应用证据时需考虑到实际的应用环境和患者的个体情况。

关键词: 外周动脉疾病, 运动训练, 证据总结, 循证护理学