Abstract：【Objective】 To explore effects of personalized exercise guidance on early functional recovery after lower extremity varicose veins surgery. 【Methods】 A total of 128 patients who underwent surgery for lower extremity varicose veins in Zhumadian Traditional Chinese Medicine (TCM) Hospital from Jan 2023 to Jan 2025 were randomized into two groups, with 64 cases in each group. Patients in the control group received routine systematic nursing, while patients in the observation group received personalized exercise guidance in addition to routine nursing. Pain (Pain Intensity Scale, PPI), functional recovery and nursing satisfaction were compared between the two groups before and after treatment. 【Results】 After the intervention, the PPI scores of both groups were lower than before the intervention, and the observation group's scores were lower than the control group's scores, with statistically significant differences (P<0.05). The time for hematoma disappearance, ulcer healing, and lower limb numbness were significantly shorter in the observation group than in the control group, with statistically significant differences (P<0.05). The nursing satisfaction rate in the observation group was 92.19% (59/64), significantly higher than the 79.69% (51/64) in the control group, with a statistically significant difference (χ2=4.137,P=0.042). 【Conclusion】 Personalized exercise guidance reduces postoperative pain, accelerates recovery of hematoma, ulcer and numbness, and improves satisfaction.
何依蕾. 个性化运动指导对下肢静脉曲张术后患者早期功能恢复的效果观察[J]. 医学临床研究, 2026, 43(4): 618-620.
HE Yilei. Effect of Personalized Exercise Guidance on Early Recovery after Lower Extremity Varicose Veins Surgery. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 618-620.
[1] 孙兆霞,李钰娇,董海成. 下肢静脉曲张的临床与检验特点[J].血管与腔内血管外科杂志,2025,11(1):85-88,102. [2] 卫飞鹏,谢晴,郑小叶,等. 射频消融术联合泡沫硬化剂注射对下肢静脉曲张患者生活质量及术后并发症的影响[J].中国医药,2024,19(10):1515-1519. [3] 黄芝娜,黄小妍,谢漫,等. 个性化运动康复方案在慢性心力衰竭患者中的应用研究[J].生命科学仪器,2024,22(4):58-61. [4] 郭猛,邢文华,赵真真,等. 基于运动危险分层的个性化运动处方对冠状动脉多支病变PCI术后患者心肺功能、血管内皮功能及MACE发生率的影响[J].临床误诊误治,2023,36(2):62-67. [5] 杨博华.下肢静脉曲张的诊断与治疗[M].北京:中国协和医科大学出版社,2013:35. [6] MIRO J, HUGUET A, NIETO R, et al. Evaluation of reliability, validity, and preference for a pain intensity scale for use with the elderly[J].J Pain,2005, 6(11): 727-735. [7] HE Q F, CAI J Y, CHENG M, et al. Global prevalence and risk factors of varicose veins among health care workers: a systematic review and meta-analysis[J].BMC Nurs,2025, 24(1): 550. [8] 张莉,孙紫萍,牛艳蕊. 情绪释放疗法及踝关节运动在下肢静脉曲张手术患者中的护理效果[J].国际护理学杂志,2024,43(18):3331-3335. [9] 陈艳,贺克武,许红霞. 4R危机管理理论在下肢静脉曲张患者术后并发症预防中的应用[J].中华现代护理杂志,2025,31(14):1950-1954. [10] 郭军. 弹力袜结合体位管理和踝关节运动对下肢静脉曲张术后患者凝血功能、疼痛程度的影响[J].反射疗法与康复医学,2024,5(1):89-92. [11] 张舒涵,王紫媛. 基于ERAS理念的预康复管理联合踝泵运动对老年髋关节置换术患者术后恢复、疼痛和患肢功能的影响[J].中国老年学杂志,2025,45(2):314-318. [12] SALWA A, GAJDZINSKA N, ROSTKOWSKA W, et al. Can physical exercise improve venous function in the context of chronic venous diseases? The impact of sport on varicose veins of the lower limbs-a review[J].Qual Sport,2024, 17: 53793. [13] 谢利成,黄海燕,范立彬,等. 湿性愈合理论下阳和汤湿敷对溃疡期下肢静脉曲张术后创面愈合的影响[J].中华全科医学,2025,23(4):592-595. [14] 蒋佳,纪小静,周静怡.个性化护理联合运动疗法对糖尿病患者血糖水平与生存质量的影响[J].国际护理学杂志,2022,41(17):3209-3212.
2026, Vol. 43 
