有氧运动对血液透析患者躯体功能和生活质量影响的Meta分析  

Effects of aerobic exercise on physical function and life quality among hemodialysis patients： a Meta-analysis

作　　者：王雯婷 吴超[2] 罗永勤[3] 梅彬彬[2] 崔飞飞 Wang Wenting;Wu Chao;Luo Yongqin;Mei Binbin;Cui Feifei(School of Nursing,Soochow University Medical Department,Suzhou 215000,China（Wang WT;Neurosurg ery,the First Affiliated Hospital of Soochow University,Suzhoa 215000,China;Health Management Center,the First Affiliated Hospital of Soochow University,Suzhou 215000,Chin;Intensive Care Unit,the First Affiliated Hospital of Soochow University,Suzhou 215000,China)

机构地区：[1]苏州大学医学部护理学院,215000 [2]苏州大学附属第一医院神经外科,苏州215000 [3]苏州大学附属第一医院健康管理中心,苏州215000 [4]苏州大学附属第一医院重症医学科,苏州215000

出　　处：《中华现代护理杂志》2018年第23期2797-2803,共7页Chinese Journal of Modern Nursing

摘　　要：目的评价透析中有氧运动对血液透析患者躯体功能及生活质量的影响情况。方法检索PubMed、Embase、Cochrane Library、万方数据库、CNKI、维普数据库中关于透析中有氧运动干预的随机对照临床试验，检索时限自建库至2017年12月31Lt，采用RevMan5．1软件进行统计分析。结果最终纳入文献13篇，其中英文11篇，中文2篇。Meta分析结果显示，与对照组相比，透析中有氧运动组的血液透析患者摄氧量峰值、1min起坐次数、6min步行测试距离和握力均提高（P〈0．05），并且长期运动训练（〉12周）摄氧量峰值提高更加明显。此外，两组患者的血压和生活质量差异无统计学意义（P〉0．05）。结论透析中有氧运动可明显改善患者躯体功能，但对患者生活质量改善作用不明显。Objective To evaluate the effects of aerobic exercise during dialysis on physical function and life quality among hemodialysis patients. Methods The randomized controlled trials on aerobic exercise during dialysis published in PubMed, Embase, Cochrane Library, WanFang data, China National Knowledge Infrastructure （CNKI） and VIP database were retrieved from setting up the database to 31 December 2017. The RevMan 5.1 was used in statistical analysis. Results A total of 13 documents were included consisting of 11 English articles and 2 Chinese articles. Meta analysis showed that the peak oxygen uptake, times of sit- up within one minute, the 6-minute walk distance and grip strength of hemodialysis patients in the group of aerobic exercise during dialysis all improved compared with those of control group （P 〈 0.05） especially in the peak oxygen uptake in long term movement training （〉 12 weeks）. There was no statistical difference in blood pressure and life quality of patients between two groups （P 〉 0.05）. Conclusions Aerobic exercise during dialysis can significantly improve patients＇ physical function, however, has no significant effects on enhancing patients＇ life quality.

关 键 词：肾透析 有氧运动 META分析 

分 类 号：R473.5[医药卫生—护理学]