透析中卧式踏车训练对维持性血液透析患者影响的临床研究  

Clinical Study on the Effect of Horizontal Treadmill Training on Maintenance Hemodialysis Patients

作　　者：杜亭 黄俊[1] 陈泽君 DU Ting;HUANG Jun;CHEN Zejun(Chengdu Sixth People's Hospital,Chengdu 610000,Sichuan)

机构地区：[1]成都市第六人民医院,四川成都610000

出　　处：《航空航天医学杂志》2020年第10期1243-1245,共3页Journal of Aerospace medicine

基　　金：2017年成都市医学科研课题,课题名称:透析中卧式踏车训练对维持性血液透析患者影响的临床研究;项目编号:2017059。

摘　　要：目的探讨透析中卧式踏车训练在维持性血液透析患者中的应用效果。方法选取2018年6月-2018年12月收治的维持性血液透析101例患者,按照电脑排列序号分为对照组(50例)与研究组(51例)。对照组实施常规干预,研究组于对照组基础上实施卧式踏车训练。观察两组患者训练后的各项营养指标以及生存质量等相关情况,并检测两组患者干预前后运动能力(握力、6 min步行距离)。结果研究组AIb水平明显高于对照组(P<0.05),两组患者BMI、TC、CSA、TS无明显差异(P>0.05)。研究组生理功能、生理职能、躯体疼痛、总体健康、情感职能、精神健康、活力以及社会职能评分,均明显高于对照组(P<0.05)。两组患者干预后握力较干预前明显提高,6 min步行距离明显长于干预前,但研究组干预后明显优于对照组(P<0.05)。结论维持性血液透析患者开展卧式踏车训练具有显著效果,可有利于改善患者运动能力和营养状况及生存质量。Objective To investigate the effect of horizontal treadmill training in maintenance hemodialysis patients.Methods 101 patients with maintenance hemodialysis admitted to our hospital from June 2018 to December 2018 were selected and divided into control group(50 cases)and study group(51 cases)according to computer sequence number.The control group received routine intervention,and the study group received horizontal treadmill training on the basis of the control group.The nutritional indicators and quality of life of the two groups of patients after training were observed,and the exercise ability(grip strength,6 min walking distance)of the two groups of patients before and after intervention was tested.Results AIb level in the study group was significantly higher than that in the control group(P<0.05),and there was no significant difference in BMI,TC,CSA and TS between the two groups(P>0.05).The scores of physiological function,physiological function,physical pain,overall health,emotional function,mental health,vitality and social function in the study group were significantly higher than those in the control group(P<0.05).After intervention,the grip strength of patients in the two groups was significantly increased compared with that before intervention,and the walking distance of 6 min was significantly longer than that before intervention,but the treatment group was significantly better than the control group after intervention(P<0.05).Conclusions Horizontal treadmill training has a significant effect in maintenance hemodialysis patients,which can improve the patients′athletic ability,nutritional status and quality of life.

关 键 词：运动能力 卧式踏车训练 维持性血液透析 生存质量 

分 类 号：R473.5[医药卫生—护理学]