有氧联合抗阻运动对老年维持性血液透析肥胖型肌少症患者的影响  

Effect of aerobic combined with resistance exercise on elderly maintenance hemodialysis patients with sarcopenic obesity

作　　者：方孟 戴敏[2] 杨文娟 张程 孙诚东 Fang Meng;Dai Min;Yang Wenjuan;Zhang Cheng;Sun Chengdong(School of Nursing,Huzhou University,Huzhou 313000,China)

机构地区：[1]湖州师范学院护理学院,浙江湖州313000 [2]湖州市第一人民医院

出　　处：《护理学杂志》2023年第5期95-100,共6页Journal of Nursing Science

基　　金：浙江省医药卫生科技计划项目(2022KY1224)。

摘　　要：目的探讨有氧联合抗阻运动对老年维持性血液透析肥胖型肌少症患者的影响,为制订有效的运动干预措施提供参考。方法采用便利抽样法,选取行维持性血液透析的肥胖型肌少症患者随机分配为干预组(n=30)和对照组(n=30)。对照组给予常规护理,干预组在对照组基础上,给予上肢弹力球、下肢弹力带加空中踩脚踏车的有氧联合抗阻运动。干预12周,对两组重要肌肉、肥胖、实验室指标及生活质量得分进行比较。结果干预组29例、对照组30例完成研究。6周后干预组内脏脂肪面积显著低于对照组;12周后干预组握力、血清白蛋白及生活质量得分显著高于对照组,体脂率、内脏脂肪面积显著低于对照组(均P<0.05)。结论有氧联合抗阻运动可有效改善老年维持性血液透析肥胖型肌少症患者的肌肉力量及营养状况,提高生活质量。Objective To explore the effect of aerobic combined with resistance exercise on elderly maintenance hemodialysis(MHD)patients with sarcopenic obesity,so as to provide a reference for developing effective exercise intervention measures.Methods Convenience sampling method was adopted to select 60 MHD patients with sarcopenic obesity,then they were randomized into an intervention group and a control group,with 30 cases in each group.The control group received routine nursing,while the intervention group additionally conducted aerobic combined with resistance exercise of upper limb elastic ball,lower limb elastic band and aerial bicycle.After the intervention for 12 weeks,important muscles,obesity,laboratory indexes and the Kidney Disease Questionnaire(KDQ)score were compared between the two groups.Results A total of 29 patients in the intervention group and 30 patients in the control group completed the study.After 6 weeks of the intervention,the area of visceral fat(VFA)in the intervention group was significantly lower than that in the control group;after 12 weeks,the grip strength,serum albumin and KDQ score in the intervention group were significantly higher than those in the control group,and its body fat percentage and VFA were significantly lower than those in the control group(all P<0.05).Conclusion Aerobic combined with resistance exercise can effectively improve the muscle strength and nutritional status of elderly MHD patients with sarcopenic obesity,and improve their quality of life.

关 键 词：老年人 维持性血液透析 肥胖型肌少症 有氧运动 抗阻运动 握力 血清白蛋白 内脏脂肪面积 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]