慢性肾衰腹透患者靶强度导引式有氧运动锻炼法对其营养状态的影响分析  

Analysis of the influence of targeted intensity guided aerobic exercise on nutritional status of patients with chronic renal failure undergoing peritoneal dialysis

作　　者：王曼利 翁莹莹 张萍 翟小丽[1] 李正夫[1] WANG Manli;WENG Yingying;ZHANG Ping;ZHAI Xiaoli;LI Zhengfu(Department of Nephrology,Jiujiang NO.1 People's Hospital,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院肾内科,江西九江332000

出　　处：《中国当代医药》2023年第16期96-99,103,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211788)。

摘　　要：目的探讨慢性肾衰竭腹膜透析患者靶强度导引式有氧运动锻炼法对其营养状态的影响。方法选取2021年6月至2022年11月九江市第一人民医院收治的80例慢性肾衰竭腹膜透析患者作为研究对象,按照随机数字表法分为对照组(40例)与试验组(40例),对照组采用腹膜透析常规护理方法,试验组在常规护理方法的基础上联合靶强度导引式有氧运动锻炼法,比较两组患者的营养状态、肌肉营养状态、并发症发生情况以及生活质量。结果干预前,两组患者微营养状态评估(MNA)评分比较,差异无统计学意义(P>0.05);干预后3个月,两组患者MNA评分高于本组干预前,且试验组MNA评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者中臂肌围(MAMC)比较,差异无统计学意义(P>0.05);干预后3个月,两组患者MAMC高于本组干预前,且试验组MAMC高于对照组,差异有统计学意义(P<0.05)。试验组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者生活质量评分比较,差异无统计学意义(P>0.05);干预后3个月,两组患者生活质量评分高于本组干预前,且试验组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论靶强度导引式有氧运动锻炼法应用于慢性肾衰竭腹膜透析患者中,能够明显改善患者的营养状态,对患者的生活质量也有一定的提高,还能够减少并发症的发生,值得临床应用。Objective To investigate the effect of targeted intensity guided aerobic exercise on the nutritional status of patients with chronic renal failure undergoing peritoneal dialysis.Methods Eighty patients with chronic renal failure undergoing peritoneal dialysis admitted to Jiujiang NO.1 People's Hospital from June 2021 to November 2022 were selected as the study subjects.They were divided into control group(40 cases)and experimental group(40 cases)according to random number table method.The control group received routine peritoneal dialysis care,while the experimental group received targeted intensity guided aerobic exercise on the basis of routine care.The nutritional and muscle nutritional status,occurrence of complications and quality of life of the two groups were compared.Results Before intervention,there was no statistically significant difference in the mini-nutritional assessment(MNA)score between the two groups(P>0.05).After 3 months of intervention,the MNA score of the two groups of patients was higher than that before the intervention,and the MNA score of the experimental group was higher than that of the control group,with statistically significant differences(P<0.05).Before intervention,there was no statistically significant difference in middle arm muscle circumference after peritoneal dialysis(MAMC)between the two groups(P>0.05).After 3 months of intervention,the MAMC of the two groups was higher than that before the intervention,and the MAMC of the experimental group was higher than that of the control group,with statistically significant differences(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in the quality of life scores between the two groups of patients(P>0.05).After 3 months of intervention,the quality of life scores of the two groups of patients were higher than those before the intervention,and the

关 键 词：慢性肾衰竭腹膜透析 患者 靶强度导引式 有氧运动锻炼法 营养状态 影响 

分 类 号：R459.5[医药卫生—治疗学]