生物肌电刺激联合抗阻运动在老年维持性血液透析患者肌少症中的应用  

Effects of biomyoelectric stimulation combined with resistance exercise in sarcopenia among elderly patients undergoing maintenance hemodialysis

作　　者：朱兴春 陈飞[2] 李亚男 Zhu Xingchun;Chen Fei;Li Yanan(Emergency Department,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Emergency Surgical Ward,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京100050 [2]首都医科大学附属北京友谊医院急诊外科病房,北京100050

出　　处：《中华现代护理杂志》2023年第19期2607-2611,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨生物肌电刺激联合抗阻运动干预在老年维持性血液透析(MHD)患者肌少症中的应用效果.方法 采用便利抽样法,选择2021年6月-2022年3月在首都医科大学附属北京友谊医院血液净化中心行MHD治疗的214例患者,按照透析时间分为对照组和观察组,各107例.对照组采取常规护理管理,观察组在对照组基础上予以生物肌电刺激联合抗阻运动干预,为期12周.比较两组患者干预前后全身肌肉质量、四肢骨骼肌质量、握力、6 min步行试验和躯体功能的差异.结果 干预后观察组全身肌肉质量、四肢骨骼肌质量、握力、6 min步行试验、简易躯体功能评估得分均高于对照组,且高于干预前水平,差异有统计学意义(P<0.05).结论 生物肌电刺激联合抗阻运动可以有效提高老年MHD患者的肌肉质量和肌肉功能,改善躯体功能,在防治肌少症方面可以发挥一定作用.Objective To explore the effect of biomyoelectric stimulation combined with resistance exercise in sarcopenia among elderly patients undergoing maintenance hemodialysis(MHD).Methods From June 2021 to March 2022,214 patients who underwent MHD at the Blood Purification Center of Beijing Friendship Hospital,Capital Medical University were selected by convenience sampling.According to the dialysis time,patients were divided into a control group and an observation group,each with 107 cases.The control group received routine nursing,while the observation group received biomyoelectric stimulation combined with resistance exercise on the basis of the control group for a period of 12 weeks.We compared the differences in total body muscle mass,limb skeletal muscle mass,grip strength,6-minute walking test,and body function between two groups of patients before and after intervention.Results After intervention,the total muscle mass,limb skeletal muscle mass,grip strength,6-minute walking test,and Short Physical Performance Battery scores of the observation group were higher than those of the control group,and higher than those before intervention,with statistical differences(P<0.05).Conclusions Biomyoelectric stimulation combined with resistance exercise can effectively improve muscle mass and function in elderly MHD patients,improve physical function,and play a certain role in the prevention and treatment of sarcopenia.

关 键 词：老年人 维持性血液透析 肌少症 生物肌电刺激 抗阻运动 

分 类 号：R473.5[医药卫生—护理学]