阶梯式握力锻炼对慢性肾脏病4期前臂血管过细患者的影响  

Effect of stepped grip strength exercise on patients with forearm hypervascularity of stage 4 chronic kidney disease

作　　者：熊慧 陈卓敏[2] 万小惠 潘婕 张晶[1] 谢凯旋 刘娜娜 聂荣璐 Xiong Hui;Chen Zhuomin;Wan Xiaohui;Pan Jie;Zhang Jing;Xie Kaixuan;Liu Nana;Nie Ronglu(Department of Nephrology,908th Hospital of Joint Logistic Support Force,Chinese People's Liberation Army,Nanchang 330002,China;Nursing Department,908th Hospital of Joint Logistic Support Force,Chinese People's Liberation Army,Nanchang 330002,China)

机构地区：[1]中国人民解放军联勤保障部队第九○八医院肾内科,南昌330002 [2]中国人民解放军联勤保障部队第九○八医院护理部,南昌330002

出　　处：《国际医药卫生导报》2024年第19期3278-3281,共4页International Medicine and Health Guidance News

基　　金：江西省卫生健康委科技计划(SKJP220212272、SKJP220203329);江西省中医药管理局科技计划(SZYYB20232983)。

摘　　要：目的探讨阶梯式握力锻炼对慢性肾脏病(CKD)4期前臂血管过细患者的影响。方法随机对照研究,选择2018年2月至2021年12月在中国人民解放军联勤保障部队第九○八医院确诊CKD4期前臂血管内径过细患者共54例,按随机数字表法进行分组,对照组27例,男17例,女10例,年龄32~74(49.67±13.03)岁,病程5~21(10.26±4.19)年,采用电子握力器锻炼;试验组27例,男15例,女12例;年龄28~71(50.31±14.43)岁,病程6~23(10.35±3.80)年,采用握力球阶梯式锻炼。比较两组患者锻炼前、锻炼4周及8周后的血管内径及血流速度、依从性情况。统计学方法采用t检验、χ^(2)检验。结果锻炼8周后,对照组与试验组头静脉内径比较[(1.98±0.15)mm比(2.12±0.21)mm],差异有统计学意义(t=4.63,P<0.05);锻炼4周、8周后,对照组与试验组桡动脉血流速度比较[(19.32±0.59)cm/s比(19.85±0.43)cm/s、(21.07±0.49)cm/s比(23.38±0.53)cm/s],差异均有统计学意义(t=3.77、16.63,均P<0.05);锻炼8周后,试验组依从性优于对照组[85.19%(23/27)比51.85%(14/27)],差异有统计学意义(χ^(2)=6.95,P<0.05)。结论阶梯式握力锻炼能扩张头静脉血管内径、加快桡动脉血流速度,改善CKD 4期前臂血管过细患者的血管条件,患者锻炼依从性高。Objective To investigate the effect of stepped grip strength exercise on patients with forearm hypervascularity of stage 4 chronic kidney disease(CKD).Methods A total of 54 patients diagnosed with stage 4 CKD at 908th Hospital of Joint Logistic Support Force,Chinese People's Liberation Army from February 2018 to December 2021 were selected for the randomized controlled trial,and were divided into a control group and an experimental group by the random number table method,with 27 cases in each group.There were 17 males and 10 females in the control group;they were 32 to 74(49.67±13.03)years old;their disease course was 5-21(10.26±4.19)years.There were 15 males and 12 females in the experimental group;the were 28-71(50.31±14.43)years old;their disease course was 6-23(10.35±3.80)years.The control group did exercise with electronic grip apparatus,and the experimental group did stepped grip strength exercise with intelligent grip balls.The vascular diameters and blood flow velocities before exercise and 4 and 8 weeks after exercise and compliance were compared between the two groups.t andχ^(2) tests used.Results After 8 weeks'exercise,the internal diameter of cephalic vein in the control group was lower than that in the experimental group[(1.98±0.15)mm vs.(2.12±0.21)mm],with a statistical difference(t=4.63;P<0.05).After 4 and 8 weeks'exercise,the radial artery blood flow velocities in the control group were lower than those in the experimental group[(19.32±0.59)cm/s vs.(19.85±0.43)cm/s and(21.07±0.49)cm/s vs.(23.38±0.53)cm/s],with statistical differences(t=3.77 and 16.63;both P<0.05).After 8 weeks'exercise,the compliance in the experimental group was higher than that in the control group[85.19%(23/27)vs.51.85%(14/27)],with a statistical difference(χ^(2)=6.95;P<0.05).Conclusion Stepped grip strength exercise for patients with forearm hypervascularity of stage 4 CKD can dilate their inner diameter of the cephalic vein,accelerate the radial artery blood flow,and improve their vascular conditions,with high exe

关 键 词：慢性肾脏病 握力锻炼 自体动静脉内瘘 血管条件 

分 类 号：R692[医药卫生—泌尿科学]