首页|高强度间歇运动在维持性血液透析患者中的应用

高强度间歇运动在维持性血液透析患者中的应用

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目的 探讨高强度间歇运动(HIIT)与中等强度持续运动(MTCT)在维持性血液透析(MHD)患者中的应用效果.方法 便利选择 2021 年 1 月至 2023 年 1 月进行维持性血液透析患者 160 例作为研究对象,按照随机数字表法分为HIIT组和MICT组.HIIT组采用高强度间歇运动,MICT组采用中等强度持续运动.干预 12 周后,比较 2组患者透析中低血压(Intradialytic hypotension,IDH)发生率以及干预前后生命质量.结果 本研究最终纳入 144 例患者,其中HIIT组 71 例,MICT组 73 例.HIIT组IDH发生率为 5.99%低于MICT组的 8.64%,差异有统计学意义(χ2=13.414,P<0.01).HIIT组眩晕、恶心、呕吐、肌肉痉挛等 IDH 症状发生率低于 MICT 组,差异有统计学意义(P<0.05).干预 12 周后,HIIT组生理功能、生理职能、总体健康、活力、社会功能、情感职能、精神健康等维度得分高于MICT组,差异有统计学意义(P<0.05).结论 HIIT可有效降低MHD患者IHD及相关症状发生率,提高生命质量,干预效果优于MICT.
Applied research of high-intensity interval training in maintenance hemodialysis patients
Objective To assess the effects of high-intensity interval training(HIIT)in comparison with moderate-intensity continuous training(MICT)in patients with maintenance hemodialysis(MHD).Methods One hundred and sixty MHD patients visited the Jiangsu Province Hospital from January 2021 to January 2023 were enrolled as subjects.They were assigned to HIIT group and MICT group by a random number table.HIIT and MICT were applied to patients of HIIT group and MICT group,respectively.After 12 weeks of intervention,the incidence of intradialytic hypotension(IDH)and quality of life were compared between two groups.Results A total of 144 eligible patients were included,representing 71 cases of HIIT group and 73 cases of MICT group.The incidence of IDH in the HIIT group was significantly lower than of the MICT group(5.99%vs 8.64%,χ2=13.414,P<0.01).The incidence of IDH-related symptoms like dizziness,nausea,vomiting,and muscle spasms in the HIIT group were significantly lower than those of the MICT group(P<0.05).After 12 weeks of intervention,the scores of physical functioning,role-physical,general health,vitality,social functioning,role-emotional,mental health in the HIIT group were significantly higher than of the MICT group(P<0.05).Conclusion The intervention effect of HIIT is superior to MICT for MHD patients due to reduced incidence of IHD and its complications,and improved quality of life.

high-intensity interval trainingmoderate-intensity continuous trainingmaintenance hemodialysisend-stage renal disease

徐秀秀、秦文婷、苏晓璇

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210029 南京市,江苏省人民医院(南京医科大学第一附属医院) 老年肾科

高强度间歇运动 中等程度持续运动 维持性血液透析 终末期肾脏病

江苏现代医院管理研究中心专项研究课题

JSYGY-3-2021-PJ89

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(9)
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