首页|低强度有氧训练+膳食管理在尿毒症高通量血液透析患者中的应用效果

低强度有氧训练+膳食管理在尿毒症高通量血液透析患者中的应用效果

Application effect of low-intensity aerobic training + dietary management in uremic patients with high-flux hemodialysis

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目的 探讨低强度有氧训练+膳食管理在尿毒症高通量血液透析患者中的应用效果.方法 选取2019年3月至 2022 年1月本院收治的 90 例尿毒症高通量血液透析患者为研究对象,按照随机数字表法将其分为对照组和观察组,各 45 例.对照组给予膳食管理,观察组在对照组基础上给予低强度有氧训练.比较两组的营养指标、骨骼肌含量、骨矿物质含量、疲劳感、生活质量及护理满意度.结果 干预后,观察组的血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PA)水平高于干预前(P<0.05);干预后,观察组的Hb、ALB、PA水平高于对照组(P<0.05).干预后,两组的骨骼肌及骨矿物质含量高于干预前,且观察组高于对照组(P<0.05).干预后,两组的躯体疲劳、脑力疲劳评分均低于干预前,且观察组低于对照组(P<0.05).干预后,两组的健康调查简表(SF-36)、透析相关生存质量(KDTA)评分均高于干预前,且观察组高于对照组(P<0.05).观察组的护理满意度高于对照组(P<0.05).结论 低强度有氧训练+膳食管理能改善尿毒症高通量血液透析患者的营养状况,增加骨骼质量,缓解疲乏感,改善生活质量,提升满意度.
Objective To investigate the application effect of low-intensity aerobic training + dietary management in uremic patients with high-flux hemodialysis.Methods A total of 90 uremia patients with high-flux hemodialysis admitted in our hospital from March 2019 to January 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 45 cases in each group.The control group was given dietary management,and the observation group was given low-intensity aerobic training on the basis of the control group.The nutritional indexes,skeletal muscle content,bone mineral content,fatigue,quality of life and nursing satisfaction were compared between the two groups.Results After intervention,the levels of hemoglobin(Hb),albumin(ALB)and prealbumin(PA)in the observation group were higher than those before intervention(P<0.05);after intervention,the levels of Hb,ALB and PA in the observation group were higher than those in the control group(P<0.05).After intervention,the skeletal muscle and bone mineral content of the two groups were higher than those before intervention,and those of the observation group were higher than the control group(P<0.05).After intervention,the scores of physical fatigue and mental fatigue in the two groups were lower than those before intervention,and those in the observation group were lower than the control group(P<0.05).After intervention,the scores of the MOS 36-Item Short Form Health Survey(SF-36)and Kidney Disease-Targeted Areas(KDTA)in the two groups were higher than those before intervention,and those in the observation group were higher than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Low-intensity aerobic training + dietary management can improve the nutritional status of uremic patients with high-flux hemodialysis,increase bone quality,relieve fatigue,improve quality of life,and improve satisfaction.

low-intensity aerobic trainingdietary managementuremiahigh-fluxhemodialysis

王国宇

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河南科技大学第一附属医院肾脏内科,河南 洛阳,471000

低强度有氧训练 膳食管理 尿毒症 高通量 血液透析

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(14)
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