Analysis of the Effect of Horizontal Pedal Exercise Assisted Blood Purification in the Treatment of Maintenance Hemodialysis Patients during Dialysis
Objective:To evaluate the effectiveness of horizontal pedal exercise assisted blood purification in the treatment of maintenance hemodialysis(MHD)patients during dialysis.Methods:Sixty patients who received MHD treatment in our hospital from December 2021 to June 2023 were randomly divided into a control group of 30 cases and an observation group of 30 cases.All study subjects received routine care and health education,and the observation group received horizontal foot exercise during dialysis on this basis.Evaluate and compare biochemical indicators,blood pressure,quality of life,etc.between the two groups.Results:Before treat-ment,there was no difference between the two groups in various biochemical indicators,blood pressure indicators,SF-36 and SDS scores(P>0.05).After 12 weeks of treatment,the levels of Hb,ALB,and blood Ca in the observation group were higher than those in the con-trol group,while blood P,TC,TG,and iPTH were lower than those in the control group(P<0.05).The DBP before dialysis,SBP before dialysis,DBPmax,SBPmax,DBP range and SBP range in the observation group were also lower than those in the control group(P<0.05).The PF,PR,RE,VT and GH scores of the observation group were higher than those of the control group(P<0.05),while the SDS scores were significantly lower than those of the control group(P<0.05).Conclusion:Horizontal pedal exercise during dialysis can im-prove the nutritional status of MHD patients,promote calcium,phosphorus,and lipid metabolism,maintain blood pressure stability,alle-viate depression,and improve quality of life.
Maintenance hemodialysisHorizontal pedal movementExercise during dialysisDialysis efficiencyBlood pressureQuality of Life