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卧位体操对维持性血液透析患者躯体功能的影响

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目的 探讨卧位体操对维持性血液透析患者躯体功能的影响.方法 选取2022年7月至2023年7月浙江省温州市中西医结合医院调查血液净化中心进行维持性血液透析治疗的100例患者为研究对象,依据随机数字表法将其分为对照组和干预组,各50例.对照组采用血液透析常规护理,干预组在对照组基础上于血液透析治疗开始后进行卧位体操运动干预.收集并统计患者的一般资料,分别于干预前,干预4、8、12周采用健康调查量表36(SF-36)评价躯体功能,采用60 s内坐-站次数(STS-60)评价下肢肌肌肉力量和耐力,使用卷尺测量患者上臂围,采用专用握力表测量握力情况.结果 整体分析发现:两组SF-36评分、STS-60、上臂围、握力时间比较、组间比较、交互作用差异有统计学意义(P<0.05).进一步两两比较,组内比较:干预前与干预4周两组SF-36评分、STS-60、上臂围、握力比较,差异无统计学意义(P>0.05);干预8周,两组SF-36评分、STS-60、上臂围、握力高于干预前及干预4周,差异有统计学意义(P<0.05);干预12周,两组SF-36评分、STS-60、上臂围、握力高于干预前、干预4周、干预8周,差异有统计学意义(P<0.05).组间比较:干预8、12周,干预组SF-36评分、STS-60、上臂围、握力高于对照组,差异有统计学意义(P<0.05).结论 卧位体操对改善维持性血液透析患者的躯体功能具有良好效果.
Effect of recumbent gymnastics on somatic function in maintenance hemodialysis patients
Objective To investigate the effect of recumbent gymnastics on somatic function in maintenance hemodialysis patients.Methods A to-tal of 100 patients undergoing maintenance hemodialysis treatment in the Blood Purification Center,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from July 2022 to July 2023 were selected as the study subjects,and they were divided into control group and inter-vention group according to random number table method,with 50 cases in each group.The control group received routine hemodialysis care,and the intervention group received recumbent gymnastics intervention after the start of hemodialysis treatment on the basis of the control group.General data of all patients were collected and statistically analyzed.somatic function was evaluated by the 36-item short from health survey(SF-36)before intervention,at 4,8,and 12 weeks,respectively;muscle strength and endurance of lower limb muscles were evaluated by 60 s sit-to-stand times(STS-60);upper arm circumference was measured by tape measure;and grip strength was measured by a special grip strength table.Results Over-all analysis showed that there were statistically significant differences in SF-36 score,STS-60,upper arm circumference,grip strength time com-parison,inter-group comparison,and interaction between the two groups(P<0.05).Further pair-to-pair comparison and intra-group comparison:SF-36 score,STS-60,upper arm circumference,and grip strength between the two groups before intervention,and 4 weeks after intervention showed no statistical significances(P>0.05);after 8 weeks of intervention,SF-36 score,STS-60,upper arm circumference,and grip strength of the two groups were higher than before intervention and after 4 weeks of intervention,and the differences were statistically significant(P<0.05);after 12 weeks of intervention,SF-36 score,STS-60,upper arm circumference,and grip strength of the two groups were higher than before intervention,after 4 weeks of intervention and after 8 weeks of intervention,and the differences were statistically significant(P<0.05).Intergroup comparison:after 8 and 12 weeks of intervention,SF-36 score,STS-60,upper arm circumference,and grip strength in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The intervention of recumbent gymnastics on maintenance hemodialysis patients has a good effect on improving the somatic function.

Recumbent gymnasticsMaintenance hemodialysisSomatic function

张娇娜、章丹、陈恬恬、王超超、黄琪瑶

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浙江省温州市中西医结合医院血液净化中心,浙江温州 325000

浙江省温州市中西医结合医院肾内科,浙江温州 325000

卧位体操 维持性血液透析 躯体功能

浙江省卫生健康科技计划项目浙江省温州市基础性科研项目

2022KY1208Y20210517

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
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