腹膜透析患者运动研究进展
Research Progress on Exercise in Patients Undergoing Peritoneal Dialysis
DOI: 10.12677/acm.2026.1693082, PDF,   
作者: 蔡 星：成都中医药大学医学与生命科学学院，四川 成都；陈 瑾*：成都中医药大学医学与生命科学学院，四川 成都；四川省人民医院肾内科暨肾脏病研究所，四川省肾脏疾病临床研究中心，四川省卫生健康委员会肾脏病精准防治医学重点实验室，电子科技大学医学院，四川 成都
关键词: 慢性肾脏病；腹膜透析；运动；体力活动；并发症；Chronic Kidney Disease； Peritoneal Dialysis； Exercise； Physical Activity； Complications
摘要: 腹膜透析(peritoneal dialysis, PD)患者长期受毒素累积、慢性炎症、容量负荷、营养不良、焦虑抑郁及睡眠障碍等因素影响，易出现疲乏、身体功能下降、生活参与受限及病情反复发生及加重。近年来研究发现，有氧运动、抗阻训练、柔韧和平衡训练及数字化运动干预等方式，使PD患者运动耐量、症状负担、生活质量有一定改善。PD患者在运动中存在的风险主要包括对PD管路的影响、腹内压增加导致的腹壁并发症，需要建立个性化运动处方，长期监测。
Abstract: Patients receiving peritoneal dialysis (PD) are chronically exposed to toxin accumulation, persistent inflammation, volume overload, malnutrition, anxiety, depression, and sleep disturbances, which may contribute to fatigue, impaired physical function, restricted participation in daily activities, and recurrent disease episodes or exacerbations. Recent evidence suggests that aerobic exercise, resistance training, flexibility and balance training, and digital exercise interventions may improve exercise tolerance, symptom burden, and quality of life in patients undergoing PD. However, exercise-related risks in this population mainly include potential effects on the PD catheter and increased intra-abdominal pressure, which may lead to abdominal wall complications. Therefore, individualized exercise prescriptions and long-term monitoring should be established for patients undergoing PD.
文章引用：蔡星, 陈瑾. 腹膜透析患者运动研究进展[J]. 临床医学进展, 2026, 16(9): 581-587. https://doi.org/10.12677/acm.2026.1693082

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