维持性血液透析患者运动康复现状
Current Situation of Exercise Rehabilitation in Maintenance Hemodialysis Patients
DOI: 10.12677/ACM.2020.102021, PDF,   
作者: 戴祺洁:南京中医药大学附属医院,江苏 南京
关键词: 维持性血液透析运动康复综述Maintenance Hemodialysis Exercise Rehabilitation Review
摘要: 血液透析是尿毒症患者最主要的治疗手段,随着血液净化治疗普及化,透析模式和技术不断提升,患者的生存期显著延长。长期透析患者体力活动普遍偏低,呈持续下降的趋势,是患者生活质量和死亡率的重要独立预测因子。运动康复可提高患者生活质量,降低死亡率,但临床患者运动情况并不乐观。现针对目前国内外血透患者运动康复现状做一个阐述,以帮助患者更好地实行运动康复。
Abstract: Hemodialysis is the main treatment for uremia patients, with the popularization of blood purifica-tion treatment and the continuous improvement of dialysis mode and technology, the survival pe-riod of patients has been significantly prolonged. Physical activity in long-term dialysis patients is generally low, showing a continuous downward trend, which is an important independent predictor of quality of life and mortality. Exercise rehabilitation can improve the quality of life of patients and reduce the death rate, but the clinical patients exercise is not optimistic, now according to the current situation of hematodialysis patients at home and abroad to do a sports rehabilitation to help patients better exercise rehabilitation.

文章引用:戴祺洁. 维持性血液透析患者运动康复现状[J]. 临床医学进展, 2020, 10(2): 129-133. https://doi.org/10.12677/ACM.2020.102021

参考文献

[1] O’Hare, A.M., Tawney, K., Bacchetti, P., et al. (2003) Decreased Survival among Sedentary Patients Undergoing Di-alysis: Results from the Dialysis Morbidity and Mortality Study Wave 2. American Journal of Kidney Diseases, 41, 447-454. [Google Scholar] [CrossRef] [PubMed]
[2] Delgado, C. and Johansen, K.L. (2010) Deficient Coun-seling on Physical Activity among Nephrologists. Nephron Clinical Practice, 116, c330-c336. [Google Scholar] [CrossRef] [PubMed]
[3] Painter, P., Carlson, L., Carey, S., et al. (2004) Determinants of Exercise Encouragement Practices in Hemodialysis Staff. Nephrology Nursing Journal of the American Nephrology Nurses As-sociation, 31, 67.
[4] Moorman, D., Suri, R., Hiremath, S., et al. (2019) Benefits and Barriers to and Desired Out-comes with Exercise in Patients with ESKD. Clinical Journal of the American Society of Nephrology, 14, 268-276. [Google Scholar] [CrossRef
[5] 王明君, 涂兰凤, 杨芳, 等. 维持性血液透析患者抑郁现状调查及影响因素分析[J]. 山西医药杂志, 2014(15): 1765-1767.
[6] 梁辑. 老年慢性肾衰血透患者常见神经精神症状及相关影响因素[J]. 中国实用神经疾病杂志, 2015, 18(14): 79-80.
[7] 伍莉. 维持性血液透析患者的心理弹性水平分析及心理康复干预对策[J]. 中国健康心理学杂志, 2018, 26(9): 1349-1352.
[8] Fiaccadori, E., Sabatino, A., Schito, F., et al. (2014) Barriers to Physical Activity in Chronic Hemodialysis Patients: A Single-Center Pilot Study in an Italian Dialysis Facility. Kidney and Blood Pressure Research, 39, 169-175. [Google Scholar] [CrossRef] [PubMed]
[9] 王星燕, 计丹英, 王蕊, 等. 血液透析病人透析期间运动现状及意愿和障碍的调查分析[J]. 护理研究, 2014(28): 3504-3507.
[10] Jafarzadeh Esfehani, A. and Dashti, S. (2012) Barriers to Exercise Participation among Dialysis Patients. Nephrology Dialysis Transplantation, 27, 3964-3964. [Google Scholar] [CrossRef] [PubMed]
[11] Karakan, S., Sezer, S. and Ozdemir, F.N. (2011) Factors Related to Fatigue and Subgroups of Fatigue in Patients with End-Stage Renal Disease. Clinical Nephrology, 76, 358-364. [Google Scholar] [CrossRef
[12] 廖菲芸. 维持性血液透析患者运动疗法治疗新进展[J]. 临床合理用药杂志, 2016, 9(10): 178-179.
[13] Nonoyama, M.L., Brooks, D., Ponikvar, A., et al. (2010) Exercise Program to En-hance Physical Performance and Quality of Life of Older Hemodialysis Patients: A Feasibility Study. International Urology and Nephrology, 42, 1125-1130. [Google Scholar] [CrossRef] [PubMed]
[14] 中国医师协会康复医师分会肾康复专业委员会. 我国成人慢性肾脏病患者运动康复的专家共识[J]. 中华肾脏病杂志, 2019, 35(7): 537-543.
[15] 张书光. 走路是洗肾患者最好的运动[J]. 台北透析通讯, 2010, 37(9): 9.
[16] 丁向. 居家有氧运动对维持性血液透析患者疲倦及睡眠质量的影响[J]. 当代护士: 专科版(下旬刊), 2015(3): 126-128.
[17] 王欣欣, 孙超, 崔佳祯, 等. 透析中递增式抗阻运动改善维持性血液透析患者的心肺耐力、心理状态和健康相关生活质量[J]. 中国血液净化, 2014, 5(13): 390-393.
[18] Konstantinidou, E., Koukouvou, G., Kouidi, E., et al. (2002) Exercise Training in Patients with End-Stage Renal Disease on Hemodialysis: Comparison of Three Rehabilitation Programs. Journal of Rehabilitation Medicine, 34, 40-45. [Google Scholar] [CrossRef] [PubMed]
[19] Parker, K. (2016) Intradialytic Exercise Is Medicine for He-modialysis Patients. Current Sports Medicine Reports, 15, 269-275.
[20] Cheema, B.S., Smith, B.C. and Singh, M.A. (2005) A Rationale for Intradialytic Exercise Training as Standard Clinical Practice in ESRD. American Journal of Kidney Diseases, 45, 912-916. [Google Scholar] [CrossRef] [PubMed]
[21] 张新, 黄静, 李新, 等. 运动强度及透析龄等相关因素对血液透析患者骨密度的影响[J]. 中国血液净化, 2014(4): 21-25.
[22] Orcy, R., Antunes, M.F., Schiller, T., et al. (2014) Aerobic Exercise Increases Phosphate Removal during Hemodialysis: A Controlled Trial. Hemodialysis International, 18, 450-458. [Google Scholar] [CrossRef] [PubMed]
[23] Franklin, B.A. and Billecke, S. (2012) Putting the Benefits and Risks of Aerobic Exercise in Perspective. Current Sports Medicine Reports, 11, 201-208. [Google Scholar] [CrossRef
[24] Sheng, K., Zhang, P., Chen, L., et al. (2014) Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis. American Journal of Nephrology, 40, 478-490. [Google Scholar] [CrossRef] [PubMed]