运动疗法对血液透析患者发生低血压的影响
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摘要
目的探究运动疗法对血液透析中低血压的干预效果。方法选取2016年12月～2018年1月在我院血液净化中心进行维持性血液透析治疗的90例尿毒症患者作为研究对象,随机将患者分为A、B、C组,每组各30例。A组为对照组,采用常规治疗,B组患者透析治疗前行20 min脚踏车运动,C组患者透析治疗2 h后行20 min脚踏车运动,监测三组患者6个月内血液透析过程中症状性低血压发生率,需要临床处理及提前结束透析治疗的情况。结果 B、C组患者透析中的症状性低血压发生率、需临床处理占比及需提前结束治疗占比均低于A组,且C组低于B组,差异有统计学意义(P<0.05)。结论运动疗法对血液透析中低血压有良好的干预效果,可降低透析中低血压的发生率,提高患者透析的质量。
Objective To investigate the intervention effect of kinesitherapy on hypotension in hemodialysis. Methods A total of 90 patients with uremia who underwent maintenance hemodialysis in our blood purification center from December 2016 to January 2018 were enrolled in the study. The patients were randomly divided into group A, B and C,with 30 cases in each group. In group A, routine treatment was used as a control group, in group B, 20-minute cycling before dialysis treatment was required, and in group C, 20-minute cycling after dialysis treatment was applied. The incidence rate of symptomatic hypotension during hemodialysis, requiring clinical management and termination of dialysis treatment ahead of time within 6 months of the three groups of patients were monitored. Results The incidence rate of symptomatic hypotension, the proportion of clinical management and termination of dialysis treatment ahead of time in group B and C were lower than those in group A, and these in group C were lower than those in group B, with statistically significant differences(P<0.05). Conclusion Kinesitherapy has a good intervention effect on hypotension in hemodialysis, which can reduce the incidence rate of hypotension in dialysis and improve the quality of dialysis.
Objective To investigate the intervention effect of kinesitherapy on hypotension in hemodialysis. Methods A total of 90 patients with uremia who underwent maintenance hemodialysis in our blood purification center from December 2016 to January 2018 were enrolled in the study. The patients were randomly divided into group A, B and C,with 30 cases in each group. In group A, routine treatment was used as a control group, in group B, 20-minute cycling before dialysis treatment was required, and in group C, 20-minute cycling after dialysis treatment was applied. The incidence rate of symptomatic hypotension during hemodialysis, requiring clinical management and termination of dialysis treatment ahead of time within 6 months of the three groups of patients were monitored. Results The incidence rate of symptomatic hypotension, the proportion of clinical management and termination of dialysis treatment ahead of time in group B and C were lower than those in group A, and these in group C were lower than those in group B, with statistically significant differences(P<0.05). Conclusion Kinesitherapy has a good intervention effect on hypotension in hemodialysis, which can reduce the incidence rate of hypotension in dialysis and improve the quality of dialysis.
引文
[1]黄琪,刘曼,杨龙娜,等.循证护理在血液透析低血压患者中的应用[J].护理实践与研究,2016,13(2):56-58.
[2]Kirsch AH,Lyko R,Nilsson LG,et al.Performance of hemodialysis with novel medium cut-off dialyzers[J].Nephrol Dial Transplant,2017,32(1):165-172.
[3]马丽波.预防性护理干预对维持性血液透析患者低血压的影响效果[J].中国医药指南,2016,14(6):284-285.
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[6]卢娟.探讨早期护理干预对血液透析低血压的防治效果[J].医学信息,2014,46(9):122.
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[8]Besnier F,Laruelle E,Genestier S,et al.Effecise training on ergocycle during hemodialysis in patients with end stage renal disease:relevance of the anaerobic threshold intensity[J].Nephrol Ther,2012,8(4):231-237.
[9]Marshall MR,Polkinghorne KR,Kerr PG,et al.Intensive hemodialysis and mortality risk in Australian and New Zealand populations[J].Am J Kidney Dis,2016,67(4):617-628.
[10]廖菲芸.维持性血液透析患者运动情况[J].临床合理用药杂志,2016,9(10):178-179.
[11]张志娟,吴艳青.综合护理干预对维持性血液透析症状性低血压临床效果探讨[J].河北医学,2015,21(11):1905-1907.
[12]刘华.不同透析模式对中老年血液透析患者低血压的影响[J].蚌埠医学院学报,2016,41(10):1370-1372.
[13]鲁秀娟,戴劲芳.预防性护理干预对血液透析中低血压患者的影响[J].贵州医药,2016,40(4):437-438.
[14]赵春香.个体化护理干预在血液透析过程中并发低血压中的效果评价[J].临床合理用药杂志,2016,9(14):115-117.
[15]高占辉,刘静,季大玺.血液透析中低血压的管理[J].中国血液净化,2017,16(5):293-296.
[2]Kirsch AH,Lyko R,Nilsson LG,et al.Performance of hemodialysis with novel medium cut-off dialyzers[J].Nephrol Dial Transplant,2017,32(1):165-172.
[3]马丽波.预防性护理干预对维持性血液透析患者低血压的影响效果[J].中国医药指南,2016,14(6):284-285.
[4]叶任高,沈清瑞.肾脏病诊断与治疗学[M].北京:人民卫生出版社,1994:628-630.
[5]胡秀梅,李芸.分组管理模式对减少血液透析患者发生透析中低血压的研究[J].护士进修杂志,2017,32(4):341-343.
[6]卢娟.探讨早期护理干预对血液透析低血压的防治效果[J].医学信息,2014,46(9):122.
[7]颜新艳,黄金薛.维持性血液透析患者病人透析中运动疗法的类型和效果[J].国际移植与血液净化杂志,2015,13(6):1-4.
[8]Besnier F,Laruelle E,Genestier S,et al.Effecise training on ergocycle during hemodialysis in patients with end stage renal disease:relevance of the anaerobic threshold intensity[J].Nephrol Ther,2012,8(4):231-237.
[9]Marshall MR,Polkinghorne KR,Kerr PG,et al.Intensive hemodialysis and mortality risk in Australian and New Zealand populations[J].Am J Kidney Dis,2016,67(4):617-628.
[10]廖菲芸.维持性血液透析患者运动情况[J].临床合理用药杂志,2016,9(10):178-179.
[11]张志娟,吴艳青.综合护理干预对维持性血液透析症状性低血压临床效果探讨[J].河北医学,2015,21(11):1905-1907.
[12]刘华.不同透析模式对中老年血液透析患者低血压的影响[J].蚌埠医学院学报,2016,41(10):1370-1372.
[13]鲁秀娟,戴劲芳.预防性护理干预对血液透析中低血压患者的影响[J].贵州医药,2016,40(4):437-438.
[14]赵春香.个体化护理干预在血液透析过程中并发低血压中的效果评价[J].临床合理用药杂志,2016,9(14):115-117.
[15]高占辉,刘静,季大玺.血液透析中低血压的管理[J].中国血液净化,2017,16(5):293-296.