摘要
目的 :对造血干细胞移植(HSCT)期间患儿实施运动锻炼,分析其可行性与安全性。方法 :对2016年1月至2017年3月间入住上海某专科儿童医院进行HSCT并符合纳入标准的患儿进行医护人员监督指导下的运动锻炼,使用脚踏功率自行车进行有氧及抗阻运动,同时收集患儿的一般资料、运动消耗及过程数据。结果 :共纳入44例HSCT患儿,其中31名完成运动锻炼计划,总运动次数为363次;运动期间出现恶心中止运动1例,其余无运动相关并发症或不良反应发生。大部分运动指标呈现先降后升的趋势,第四周降至低谷,而被动运动时间的变化则相反。结论 :在临床专业人员的评估、指导及监测下,HSCT期间患儿可以在住院时进行中低强度的有氧加抗阻运动锻炼。
Objective： To implement the exercise therapy for children with Hematopoietic Stem Cell Transplantation （HSCT）, and assess its feasibility. Methods： Eligible HSCT children admitted to a specialized children＇s hospital in Shanghai during 2016 January to 2017 March were enrolled. All the children were instructed with aerobic exercise and resistance exercise therapy with a cycle ergometer, under the supervision of the therapist or trained nurse. The basic information, energy expenditure and monitoring data were assessed and documented. Results： Totally 31 children among the 44 cases completed the therapy, and the total number of exercises was 363. Only one child stopped exercise due to nausea. Most exercise indexes showed a trend of falling first and then rising, with the lowest point in the fourth week. While the change trend of passive exercise time was just opposite. Conclusion： Moderate or low intensity aerobic exercise and resistance exercise therapy for children with HSCT is acceptable with the assessment, guidance, and monitoring of the clinical professionals.
作者
张冰花
何梦雪
沈南平
ZHANG Binghua;HE Mengxue;SHEN Nanping(Department of Hematology and Oncology,Shanghai Children＇s Medical Center affiliated to Shanghai Jiaotong University School of Medicine,Shanghai,200127,China)
出处
《中国护理管理》
CSCD
北大核心
2018年第11期1540-1543,共4页
Chinese Nursing Management
基金
上海市卫生和计划生育委员会科研课题资助项目(201540353)
关键词
造血干细胞移植
儿童
运动锻炼
可行性
Hematopoietic Stem Cell Transplantation
pediatric patients
exercise therapy
feasibility
