摘要
目的探讨饮食管理联合有氧运动对维持性腹膜透析患者容量负荷和心功能的影响。方法选择2017年8月至2019年3月西安交通大学第二附属医院收治的100例维持性腹膜透析患者,按照随机数字表法分为干预组和对照组各50例。对照组给予常规护理,干预组在常规护理基础上予以饮食管理联合有氧运动。分别于干预前和干预6个月评价患者的容量状态、水肿程度和心功能。结果干预6个月,干预组体质量、24 h超滤量、24 h饮水量、收缩压、细胞外液和细胞外液比率分别为(58.99±7.30)kg、(366.41±66.92)ml、(565.08±102.24)ml、(142.64±11.70)mmHg(1 mmHg=0.133 kPa)、(12.30±2.01)L、0.39±0.08,明显低于对照组的(63.46±12.90)kg、(431.90±78.92)ml、(625.35±91.31)ml、(150.11±11.44)mmHg、(14.37±4.12)L、0.43±0.07,差异有统计学意义(t值为2.026~4.208,均P<0.05);干预组左心室射血分数、二尖瓣前向血流E峰与A峰比值(E/A)分别为(61.38±9.42)%、1.15±0.35,明显高于对照组的(57.04±7.83)%和1.00±0.29,差异有统计学意义(t值为2.358、2.113,均P<0.05)。干预6个月,干预组无水肿患者明显增多,Ⅲ级水肿患者明显减少,2组患者水肿程度比较差异有统计学意义(Z值为3.153,P<0.01)。结论饮食管理联合有氧运动能有效控制腹膜透析患者的容量状态,改善患者的水肿程度和心功能。
Objective To explore the effect of aerobic exercise combined with diet management on volume overload and cardiac function in patients with peritoneal dialysis.Methods A total of 100 patients who received peritoneal dialysis in the Second Affiliated Hospital of Xi'an Jiaotong University from August 2017 to March 2019 were recruited in the present study.Patients were randomly divided into intervention group and control group according to the random number table(50 cases in each group).The control group received routine nursing,while the intervention group carried out aerobic exercise combined with diet management on the basis of routine nursing.Before and after 6 months of intervention,the volume status,edema degree and cardiac function were compared between the two groups.Results After 6 months of intervention,the levels of body weight,24 h urine volume,24 h ultrafiltration volume,systolic pressure,extracellular water,and extracellular water/total body water were(58.99±7.30)kg,(366.41±66.92)ml,(565.08±102.24)ml,(142.64±11.70)mmHg(1 mmHg=0.133 kPa),(12.30±2.01)L,0.39±0.08 in the intervention group,significantly lower than in the control group(63.46±12.90)kg,(431.90±78.92)ml,(625.35±91.31)ml,(150.11±11.44)mmHg,(14.37±4.12)L,0.43±0.07,the differences were statistically significant(t values were 2.026-4.208,all P<0.05);the left ventricular ejection fractions,E/A were(61.38±9.42)%,1.15±0.35 in the intervention group,significantly higher than in the control group(57.04±7.83)% and 1.00±0.29,the differences were statistically significant(t values were 2.358,2.113,all P<0.05).After 6 months of intervention,the normal ratio increased and Ⅲ grade ratio decreased in the intervention group,the difference of edema degree between the two groups was statistically significant(Z value was 3.153,P<0.01).Conclusions Aerobic exercise combined with diet management can effectively control the volume overload status and improve the cardiac function of patients with peritoneal dialysis.
作者
王利
周美美
王京
任英
马小琴
Wang Li;Zhou Meimei;Wang Jing;Ren Ying;Ma Xiaoqin(Department of Critical Care Medicine,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China;Department of Nephrology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)
出处
《中国实用护理杂志》
2021年第36期2813-2818,共6页
Chinese Journal of Practical Nursing
关键词
饮食干预
有氧运动
腹膜透析
容量负荷
心功能
Diet management
Aerobic exercise
Peritoneal dialysis
Volume overload
Cardiac function
