摘要
目的探讨改良经络操在维持性透析患者透析期的应用效果。方法选取2022年1月—2022年12月在浙江中医药大学附属第一医院(浙江省中医院)透析中心进行维持性透析的60例患者为研究对象。将每周一、三、五透析的30例患者设为试验组,每周二、四、六透析的30例患者设为对照组。试验组患者在常规透析治疗的基础上透析期实施改良经络操干预,对照组患者给予常规透析治疗。首次干预6个月后,比较两组患者干预前和干预后的衰弱症状(采用Fried量表)、运动能力(采用3 m往返试验、日常生活能力评定量表)、生化指标[血清白蛋白、尿素清除指数(spKt/V)和超敏C反应蛋白]。结果首次干预6个月后,试验组患者的衰弱改善情况优于对照组患者,其差异具有统计学意义(P<0.05);试验组患者的运动能力优于对照组患者[日常生活能力评定量表评分(98.15±6.38)分vs.(87.86±16.13)分,3 m往返试验时间(13.22±4.96)s vs.(18.27±9.35)s],其差异均具有统计学意义(均P<0.05);生化指标检测:试验组患者spKt/V优于对照组患者[(1.73±0.37)vs.(1.45±0.25)],其差异具有统计学意义(P<0.05);试验组患者血清白蛋白和超敏C反应蛋白与对照组患者比较,其差异均无统计学意义(均P>0.05)。结论改良经络操在维持性透析患者透析期应用能够改善患者衰弱症状、运动能力和透析充分性,提高透析患者的生存质量。
Objective To explore the application effect of modified meridian exercises in maintenance dialysis patients during dialysis.Methods A total of 60 maintenance dialysis patients in the dialysis center of The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine)from January 2022 to December 2022 were selected.The patients who received dialysis every Monday,Wednesday and Friday(n=30)were set as the experimental group.The patients who received dialysis every Tuesday,Thursday and Saturday(n=30)were selected as the control group.On the basis of routine dialysis treatment,patients in the experimental group were given modified meridian exercises during dialysis,while patients in the control group were given routine dialysis treatment.The experimental group and the control group were compared in terms of frailty(Fried scale),motor ability[3 m round-trip test,activity of daily living(ADL)scale],biochemical indexes[serum albumin,urea clearance index(spKt/V)and hypersensitive C-reactive protein(hs-CRP)]before and after 6 months of intervention.Results After 6 months of intervention,the frailty of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).The exercise ability of the experimental group was better than that of the control group[ADL score(98.15±6.38)points vs.(87.86±16.13)points;3 m round-trip test(13.22±4.96)s vs.(18.27±9.35)s],and the differences were statistically significant(all P<0.05).In terms of biochemieal indicators monitoring,urea clearance index(spKt/V)was better than that of the control group[(1.73±0.37)vs.(1.45±0.25)],the difference was statistically significant(P<0.05);The differences in serum albumin and high-sensitivity C-reactive protein(hs-CRP)between the two groups were not statistical significant(all P>0.05).Conclusions The application of modified meridian exercises in maintenance dialysis patients during dialysis can improve their frailty symptoms,exerc
作者
傅恩琴
胡守慈
张晓兰
郑月
周凤花
顾微波
FU Enqin;HU Shouci;ZHANG Xiaolan;ZHENG Yue;ZHOU Fenghua;GU Weibo(Dialysis Center,The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou 310006,China;Department of Nursing,The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou 310006,China;Department of Rehabilitation,The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou 310006,China)
出处
《浙江医学教育》
2023年第6期368-372,378,共6页
Zhejiang Medical Education
基金
浙江省中医药科技计划:“改良经络操在维持性透析患者透析期的应用及其对衰弱的影响研究”(2022ZB141)。
关键词
维持性血液透析
改良经络操
透析期
衰弱
运动能力
Maintenance hemodialysis
Modified meridian exercises
Dialysis period
Frailty
Exercise capacity
