腹式呼吸训练干预对糖尿病终末期肾脏病透析患者的康复效能研究OA

Objective:To investigate the improving effect of abdominal breathing training on the rehabilita-tion efficacy of patients with diabetic end-stage renal disease undergoing hemodialysis.Methods:Fifty patients with diabetic end-stage renal disease undergoing hemodialysis were selected as the study subjects and randomly divided into a control group and an experimental group,with 25 cases in each group.The control group received conventional hemodialysis treatment,while the experimental group received traditional Qigong abdominal breathing training in addition to the treatment given to the control group.Both groups were intervened for eight weeks.To observe and compare renal function indicators[serum creatinine(SCr),blood urea nitrogen(BUN)],inflammatory indicators[C-reactive protein(CRP),white blood cell count(WBC),neutrophil percentage(NE%),lymphocyte percentage(LYM%),monocyte percentage(MONO%)],cardiovascular and cerebrovascular disease-related indicators[homocysteine(Hcy)],and blood glucose indicators[glucose(Glu)]between the two groups before and after the intervention.Results:In terms of renal function indicators,after eight weeks of intervention,BUN levels showed a downward trend in both groups,and the difference analysis indicated that the decrease in the experimental group was significantly greater than that in the control group(P<0.05).SCr levels increased slightly in both groups after the intervention,with no statistically significant difference between the groups(P>0.05).Regarding inflammatory indicators,after four and eight weeks of intervention,CRP levels showed a downward trend in both groups,with the experimental group demonstrating a significantly greater decrease than the control group(P<0.05).No significant changes were observed in WBC,NE%,LYM%,or MONO%in either group,and the differences between the groups were not statistically significant(P>0.05).For cardiovascular and cerebro-vascular disease-related indicators,there was a statistically significant difference in baseline Hcy levels between the two groups(P<0.05).During the intervention period,Hcy levels showed an upward trend in the control group and a downward trend in the experimental group.Difference analysis revealed that the magnitude of change in the experimental group was significantly greater than that in the control group after four and eight weeks of intervention(P<0.05).In terms of blood glucose indicators,Glu levels showed a downward trend in the experimental group,with a significantly greater decrease compared to the control group(P<0.05).No adverse reactions occurred in either group.Conclusion:Guided by the traditional Chinese medicine theory of"mutual generation between metal and water,"the traditional Qigong abdominal breathing method can effectively lower blood glucose,improve renal function,reduce inflammatory responses,and help decrease cardiovascular risk indicators.