呼吸训练联合低强度有氧-抗阻运动用于维持性透析的效果评价OA
Evaluation of the effect of respiratory training combined with low-intensity aerobic-resistance exercise in maintaining he-modialysis patients' health
目的 探讨呼吸训练联合低强度有氧运动与抗阻运动对维持性透析患者睡眠及肺功能的改善作用.方法 前瞻性选取2022年至2025年北京市昌平区医院收治的86例维持性透析患者,采用随机数字表法分为研究组(呼吸训练联合低强度有氧运动与抗阻运动干预)与对照组(常规维持性透析干预),每组各43例.观察比较两组干预前后患者睡眠状态、肺功能、运动耐力、生活质量.结果 与干预前相比,干预后4、8、12周两组匹兹堡睡眠质量指数(PSQI)评分均有下降(P＜0.05).干预后 4 周、8 周、12 周,研究组 PSQI 评分(9.88±1.93 vs 11.32±1.60;7.51±1.34 vs 10.44±1.55;5.44±1.12 vs 9.63±1.46)均低于对照组(P＜0.05).与干预前相比,干预后12周两组用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、最大自主通气量(MVV)、6分钟步行距离(6MWD)、握力、60秒坐站次数(STS60)、肾脏病生活质量量表(KDTA)评分、健康调查简表(SF-36)评分均有上升(P＜0.05).干预12周后研究组FVC(2.49±0.32 vs 2.22±0.38)、FEV1(2.13±0.33 vs 1.92±0.35)、MVV(76.09±9.00 vs 69.37±8.85)、6MWD(383.85±25.91 vs 345.40±26.81)、握力(28.45±3.64 vs 26.61±3.36)、STS60(18.41±2.18 vs 16.66±2.04)、KDTA 评分(85.63±5.42 vs 80.41±5.90)、SF-36 评分(80.85±6.11 vs 75.95±6.70)均高于对照组(P＜0.05).结论 呼吸训练联合低强度有氧运动与抗阻运动可显著改善维持性透析患者睡眠质量及肺功能,提升运动耐力与生活质量,效果优于常规干预.
Objective To investigate the effect of respiratory training combined with low-intensity aerobic-resistance exercise on sleep and lung function in maintenance hemodialysis patients.Methods 86 patients with maintenance hemodialysis from 2022 to 2025 were prospectively selected and randomly divided into the study group(intervention with respiratory training combined with low-intensity aerobic-resistance exercise)and the control group(intervention with conventional maintenance hemodialysis),with 43 cases in each group.The sleep status,lung function,exercise tolerance and quality of life of the two groups before and after interven-tion were observed and compared.Results Compared with those before intervention,the Pittsburgh Sleep Quality Index(PSQI)scores of the two groups decreased at 4,8 and 12 weeks after intervention(P＜0.05).At 4,8 and 12 weeks after intervention,the PSQI scores of the study group were(9.88±1.93 vs 11.32±1.60;7.51±1.34 vs 10.44±1.55;5.44±1.12 vs 9.63±1.46),which were significantly lower than those of the control group(P＜0.05).Compared with those before intervention,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),maximum voluntary ventilation(MVV),6-minute walking distance(6MWD),grip strength,60-second sit-to-stand test(STS60)count,Kidney Disease Quality of Life Scale(KDTA)score and Short Form 36 Health Survey(SF-36)score of the two groups increased after 12 weeks of intervention(P＜0.05).At 12 weeks after intervention,the FVC(2.49±0.32 vs 2.22±0.38),FEV1(2.13±0.33 vs 1.92±0.35),MVV(76.09±9.00 vs 69.37±8.85),6MWD(383.85±25.91 vs 345.40±26.81),grip strength(28.45±3.64 vs 26.61±3.36),STS60 count(18.41±2.18 vs 16.66±2.04),KDTA score(85.63±5.42 vs 80.41±5.90)and SF-36 score(80.85±6.11 vs 75.95±6.70)of the study group were significantly higher than those of the control group(P＜0.05).Conclusion Respiratory training combined with low-in-tensity aerobic-resistance exercise can significantly improve the sleep quality and lung function of maintenance hemodialysis patients,enhance their exercise endurance and quality of life,and its effect is better than that of conventional intervention.
王磊;谷磊
北京市昌平区医院肾内科 102200北京小汤山医院康复科 102200
维持性透析呼吸训练低强度有氧-抗阻运动睡眠肺功能
maintenance hemodialysisrespiratory traininglow-intensity aerobic-resistance exercisesleeplung function
《中国老年保健医学》 2026 (2)
3-8,6
首都卫生行业发展科研专项(老年患者在传统和老年医疗服务模式下的临床对照研究,编号:首发2018-1-2191)
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