透析中运动对维持性血液透析患者透析充分性及睡眠质量的影响

Effects of intradialytic exercise on dialysis adequacy and sleep quality in patients undergoing Maintenance Hemodialysis

目的:研究透析中运动对维持性血液透析患者透析充分性及睡眠质量的影响。方法:将符合纳入条件的维持性血液透析患者,采用随机数字表法分为实验组(n=42)和对照组(n=45)。实验组在常规护理的基础上使用智能运动车进行每周3次透析中个性化的渐进式运动干预,对照组给予常规护理,干预时间为12周。观察两组患者干预12周前后透析充分性和睡眠质量的变化。结果:干预12周后,实验组的KT/V高于对照组(P<0.05),睡眠得分低于对照组(P<0.05)。结论:透析中运动可提高维持性血液透析患者的透析充分性,改善患者睡眠质量。

Objective： To evaluate effects of intradialytic exercise （IDE） on dialysis adequacy and sleep quality in patients undergoing maintenance hemodialysis （MHD）. Methods： MHD patients consistent with inclusion criteria were randomly divided into the experimental group and the controls group. Patients in the experimental group did IDE individual progressive training with smart sports bike on basis of routine care three times a week. And the control group received routine care for 12 weeks. The dialysis adequacy and sleep quality of two groups before and after intervention was observed and compared. Results： After the intervention, the urea clearance index （KT/V） of the experimental group was higher than that of the control group （P〈0.05）. The score of sleep quality of the experimental group was lower than that in the control group （P 〈0.05）. Conclusion： IDE can improve the dialysis adequacy and sleep quality in MHD patients.