周期性抗阻训练联合合理膳食对血液透析伴肌少症患者生存质量的影响

Effects of periodic resistance training combined with reasonable diet on the life quality of hemodialysis patients with sarcopenia

目的探讨周期性抗阻训练联合合理膳食对血液透析伴肌少症患者生存质量的影响。方法选择2016年11月至2021年8月无锡联勤保障部队第九〇四医院血液透析中心收治的82例血液透析伴肌少症患者作为研究对象,采用数字表法随机将其分为2组,每组41例,对照组开展常规护理+合理膳食,观察组在此基础上开展周期性抗阻训练。观察并比较2组患者入组时及干预12周后的肌力水平及生存质量。结果干预12周后,对照组英国医学研究委员会(Medical Research Council,MRC)上肢肌力分级评分较入组时明显提高,观察组上、下肢MRC评分均较入组时明显提高(P<0.05),且观察组上、下肢MRC评分均高于对照组(P<0.05);干预12周后,对照组中文版肌肉衰减症专用生活质量量表(sarcopenia quality of life,SarQoL^(■))中运动能力领域评分较入组时明显降低,功能表现和休闲活动领域评分较入组时明显提高,观察组SarQoL^(■)各领域评分及总分较入组时均明显提高(P<0.05),且观察组SarQoL^(■)各项评分及总分均高于对照组(P<0.05)。结论针对血液透析伴肌少症患者联合实施周期性抗阻训练和合理膳食,可增强其肌力,提高生存质量。

Objective To investigate the effects of periodic resistance training combined with reasonable diet on the life quality of hemodialysis patients with sarcopenia.Methods 82 hemodialysis patients with sarcopenia treated from November 2016 to August 2021 in the Hemodialysis Center of the 904th Hospital of Joint Support Force were selected as research subjects,and were randomly divided into two groups.The control group received routine nursing+reasonable diet,while the observation group was treated with periodic resistance training on the basis of the control group.The muscle strength and life quality of the two groups at enrollment and 12 weeks after intervention were observed and compared between the 2 groups.Results After 12 weeks of intervention,the British Medical Research Council(MRC)upper limb muscle strength grading scores in the control group significantly increased than that at enrollment,and the MRC scores of the lower limbs in the observation group were significantly higher than those at enrollment(P<0.05),and the MRC scores of the upper and lower limbs in the observation group were all higher than those in the control group(P<0.05).After 12 weeks of intervention,the motion ability scores at enrollment by the Chinese version of the Sarcopenia Quality of Life(SarQoL^(■))in the control group significantly decreased as compared with those at enrollment,while the scores of functional performance and leisure activities significantly increased,as compared with those at enrollment.Various SarQoL^(■)scores and total scores in the observation group significantly increased than those at enrollment(P<0.05),with various SarQoL^(■)scores and total scores in the observation group being higher than those in the control group(P<0.05).Conclusion The implementation of periodic resistance training plus reasonable diet for treatment of the sarcopenia patients with hemodialysis could enhance muscle strength and achieve positive effects on improvement of their life quality.