[an error occurred while processing this directive]
护理研究

血液透析中有氧运动干预对患者生存状态及生活质量影响的Meta分析

  • 郭状状 ,
  • 虞梁 ,
  • 杨家慧 ,
  • 李玲玲 ,
  • 徐玮 ,
  • 朱亚梅
展开
  • 210029 南京,1江苏省人民医院南京医科大学第一附属医院血液净化中心
    211112 南京,2南京医科大学附属第一临床医学院

收稿日期: 2024-02-19

  修回日期: 2024-07-24

  网络出版日期: 2024-10-12

基金资助

210029 南京,1江苏省人民医院南京医科大学第一附属医院血液净化中心
211112 南京,2南京医科大学附属第一临床医学院

Effects of intradialytic aerobic exercise on survival status and quality of life in patients undergoing maintenance hemodialysis: a meta-analysis

  • GUO Zhuang-Zhuang ,
  • YU Liang ,
  • YANG Jia-Hui ,
  • LI Ling-Ling ,
  • XU Wei ,
  • ZHU Ya-Mei
Expand
  • Center of Blood Purification, Jiangsu Province Hospital, Nanjing 210029, China; 2The First Affiliated Clinical Medical College of Nanjing Medical University, Nanjing 211112, China 

Received date: 2024-02-19

  Revised date: 2024-07-24

  Online published: 2024-10-12

Supported by

Center of Blood Purification, Jiangsu Province Hospital, Nanjing 210029, China; 2The First Affiliated Clinical Medical College of Nanjing Medical University, Nanjing 211112, China

摘要

目的  评估透析中有氧运动干预对维持性血液透析患者生存状态及生活质量的影响。 方法  系统检索PubMed、EMBASE、MEDLINE、Google Scholar、Cochrane Library、万方、维普及中国知网数据库中涉及透析中有氧运动干预的随机对照研究。时限定至2023年10月1日。使用Jadad量表进行质量评估,Stata 12.0软件进行Meta分析。 结果  最终纳入文献30篇。Meta分析结果显示干预组透析性低血压事件(OR=0.410,95% CI:0.181~0.930,P=0.033)、国际不宁腿综合症评分(WMD=-4.661, 95% CI:-5.331~-3.992,P<0.001)、60s起坐次数(WMD=3.075,95% CI:1.367~4.783,P<0.001)、5次起坐时间(WMD=-1.447,95% CI:-2.716~-0.237,P=0.020)、10次起坐时间(WMD=-4.630,95% CI:-7.41~-1.849,P=0.001)、6 min步行测试(WMD=44.903,95% CI:32.651~57.155,P<0.001)、握力(WMD=6.207,95% CI:3.368~9.046,P<0.001)、单室尿素清除指数(WMD=0.095,95% CI:0.051~0.140,P<0.001)、尿素减少率(WMD=4.820,95% CI:3.565~6.075,P<0.001)及生活质量评分较常规护理组改善。此外,亚组分析提示长期干预组透析充分性(WMD=0.095,95% CI:0.051~0.140,P<0.001)、60s起坐次数(WMD=3.075,95% CI:1.367~4.783,P<0.001)及6 min步行距离(WMD=44.903,95% CI:32.651~57.155,P<0.001)较短期干预组改善效果相对更好。 结论  透析中有氧运动干预有效改善患者生存状态及生活质量,且长期干预效果更佳。

关键词: 血液透析; 有氧运动

本文引用格式

郭状状 , 虞梁 , 杨家慧 , 李玲玲 , 徐玮 , 朱亚梅 . 血液透析中有氧运动干预对患者生存状态及生活质量影响的Meta分析[J]. 中国血液净化, 2024 , 23(10) : 790 -794 . DOI: 10.3969/j.issn.1671-4091.2024.10.013

Abstract

Objective  To assess the impact of intradialytic aerobic exercise on survival status and quality of life among maintenance hemodialysis patients. Methods  A systematic literature search for randomized controlled trials on intradialytic aerobic exercise was performed in PubMed, EMBASE, MEDLINE, Google Scholar, Cochrane Library, Wanfang, VIP and China National Knowledge Infrastructure (CNKI) from inception until October first, 2023. The Jadad scale was used to perform quality assessment. The Stata 12.0 software was used to perform meta-analysis.  Results  A total of 30 studies were included. Meta-analysis showed that intradialytic hypotension (OR=0.410, 95% CI:0.181~0.930, P=0.033), restless legs syndrome (WMD=
-4.661, 95% CI:-5.331~-3.992, P<0.001), 60-second sit-to-stand test (WMD=3.075, 95% CI:1.367~4.783, P<0.001), 5-repetition sit-to-stand test (WMD=-1.447, 95% CI:-2.716~-0.237, P=0.020), 10-repetition sit-to-stand test (WMD=-4.630, 95% CI:-7.41~-1.849, P=0.001), 6-minute walk distance (WMD=44.903, 95% CI:32.651~57.155, P<0.001), hand grip strength (WMD=6.207, 95% CI:3.368~9.046, P<0.001), single pool clearance index (WMD=0.095, 95% CI:0.051~0.140, P<0.001), urea reduction ratio (WMD=4.820, 95% CI:3.565~6.075, P<0.001) and life quality scores were improved in the patients with intradialytic aerobic exercise group as compared to the patients using conventional care group. Subgroup analysis suggested that the dialysis adequacy, 60-second sit-to-stand test and 6-minute walking distance improved more in the long-term intervention group than in the short-term intervention group.  Conclusions  Intradialytic aerobic exercise can improve survival status and quality of life in hemodialysis patients, and the effectiveness becomes better in the patients with longer term of the intervention.

参考文献

参考文献:
1. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2020. 395(10225): p. 709-733. DOI: 10.1016/S0140-6736(20)30045-3
2. Rao Q, Zeng J, Wang S.et.al, Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study[J]. J Pain Res, 2022. 15: p. 147-157. DOI: 10.2147/JPR.S345610
3. Wu A W, Fink N E, Marsh-Manzi J V.et.al, Changes in quality of life during hemodialysis and peritoneal dialysis treatment: generic and disease specific measures[J]. J Am Soc Nephrol, 2004. 15(3): p. 743-53. DOI: 10.1097/01.asn.0000113315.81448.ca
4. Spakova I, Zelko A, Rabajdova M.et.al, MicroRNA molecules as predictive biomarkers of adaptive responses to strength training and physical inactivity in haemodialysis patients[J]. Sci Rep, 2020. 10(1): p. 15597. DOI: 10.1038/s41598-020-72542-1
5. Asgari M R, Asghari F, Ghods A A.et.al, Incidence and severity of nausea and vomiting in a group of maintenance hemodialysis patients[J]. J Renal Inj Prev, 2017. 6(1): p. 49-55. DOI: 10.15171/jrip.2017.09
6. Huang M, Lv A, Wang J.et.al, Exercise Training and Outcomes in Hemodialysis Patients: Systematic Review and Meta-Analysis[J]. Am J Nephrol, 2019. 50(4): p. 240-254. DOI: 10.1159/000502447
7. Cooke A B, Ta V, Iqbal S.et.al, The Impact of Intradialytic Pedaling Exercise on Arterial Stiffness: A Pilot Randomized Controlled Trial in a Hemodialysis Population[J]. Am J Hypertens, 2018. 31(4): p. 458-466. DOI: 10.1093/ajh/hpx191
8. Manfredini F, Mallamaci F, D'Arrigo G.et.al, Exercise in Patients on Dialysis: A Multicenter, Randomized Clinical Trial[J]. J Am Soc Nephrol, 2017. 28(4): p. 1259-1268. DOI: 10.1681/ASN.2016030378
9. Clarkson M J, Bennett P N, Fraser S F.et.al, Exercise interventions for improving objective physical function in patients with end-stage kidney disease on dialysis: a systematic review and meta-analysis[J]. Am J Physiol Renal Physiol, 2019. 316(5): p. F856-f872. DOI: 10.1152/ajprenal.00317.2018
10. Jadad A R, Moore R A, Carroll D.et.al, Assessing the quality of reports of randomized clinical trials: is blinding necessary? [J]. Control Clin Trials, 1996. 17(1): p. 1-12. DOI: 10.1016/0197-2456(95)00134-4
11. Cumpston M, Li T, Page M J.et.al, Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions[J]. Cochrane Database Syst Rev, 2019. 10: p. Ed000142. DOI: 10.1002/14651858.ED000142
12. Siddaway A P, Wood A M,Hedges L V, How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses[J]. Annu Rev Psychol, 2019. 70: p. 747-770. DOI: 10.1146/annurev-psych-010418-102803
13. Sterne J A, Sutton A J, Ioannidis J P.et.al, Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials[J]. Bmj, 2011. 343: p. d4002. DOI: 10.1136/bmj.d4002
14. Koufaki P, Mercer T H,Naish P F, Effects of exercise training on aerobic and functional capacity of end-stage renal disease patients[J]. Clin Physiol Funct Imaging, 2002. 22(2): p. 115-24. DOI: 10.1046/j.1365-2281.2002.00405.x.
15. Kopple J D, Wang H, Casaburi R.et.al, Exercise in maintenance hemodialysis patients induces transcriptional changes in genes favoring anabolic muscle[J]. J Am Soc Nephrol, 2007. 18(11): p. 2975-86. DOI: 10.1681/ASN.2006070794
16. Koh K P, Fassett R G, Sharman J E.et.al, Effect of intradialytic versus home-based aerobic exercise training on physical function and vascular parameters in hemodialysis patients: a randomized pilot study[J]. Am J Kidney Dis, 2010. 55(1): p. 88-99. DOI: 10.1053/j.ajkd.2009.09.025
17. Dobsak P, Homolka P, Svojanovsky J.et.al, Intra-dialytic electrostimulation of leg extensors may improve exercise tolerance and quality of life in hemodialyzed patients[J]. Artif Organs, 2012. 36(1): p. 71-8. DOI: 10.1111/j.1525-1594.2011.01302.x
18. Giannaki C D, Sakkas G K, Karatzaferi C.et.al, Effect of exercise training and dopamine agonists in patients with uremic restless legs syndrome: a six-month randomized, partially double-blind, placebo-controlled comparative study[J]. BMC Nephrol, 2013. 14: p. 194. DOI: 10.1186/1471-2369-14-194
19. 李建英, 黄燕林, 滕艳娟等, 运动训练对尿毒症血液透析患者下肢运动功能的影响[J]. 中华现代护理杂志, 2013(15): p. 1749-1750. DOI:10.3760/cma.j.issn.1674-2907.2013.15.004
Li JY, Huang YL, Teng YJ .et al, Effects of exercise training on lower limb motor function in uremic hemodialysis patients[J]. Chinese Journal of Modern Nursing, 2013(15):p.1749-1750. DOI: 10.3760/cma.j.issn.1674-2907.2013.15.004
20. Wu Y, He Q, Yin X.et.al, Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health-related quality of life in patients with uraemia[J]. J Int Med Res, 2014. 42(3): p. 718-27. DOI: 10.1177/0300060513509037
21. Groussard C, Rouchon-Isnard M, Coutard C.et.al, Beneficial effects of an intradialytic cycling training program in patients with end-stage kidney disease[J]. Appl Physiol Nutr Metab, 2015. 40(6): p. 550-6. DOI: 10.1139/apnm-2014-0357.
22. Liao M T, Liu W C, Lin F H.et.al, Intradialytic aerobic cycling exercise alleviates inflammation and improves endothelial progenitor cell count and bone density in hemodialysis patients[J]. Medicine (Baltimore), 2016. 95(27): p. e4134. DOI: 10.1097/MD.0000000000004134.
23. Paluchamy T,Vaidyanathan R, Effectiveness of intradialytic exercise on dialysis adequacy, physiological parameters, biochemical markers and quality of life - A pilot study[J]. Saudi J Kidney Dis Transpl, 2018. 29(4): p. 902-910. DOI: 10.4103/1319-2442.239661.
24. Fernandes A O, Sens Y, Xavier V B.et.al, Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial[J]. Int J Nephrol, 2019. 2019: p. 7857824. DOI: 10.1155/2019/7857824
25. Oliveira E S V R, Stringuetta Belik F, Hueb J C.et.al, Aerobic Exercise Training and Nontraditional Cardiovascular Risk Factors in Hemodialysis Patients: Results from a Prospective Randomized Trial[J]. Cardiorenal Med, 2019. 9(6): p. 391-399. DOI: 10.1159/000501589
26. Cardoso R K, Araujo A M, Del Vechio F B.et.al, Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial[J]. Clin Rehabil, 2020. 34(1): p. 91-98. DOI: 10.1177/0269215519880235.
27. Yeh M L, Wang M H, Hsu C C.et.al, Twelve-week intradialytic cycling exercise improves physical functional performance with gain in muscle strength and endurance: a randomized controlled trial[J]. Clin Rehabil, 2020. 34(7): p. 916-926. DOI: 10.1177/0269215520921923
28. Zhao J, Qi Q, Xu S.et.al, Combined aerobic resistance exercise improves dialysis adequacy and quality of life in patients on maintenance hemodialysis[J]. Clin Nephrol, 2020. 93(6): p. 275-282. DOI: 10.5414/CN110033
29. Fathi M,Hejazi K, The effect of six months aerobic exercise during dialysis on liver enzymes, cystatin C and quality of life of hemodialysis patients[J]. J Sports Med Phys Fitness, 2021. 61(11): p. 1515-1522. DOI: 10.23736/S0022-4707.21.11812-2.
30. 梁轶岚, 何德娇, 杨定平等, 有氧联合伸展运动对血液透析患者不宁腿综合征及生命质量的影响[J]. 中国实用护理杂志, 2021(29): p. 2280-2287. DOI:10.3760/cma.j.cn211501-20201017-04197
Liang YL, He DJ, Yang DP .et.al, Effects of aerobic combined stretching exercise on restless leg syndrome and quality of life in hemodialysis patients[J]. Chinese Journal of Practical Nursing, 2021(29) : p. 2280-2287. DOI:10.3760/cma.j.cn211501-20201017-04197
31. Krase A A, Terzis G, Giannaki C D.et.al, Seven months of aerobic intradialytic exercise training can prevent muscle loss in haemodialysis patients: an ultrasonography study[J]. Int Urol Nephrol, 2022. 54(2): p. 447-456. DOI: 10.1007/s11255-021-02931-6
32. Pereira A B N, Santana L L, Rocha L B.et.al, Physical Exercise Affects Quality of Life and Cardiac Autonomic Modulation in Patients With Chronic Kidney Failure Submitted to Hemodialysis: A Randomized Clinical Trial[J]. Percept Mot Skills, 2022. 129(3): p. 696-713. DOI: 10.1177/00315125221085811.
33. Vogiatzaki E, Michou V, Liakopoulos V.et.al, The effect of a 6-month intradialytic exercise program on hemodialysis adequacy and body composition: a randomized controlled trial[J]. Int Urol Nephrol, 2022. 54(11): p. 2983-2993. DOI: 10.1007/s11255-022-03238-w.
34. 李白,焦天杰, 运动疗法对尿毒症患者透析中低血压和不安腿综合征的疗效以及对透析充分性的影响[J]. 国际移植与血液净化杂志, 2022(04): p. 6-9. DOI:10.3760/cma.j.cn115399-20220425-04002
Li B, Jiao TJ, The efficacy of exercise therapy on intradialytic hypotension and restless leg syndrome in uremic patients and its effect on dialysis adequacy[J]. International Journal of Transplantation and Blood Purification,2022(04):p.6-9 DOI:10.3760/cma.j.cn115399-20220425-04002
35. 李秀梅, 李豪, 郭兰英等 运动疗法对维持性血液透析患者运动能力及生命质量的影响[J]. 中国实用护理杂志, 2022(28): p. 2178-2183. DOI:10.3760/cma.j.cn211501-20211028-02977
Li XM, Li H, Guo LY.et.al, Effects of exercise therapy on exercise capacity and quality of life in maintenance hemodialysis patients[J]. Chinese Journal of Practical Nursing, 2022 ( 28 ) : p. 2178-2183. DOI:10.3760/cma.j.cn211501-20211028-02977
36. Kim S, Park H J,Yang D H, An intradialytic aerobic exercise program ameliorates frailty and improves dialysis adequacy and quality of life among hemodialysis patients: a randomized controlled trial[J]. Kidney Res Clin Pract, 2022. 41(4): p. 462-472. DOI:10.23876/j.krcp.21.284
37. 李瑞花, 陈慧玲,吴雪玉, 蹬车训练对尿毒症血液透析患者实验室客观指标的影响[J].广州医科大学学报. 2019. 47(2): p. 116-118. DOI:10.3969/j.issn.2095-9664.2019.02.34.
Li Ruihua, Chen Huiling, Wu Xueyu, The effect of pedaling training on laboratory objective indicators of uremic hemodialysis patients[J]. Journal of Guangzhou Medical University. 2019.47 ( 2 ) : p.116-118. DOI : 10.3969 / j.issn.2095-9664.2019.02.34
38. 黄春霞, 林秋华,伍锦泉, 透析中有氧运动对血液透析患者睡眠质量和生活质量的影响[J].护理实践与研究. 2019. 16(3): p. 35-36. DOI:10.3969/j.issn.1672-9676.2019.03.013
Huang Chunxia, Lin Qiuhua, Wu Jinquan, The effect of aerobic exercise on sleep quality and quality of life in hemodialysis patients[J]. Nursing practice and research.2019.16 ( 3 ) : p.35-36. DOI : 10.3969 / j.issn.1672-9676.2019.03.013
39. 胡晓艳, 尹丽霞, 张海林等, 多学科合作运动疗法对维持性血液透析患者生活质量及微炎症状态的影响[J].中国护理管理. 2019. 19(10): p. 1467-1471. DOI:10.3969/j.issn.1672-1756.2019.10.008
Hu Xiaoyan, Yin Lixia, Zhang Hailin, et.al., Effects of multidisciplinary cooperating exercise on quality of life and micro-inflammatory state among patients undergoing Maintenance Hemodialysis [J].Chinese nursing management.2019.19 ( 10 ) : p.1467-1471.DOI : 10.3969 / j.issn.1672-1756.2019.10.008
40. 尹丽霞, 胡晓艳, 张海林等, 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[J].中国护理管理. 2017. 17(11): p. 1478-1481. DOI:10.3969/j.issn.1672-1756.2017.11.008
Yin Lixia, Hu Xiaoyan, Zhang Hailin, et.al, Effects of intradialytic exercise on dialysis adequacy and sleep quality in patients undergoing Maintenance Hemodialysis [J].Chinese nursing management. 2017.17 ( 11 ) : p.1478-1481.DOI : 10.3969 / j.issn.1672-1756.2017.11.008
41. 黄燕林, 李建英, 滕艳娟等, 运动疗法对尿毒症血液透析患者透析充分性的影响[J].护士进修杂志. 2013. 28(7): p. 587-588. DOI:10.3969/j.issn.1002-6975.2013.07.004
Huang Yanlin, Li Jianying, Teng Yanjuan, et.al., Effect of exercise therapy on dialysis adequacy for hemodialysis patients with uremia [ J ]. Journal of Nurse Refresher 2013.28 ( 7 ) : p. 587-588, DOI : 10.3969 / j.issn.1002-6975.2013.07.004
42. Reboredo Mde M, Pinheiro Bdo V, Neder J A.et.al, Effects of aerobic training during hemodialysis on heart rate variability and left ventricular function in end-stage renal disease patients. J Bras Nefrol, 2010. 32(4): p. 367-73. PMID: 21541451
43. Afshar R, Shegarfy L, Shavandi N.et.al, Effects of aerobic exercise and resistance training on lipid profiles and inflammation status in patients on maintenance hemodialysis. Indian J Nephrol, 2010. 20(4): p. 185-9. DOI: 10.4103/0971-4065.73442
44. Wang J, Yao J, Zhu X.et.al, Impact of frequent intradialytic hypotension on quality of life in patients undergoing hemodialysis[J]. BMC Nephrol, 2023. 24(1): p. 209. DOI: 10.1186/s12882-023-03263-6.
45. 汪知玉, 陈孜瑾, 蒋钻红等, 血液透析患者透析中低血压的发生情况及其与预后的关系[J]. 中华肾脏病杂志, 2017. 33(7): p. 495-503. DOI:10.3760/cma.j.issn.1001-7097.2017.07.003
Wang ZY, Chen ZJ Jiang ZH.et.al, Incidence of intradialytic hypotension in hemodialysis patients and its relationship with prognosis[J]. Chinese Journal of Kidney Disease, 2017.33 ( 7 ) : p.495-503. DOI:10.3760/cma.j.issn.1001-7097.2017.07.003
46. 余金波, 刘中华, 沈波等, 透析中低血压对血液透析患者长期预后的影响[J]. 中华肾脏病杂志, 2016. 32(9): p. 665-672. DOI:10.3760/cma.j.issn.1001-7097.2016.09.005
Yu JB, Liu ZH, Shen B.et.al, Effect of intradialytic hypotension on long-term prognosis of hemodialysis patients[J]. Chinese Journal of Kidney Disease, 2016.32 ( 9 ) : p. 665-672. DOI:10.3760/cma.j.issn.1001-7097.2016.09.005
47. Flythe J E, Xue H, Lynch K E.et.al, Association of mortality risk with various definitions of intradialytic hypotension[J]. J Am Soc Nephrol, 2015. 26(3): p. 724-34. DOI: 10.1681/ASN.2014020222
48. Kooman J, Basci A, Pizzarelli F.et.al, EBPG guideline on haemodynamic instability[J]. Nephrol Dial Transplant, 2007. 22 Suppl 2: p. ii22-44. DOI: 10.1093/ndt/gfm019.
49. Rhee S Y, Song J K, Hong S C.et.al, Intradialytic exercise improves physical function and reduces intradialytic hypotension and depression in hemodialysis patients[J]. Korean J Intern Med, 2019. 34(3): p. 588-598. DOI: 10.3904/kjim.2017.020.
50. Winkelman J W, Armstrong M J, Allen R P.et.al, Practice guideline summary: Treatment of restless legs syndrome in adults: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology[J]. Neurology, 2016. 87(24): p. 2585-2593. DOI: 10.1212/WNL.0000000000003388.
51. 罗细菊, 邓思妍, 陈静等, 9种运动方式对提高血液透析患者透析充分性效果的网状Meta分析[J]. 中华护理杂志, 2022. 57(23): p. 2921-2929. DOI:10.3761/j.issn.0254-1769.2022.23.016
Luo XJ, Deng SY, Chen J.et.al, a network meta-analysis of the effects of 9 exercise methods on improving dialysis adequacy in hemodialysis patients[J]. Chinese Journal of Nursing, 2022.57 ( 23 ) : p. 2921-2929. DOI:10.3761/j.issn.0254-1769.2022.23.016
52. Sehgal A R, Leon J B, Siminoff L A.et.al, Improving the quality of hemodialysis treatment: a community-based randomized controlled trial to overcome patient-specific barriers[J]. Jama, 2002. 287(15): p. 1961-7. DOI: 10.1001/jama.287.15.1961
53. 中国医师协会肾脏病医师分会血液透析充分性协作组, 中国血液透析充分性临床实践指南[J]. 中华医学杂志, 2015. 95(34): p. 2748-2753. DOI:10.3760/cma.j.issn.0376-2491.2015.34.004
Hemodialysis adequacy collaboration group of nephrologist branch of Chinese Medical Doctor Association, Chinese Journal of Hemodialysis Adequacy Clinical Practice Guidelines[J], Chinese medical journal, 2015.95 ( 34 ) : p.2748-2753. DOI:10.3760/cma.j.issn.0376-2491.2015.34.004
54. Rocco M V, Frankenfield D L, Hopson S D.et.al, Relationship between clinical performance measures and outcomes among patients receiving long-term hemodialysis[J]. Ann Intern Med, 2006. 145(7): p. 512-9. DOI: 10.7326/0003-4819-145-7-200610030-00009
55. Ferrari F, Helal L, Dipp T.et.al, Intradialytic training in patients with end-stage renal disease: a systematic review and meta-analysis of randomized clinical trials assessing the effects of five different training interventions[J]. J Nephrol, 2020. 33(2): p. 251-266. DOI: 10.1007/s40620-019-00687-y
56. Sabatino A, Cuppari L, Stenvinkel P.et.al, Sarcopenia in chronic kidney disease: what have we learned so far?[J]. J Nephrol, 2021. 34(4): p. 1347-1372. DOI: 10.1007/s40620-020-00840-y
57. 杜雯, 陈孜瑾, 王雪洁等, 维持性血液透析患者肌少症的患病率及相关影响因素[J]. 中华肾脏病杂志, 2021. 37(5): p. 407-413. DOI:10.3760/cma.j.cn441217-20200727-00060
Du W, Chen ZJ, Wang XJ.et.al, The prevalence and related factors of sarcopenia in maintenance hemodialysis patients[J]. Chinese Journal of Kidney Disease, 2021.37 ( 5 ) : p.407-413. DOI:10.3760/cma.j.cn441217-20200727-00060
58. Lin Y L, Liou H H, Wang C H.et.al, Impact of sarcopenia and its diagnostic criteria on hospitalization and mortality in chronic hemodialysis patients: A 3-year longitudinal study[J]. J Formos Med Assoc, 2020. 119(7): p. 1219-1229. DOI: 10.1016/j.jfma.2019.10.020
59. 李玉琢, 李嘉琪, 刘云等, 肌少症对维持性血液透析患者生存预后的影响[J]. 中华肾脏病杂志, 2023. 39(5): p. 337-344. DOI:10.3760/cma.j.cn441217-20221006-01001
Li Yz, Li JQ, Liu Y.et.al, The effect of sarcopenia on the survival and prognosis of maintenance hemodialysis patients[J]. Chinese Journal of Kidney Disease, 2023.39(5):p.337-344. DOI:10.3760/cma.j.cn441217-20221006-01001
60. Bernier-Jean A, Beruni N A, Bondonno N P.et.al, Exercise training for adults undergoing maintenance dialysis[J]. Cochrane Database Syst Rev, 2022. 1(1): p. Cd014653. DOI:10.1002/14651858.CD014653
61. 中国医师协会康复医师分会肾康复专业委员会, 我国成人慢性肾脏病患者运动康复的专家共识[J] 中华肾脏病杂志, 2019. 35(7): p. 537-543. DOI:10.3760/cma.j.issn.1001-7097.2019.07.011
Chinese Medical Association Rehabilitation Physician Branch Renal Rehabilitation Professional Committee, Expert Consensus on Exercise Rehabilitation of Adult Patients with Chronic Kidney Disease in China[J]. Chinese Journal of Kidney Disease, 2019.35 ( 7 ) : p.537-543. DOI:10.3760/cma.j.issn.1001-7097.2019.07.011
62. 宋亦琪, 倪丽, 张家瑛等, 维持性血液透析患者肌肉量调查及相关因素分析[J].中华肾脏病杂志, 2018(10): p. 732-737. DOI:10.3760/cma.j.issn.1001-7097.2018.10.003
Song YQ, Ni L, Zhang JY.et.al, Investigation of muscle mass in maintenance hemodialysis patients and analysis of related factors[J]. Chinese Journal of Kidney Disease, 2018 ( 10 ) : p. 732-737. DOI:10.3760/cma.j.issn.1001-7097.2018.10.003
63. 王雯婷, 吴超, 罗永勤等, 有氧运动对血液透析患者躯体功能和生活质量影响的Meta分析[J]. 中华现代护理杂志, 2018. 24(23): p. 2797-2803. DOI:10.3760/cma.j.issn.1674-2907.2018.23.016
Wang WT, Wu C, Luo YQ.et.al, Meta-analysis of the effect of aerobic exercise on physical function and quality of life in hemodialysis patients[J]. Chinese Journal of Modern Nursing, 2018.24 ( 23 ) : p. 2797-2803. DOI:10.3760/cma.j.issn.1674-2907.2018.23.016
64. 程晖, 丁国华, 石明等, 运动训练对血液透析伴肌萎缩患者肌力和运动耐力的影响[J]. 中华物理医学与康复杂志, 2008(04): p. 254-256. DOI:10.3321/j.issn:0254-1424.2008.04.009
Cheng H, Ding GH, Shi M.et.al, Effects of Exercise Training on Muscle Strength and Endurance in Hemodialysis Patients with Muscular Atrophy[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2008 ( 04 ) : p. 254-256. DOI:10.3321/j.issn:0254-1424.2008.04.009
65. Inoue A, Ishikawa E, Shirai Y.et.al, Effects of Protein-Energy Wasting (PEW) and hyperphosphatemia on the prognosis in Japanese maintenance hemodialysis patients: A five-year follow-up observational study[J]. Clin Nutr ESPEN, 2020. 36: p. 134-138. DOI: 10.1016/j.clnesp.2020.01.004
66. Eckert K, Motemaden L,Alves M, Effect of Hemodialysis Compared With Conservative Management on Quality of Life in Older Adults With End-Stage Renal Disease: Systematic Review[J]. J Hosp Palliat Nurs, 2018. 20(3): p. 279-285. DOI: 10.1097/NJH.0000000000000444
67. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization[J]. Soc Sci Med, 1995. 41(10): p. 1403-9. DOI: 10.1016/0277-9536(95)00112-k
68. Legrand K, Speyer E, Stengel B.et.al, Perceived Health and Quality of Life in Patients With CKD, Including Those With Kidney Failure: Findings From National Surveys in France[J]. Am J Kidney Dis, 2020. 75(6): p. 868-878. DOI: 10.1053/j.ajkd.2019.08.026
69. Mapes D L, Lopes A A, Satayathum S.et.al, Health-related quality of life as a predictor of mortality and hospitalization: the Dialysis Outcomes and Practice Patterns Study (DOPPS) [J]. Kidney Int, 2003. 64(1): p. 339-49. DOI: 10.1046/j.1523-1755.2003.00072.x
70. Hsu H J, Yen C H, Hsu K H.et.al, Factors associated with chronic musculoskeletal pain in patients with chronic kidney disease[J]. BMC Nephrol, 2014. 15: p. 6. DOI: 10.1186/1471-2369-15-6
71. 吴庆峰, 李珍, 常立阳等, 运动疗法与营养干预对血液透析肌少症患者影响的Meta分析[J]. 护理与康复, 2023. 22(5): p. 24-30. DOI:10.3969/j.issn.1671-9875.2023.05.005
Wu QF, Li Z, Chang LY.et.al, Meta-analysis of the effects of exercise therapy and nutritional intervention on hemodialysis patients with sarcopenia[J]. Nursing and rehabilitation, 2023.22 ( 5 ) : p. 24-30. DOI:10.3969/j.issn.1671-9875.2023.05.005
72. 伍梦寒, 王艳, 艾霜兰等, 运动锻炼对维持性血液透析患者心肺功能和心理状态的改善作用[J]. 中国医学前沿杂志(电子版), 2021. 13(8): p. 67-70. DOI:10.12037/YXQY.2021.08-15
Wu MH, Wang Y, Ai SL.et.al, Effects of Exercise on Cardiopulmonary Function and Psychological Status in Maintenance Hemodialysis Patients[J]. Chinese Journal of Medical Frontiers ( Electronic Edition ), 2021.13 ( 8 ) : p.67-70. DOI:10.12037/YXQY.2021.08-15
73. 邓建华, 田鑫, 杨丹等, 维持性血液透析患者运动管理的最佳证据总结[J]. 中华护理杂志, 2022. 57(21): p. 2596-2603. DOI:10.3761/j.issn.0254-1769.2022.21.006
Deng JH, Tian X, Yang D.et.al, Best Evidence Summary of Exercise Management in Maintenance Hemodialysis Patients[J]. Chinese Journal of Nursing, 2022.57 ( 21 ) : p. 2596-2603. DOI:10.3761/j.issn.0254-1769.2022.21.006
文章导航

/

[an error occurred while processing this directive]