抗阻运动对透析低血压患者血压变异性及血压的影响

doi:10.3969/j.issn.1006-9771.2017.07.025

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (7): 851-854.doi: 10.3969/j.issn.1006-9771.2017.07.025

抗阻运动对透析低血压患者血压变异性及血压的影响

刘洋, 沙丽艳

大连医科大学附属第二医院护理部,辽宁大连市 116021。

收稿日期:2016-12-01 出版日期:2017-07-25 发布日期:2017-08-07
通讯作者: 沙丽艳(1964-),女,硕士,主任护师。E-mail: slydl2007@163.com。
作者简介:刘洋(1992-),女,汉族,辽宁盘锦市人,硕士研究生,护师,主要研究方向：临床护理。

Effects of Resistance Exercise on Blood Pressure Variability and Blood Pressure in Patients with Frequent Intradialytic Hypotension

LIU Yang, SHA Li-yan

Nursing Department, The Second Hospital of Dalian Medical University, Dalian, Liaoning 116021, China

Received:2016-12-01 Published:2017-07-25 Online:2017-08-07
Contact: Correspondence to SHA Li-yan. E-mail: slydl2007@163.com

摘要/Abstract

摘要： 目的探讨透析中抗阻运动对维持性血液透析频繁透析低血压患者的影响。方法便利选取2015年9月至2016年3月接受维持性血液透析治疗、治疗中频繁发生低血压患者80例,抽签法分为对照组(n=40)和试验组(n=40)。两组均予常规血液透析护理,试验组行透析中抗阻运动。12周后比较两组患者血压变异性和最低收缩压、舒张压。结果干预后,试验组收缩压变异系数显著低于对照组(t=-4.356, P<0.001),最低收缩压、最低舒张压均显著高于对照组(t>4.122, P<0.001)。结论透析中抗阻运动能改善血液透析频繁低血压患者透析中收缩压变异性,升高最低血压。

关键词: 血液透析, 透析低血压, 抗阻运动, 血压变异性

Abstract: ObjectiveTo explore the effects of resistance exercise on intradialytic blood pressure variability and the lowest blood pressure. MethodsFrom September, 2015 to March, 2016, 80 patients with intradialytic hypotension frequently during maintenance hemodialysis were included, and divided into control group (n=40) and intervention group (n=40) by drawing lots. Both groups accepted routine nursing, while the intervention group accepted resistance exercise during hemodialysis. The coefficient of variation (CV) of blood pressure and the lowest blood pressure were compared twelve weeks later. ResultsThe CV of systolic blood pressure was less in the intervention group than in the control group (t=-4.356, P<0.001), while the lowest blood pressure, both systolic and diastolic, were more (t>4.122, P<0.001). ConclusionResistance exercise may reduce the intradialytic systolic blood pressure variability and increase the lowest blood pressure in patients with frequent intradialytic hypotension.

Key words: hemodialysis, intradialytic hypotension, resistance exercise, blood pressure variability

中图分类号:

R692.5

刘洋, 沙丽艳. 抗阻运动对透析低血压患者血压变异性及血压的影响[J]. 《中国康复理论与实践》, 2017, 23(7): 851-854.

LIU Yang, SHA Li-yan. Effects of Resistance Exercise on Blood Pressure Variability and Blood Pressure in Patients with Frequent Intradialytic Hypotension[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(7): 851-854.

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抗阻运动对透析低血压患者血压变异性及血压的影响

Effects of Resistance Exercise on Blood Pressure Variability and Blood Pressure in Patients with Frequent Intradialytic Hypotension

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