慢性肾脏病康复运动强度的研究进展

doi:10.3969/j.issn.1006-9771.2020.09.007

摘要/Abstract

摘要：

运动训练在肾脏康复中逐渐引发广泛关注,而运动强度是慢性肾脏病(CKD)患者运动处方的重要参数。运动强度参数包括主观和客观两类,前者如国际体力活动问卷和Borg评分量表等,后者如峰值摄氧量和乳酸阈值等,其中以基于耗氧量的方法最为准确,主观测量可以作为客观测量的补充。低强度运动临床研究较少,对CKD患者的积极效益还不明确;中等强度运动有较多临床研究,被证明安全有效;高强度运动对肾功能有保护作用,但在保障运动安全性方面还有待研究。

关键词: 慢性肾脏病, 运动, 肾脏康复, 运动强度, 综述

Abstract:

Exercise training is applying in renal rehabilitation. Intensity is an important parameter of exercise prescription for patients with chronic kidney disease (CKD). Exercise intensity can be measured in both subjective and objective ways, the former such as Borg Score Scale and International Physical Activity Questionnaire, the latter such as peak oxygen uptake and lactic acid threshold, etc. The ways based on oxygen consumption are the most accurate, and the subjective measurement can be a supplement. The benefits of low-intensity exercise are unclear for CKD patients since insufficient researches; moderate-intensity exercise has been proved to be safe and beneficial; vigorous-intensity exercise may protect renal function of CKD, but the safety needs more studies.

Key words: chronic kidney disease, exercise, renal rehabilitation, exercise intensity, review

杨蕾,吴晓霞,王颖,胡荣. 慢性肾脏病康复运动强度的研究进展[J]. 《中国康复理论与实践》, 2020, 26(9): 1033-1037.

YANG Lei,WU Xiao-xia,WANG Ying,HU Rong. Advance in Exercise Intensity of Rehabilitaion for Patients with Chronic Kidney Disease (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1033-1037.

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