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维持性血液透析（maintenance hemodialysis,MHD）治疗指利用血液透析或腹膜透析挽救患者生命，延长尿毒症患者生命的过渡方法。随着各类疾病增多，由此产生的终末期肾病患者也逐年递增。维持性血液透析的患者不仅包括由慢性肾炎发展导致的尿毒症，还包括其他疾病（如糖尿病、高血压）导致的尿毒症。维持性血液透析在终末期肾脏病患者肾脏替代治疗中应用越来越广泛，并且常配合运动干预，运动干预对缓解患者精神压力、提高生活质量具有重要意义，但在实际应用过程中仍面临较多阻碍。因此，医护人员需要根据患者真实情况制定更详细的措施，以期通过透析中运动（intradialytic exercise,IDEX）不断提高患者参与的积极性，保证护理效果。
Abstract：Maintenance hemodialysis(MHD) treatment refers to the transitional method of using hemodialysis or peritoneal dialysis to save the life of patients and prolong the life of uremic patients. With the increase of various diseases, the number of end-stage renal disease patients has also been increasing year by year. Maintenance hemodialysis patients include not only uremia caused by the development of chronic nephritis, but also uremia caused by other diseases(such as diabetes, hypertension). Maintenance hemodialysis is increasingly being used in renal replacement therapy for patients with end-stage kidney disease, often accompanied by exercise intervention. Exercise intervention is of great significance in relieving patients' mental stress and improving their quality of life, but it still faces many obstacles in practical application. Therefore, medical staff need to develop more detailed measures based on the actual situation of patients, in order to continuously improve patient participation and ensure nursing effectiveness through intradialytic exercise(IDEX) during dialysis.
[1]Fotheringham J , Guest J , Latus J ,et al. Impact of Difelikefalin on the health-related quality of life of haemodialysis patients with moderate-to-severe chronic kidney disease-associated pruritus:a single-arm intervention trial[J]. Patient,2024,17(2):203-213.
[2]Ortega-Pérez de Villar L, Martínez-Olmos FJ, PérezDomínguez FB, et al. Comparison of intradialytic versus home-based exercise programs on physical functioning,physical activity level, adherence, and health-related quality of life:pilot study[J]. Sci Rep. 2020,10(1):8302.
[3]于新涛,曹松梅,吉小静.透析中运动对维持性血液透析患者运动能力和透析效率影响的Meta分析[J].中国血液净化,2021,20(8):525-530.
[4]Hu H, Liu X, Chau PH, et al. Effects of intradialytic exercise on health-related quality of life in patients undergoing maintenance haemodialysis:a systematic review and meta-analysis[J]. Qual Life Res.2022,31(7):1915-1932.
[5]Assawasaksakul N, Sirichana W, Joosri W, et al. Effects of intradialytic cycling exercise on daily physical activity,physical fitness, body composition, and clinical parameters in high-volume online hemodiafiltration patients:a pilot randomized-controlled trial[J]. Int Urol Nephrol.2021,53(2):359-371.
[6]芦姗,温雯,武向兰,等.运动疗法对维持性血液透析患者透析充分性和心理状态的影响[J].国际移植与血液净化杂志,2023(1):18-21.
[7]Farese S, Budmiger R, Aregger F, et al. Effect of transcutaneous electrical muscle stimulation and passive cycling movements on blood pressure and removal of urea and phosphate during hemodialysis[J]. Am J Kidney Dis.2008,52(4):745-752.
[8]赵亮,尹文雁,凌淑洵,等.透析中卧式脚踏运动辅助血液净化治疗维持性血液透析患者的效果分析[J].现代生物医学进展,2024,24(6):1114-1118.
[9]兰艳冬,来琬怡.扶阳罐治疗尿毒症维持性血液透析患者不安腿综合征的效果及对PSQI评分的影响[J].智慧健康,2024,10(10):47-50.
[10]Blackmore D G, Schaumberg M A, Ziaei M, et al. Longterm improvement in hippocampal-dependent learning ability in healthy, aged individuals following high intensity interval training[J]. Aging Dis,2024,16(3):1732-1754..
[11]Rohmah S N , Puspitasari M , Prasanto H, et al.Effect of intradialytic aerobic exercise intervention on dialysis adequacy and quality of life in patients with end-stage kidney disease undergoing hemodialysis at Dr. Sardjito General Hospital, Indonesia[J].International Urology&Nephrology,2024,56(11)::3595-3604.
[12]方孟,戴敏,杨文娟,等.有氧联合抗阻运动对老年维持性血液透析肥胖型肌少症患者的影响[J].护理学杂志,2023,38(5):95-100.
[13]Kato M, Shibata M, Asai K, et al. One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients:a retrospective study[J]. Ren Replace Ther.2021,7(1):21.
[14]陈管洁,张海林,尹丽霞,等.维持性血液透析患者认知衰弱的现状及影响因素分析[J].中国护理管理,2021,21(8):1179-1185.
[15]王华静,柴燕子,王兰.基于信息—动机—行为技巧模式的运动干预方式对维持性血液透析患者疲乏状态的影响[J].国际护理学杂志,2025,44(2):350-354.
基本信息:
DOI：10.20256/j.cnki.zgdxbl.20251105.014
中图分类号:R473.5
引用信息:
[1]陶玲山,刘胜子.维持性血液透析患者透析中运动干预的研究进展[J].中国典型病例大全,2025,19(04):663-666.DOI:10.20256/j.cnki.zgdxbl.20251105.014.
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