终末期肾病透析患者的心肺运动测试参数

Q3 Medicine Tanaffos Pub Date : 2023-02-01
Alireza Eslaminejad, Seyed Mehran Marashian, Mohammad Hadi Tajik Jalayeri, Fatemeh Yassari
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引用次数: 0

摘要

研究背景本研究旨在评估接受透析的终末期肾病患者心肺运动测试(CPET)的一些参数。最终目的是改善疾病管理,使这部分患者获得最佳生活质量和运动能力:通过横断面设计,本研究在 2019 年 1 月至 2020 年 1 月期间以简单抽样的方式招募了 46 名透析患者。结果:尽管样本量有限,但本次研究对透析患者的心率储备(HRR)、呼吸储备(BR)和潮气末二氧化碳压力(PETCO2)进行了分析:结果:尽管样本量有限,但本次研究表明,VO2/Kg、VE/VCO2、PETCO2 和 SPO2 是受透析影响的主要参数,这与预期相符:结论:本研究建议对所有增加代谢性酸中毒发生率的慢性疾病(如慢性肾病和终末期肾病)进行心肺康复治疗。
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Cardiopulmonary Exercise Test Parameters among Dialysis Patients with End-Stage Renal Disease.

Background: The current study aimed to assess some parameters of the cardiopulmonary exercise test (CPET) among end-stage renal disease patients who underwent dialysis. The ultimate goal is to improve disease management to achieve optimal quality of life and exercise capacity in this group of patients.

Materials and methods: Through a cross-sectional design, the current study enrolled 46 dialysis patients by simple sampling between Jan 2019 and Jan 2020. Some CPET parameters such as AT, VO2, VO2/kg, SPO2, minute ventilation CO2 production/O2 consumption ratios (VE/VCO2 and VE/VO2, respectively), O2 pulse, heart rate reserve (HRR), breathing reserve (BR) and end-tidal carbon dioxide pressure (PETCO2) were focused.

Results: Although a limited sample size, the current study showed that VO2/Kg, VE/VCO2, PETCO2, and SPO2 are the main parameters affected by dialysis as expected.

Conclusion: The current study suggests using cardiopulmonary rehabilitation for all chronic medical conditions such as chronic kidney disease and end-stage renal disease that increase the rate of metabolic acidosis.

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Tanaffos
Tanaffos Medicine-Critical Care and Intensive Care Medicine
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