评价有氧运动对钦奈选定医院血液透析患者血液尿素有效性的实验研究

S. Yogalakshmi, D. Sasikala, S. Varughese, K. Vijayalakshmi
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摘要

目的:探讨血透析(HD)患者进行有氧运动对血液尿素的影响。导读:HD是治疗晚期肾衰竭的一种方法,可以帮助患者在肾脏衰竭的情况下继续积极生活。分析内运动(IDE)是在HD期间进行的运动训练,以增加患者的力量和耐力。材料和方法:采用连续抽样技术,在钦奈选定的三级医疗中心对60名成年HD患者(对照组和实验组各30名)进行准实验研究。收集两组患者的基线特征和测试前血尿素,实验组患者进行8周(3次/周)的溶氧运动。然后在第4周和第8周结束时对两组的血尿素进行检测。数据采用SPSS 22进行分析。结果:IDE对实验组受试者降低血尿素(mg/dl)的作用在后测I(76.73±17.58,93.20±19.24)和后测II(62.23±13.28,90.20±19.60)显著高于对照组(P = 0.001)。实验组与对照组的基线数据/前测比较,差异无统计学意义(103.53±30.03,103.70±30.46)。结论:本研究提示透析内有氧运动在降低血液尿素方面具有有益作用,可作为HD患者的补充治疗。
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An Experimental Study to Assess the Effectiveness of Aerobic Exercise on Blood Urea in Hemodialysis Patients in Selected Hospitals, Chennai
Aim: This study was aimed to determine the effect of intradialytic aerobic exercise on blood urea in hemodialysis (HD) patients. Introduction: HD is one way to treat advanced kidney failure and can help to carry on an active life despite failing kidneys. Intradialytic exercise (IDE) is the exercise training performed during the HD session to increase the patient’s strength and endurance. Materials and Methods: A quasi-experimental study was carried out among 60 adult patients on HD (30 each in control and experimental groups), selected by consecutive sampling technique, at selected tertiary care centers in Chennai. The baseline characteristics and pretest blood urea were collected from both the groups and the intradialytic aerobic exercise was administered for 8 weeks (3 times/week) among the experimental group of patients. Then Post-test I and II blood urea were assessed in both the groups at end of 4th and 8th week. The data were analyzed in SPSS 22. Results: IDE showed a significant effect in reducing blood urea (mg/dl) among experimental group of participants than control group in post-test I (76.73 ± 17.58, 93.20 ±19.24) and in post-test II (62.23 ± 13.28, 90.20 ±19.60) at P = 0.001. There was no significance difference in baseline data/pre-test between experimental and control group pre-test (103.53 ± 30.03, 103.70 ± 30.46). Conclusion: This study reveals that intra dialytic aerobic exercises is beneficial in terms of reducing blood urea, as a supplementary therapy for HD patients.
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