摘要
目的探讨不同强度握力训练对慢性肾脏病患者动静脉内瘘(AVF)的影响。方法通过文献分析、专家论证和小组讨论形成不同强度握力训练干预方案。采用便利抽样法,选取2024年7-11月湖南中医药高等专科学校附属第一医院肾病科90例行AVF的慢性肾脏病患者为研究对象。采用随机数字表法将研究对象分为A、B、C组,每组30例。A组采用低强度握力训练,B组采用中等强度握力训练,C组采用高强度握力训练。干预时间为6周。干预后,比较3组慢性肾脏病患者的头静脉内径、吻合口血流量和并发症发生情况。结果干预后,C组的头静脉内径大于A、B组(P<0.05);B、C组的吻合口血流量高于A组(P<0.05);3组的并发症发生例数比较,差异无统计学意义(P>0.05)。结论适当增加握力训练的强度对增加头静脉内径、提高吻合口血流量具有积极作用。
Objective To investigate the effects of different intensities of grip strength training on arteriovenous fistula(AVF)in patients with chronic kidney disease.Methods Different intensities of grip strength training programs were developed through literature analysis,expert argumentation,and group discussion.From July to November 2024,90 hospitalized patients with chronic kidney disease and AVF in the Department of Nephrology of the First Affiliated Hospital of Hunan Traditional Chinese Medical College were selected as study subjects using convenience sampling.Using the random number table method,study subjects were divided into group A,group B,and group C,with 30 cases in each group.Group A underwent low-intensity grip strength training,group B underwent moderate-intensity grip strength training,and group C underwent high-intensity grip strength training.The intervention period lasted six weeks.After intervention,the internal diameter of the cephalic vein,anastomotic blood flow,and incidence of complications were compared among three groups of patients with chronic kidney disease.Results After intervention,the internal diameter of the cephalic vein in group C was larger than that in group A and group B(P<0.05).The anastomotic blood flow in group B and group C was higher than that in group A(P<0.05).There was no statistically significant difference in the incidence of complications among the three groups(P>0.05).Conclusions Appropriately increasing the intensity of grip strength training has a positive effect on enlarging the internal diameter of the cephalic vein and enhancing anastomotic blood flow.
作者
张芬
余玲畅
张敏
龙舞
Zhang Fen;Yu Lingchang;Zhang Min;Long Wu(First Department of Oncology,the First Affiliated Hospital of Hunan Traditional Chinese Medical College(Hunan Province Directly Affiliated Traditional Chinese Medicine Hospital),Zhuzhou 412000,China;Department of Nephrology,the First Afiliated Hospital of Hunan Traditional Chinese Medical College(Hunan Province Directly Affiliated Traditional Chinese Medicine Hospital),Zhuzhou 412000,China)
出处
《中华现代护理杂志》
2025年第30期4180-4184,共5页
Chinese Journal of Modern Nursing
基金
湖南省卫生健康委科研计划(B202314017796)。
关键词
动静脉瘘
肾功能衰竭
慢性
握力
头静脉内径
吻合口血流量
Arteriovenous fistula
Kidney failure,chronic
Hand strength
Internal diameter of cephalic vein
Anastomotic blood flow
