Effects of exercise training during hemodialysis.
Effects of exercise training during hemodialysis.
复制标题
血液透析期间运动训练的效果。
作者：
Painter,PL;Nelson-Worel,JN;Hill,MM;Thornbery,DR;Shelp,WR;Harrington,AR;Weinstein,AB
14名维持性血液透析患者自愿参加为期6个月的运动训练。在血液透析治疗期间，锻炼是在固定自行车上进行的。6例维持性血液透析患者作为对照组，未进行运动训练。锻炼的患者参加了所有可能的锻炼课程的91%。运动组的最大耗氧量在6个月内显著增加(23%)。对照组的运动能力没有变化。在运动组的8名高血压患者中，有5名减少或停止服用降压药。两组患者的红细胞压积或血脂谱均无变化。我们的结论是，在血液透析治疗期间进行运动训练，对于经过适当筛选的患者来说，在技术上是可行的和安全的，可以增加运动能力，在一些患者中还可以改善血压控制。透析期间的锻炼还可以改善患者对常规锻炼的依从性，并促进有监督的锻炼过程，这在这一组患者中是可取的。
Fourteen maintenance hemodialysis patients volunteered to participate in a 6-month program of exercise training. The exercise was performed on a stationary bicycle during the hemodialysis treatment. Six maintenance hemodialysis patients served as control without exercise training. Exercising patients participated in 91% of all possible exercise sessions. The exercise group showed a significant (23%) increase in maximal oxygen consumption over the 6 months. No change in exercise capacity resulted in the control group. Five of eight hypertensive patients in the exercise group decreased or discontinued antihypertensive medications. No changes occurred in hematocrit or lipid profiles in either group. We conclude that exercise training during the hemodialysis treatment is technically feasible and safe for appropriately screened patients and will increase exercise capacity, and in some patients improve blood pressure control. Exercise during dialysis also improves compliance to regular exercise and facilitates supervised exercise sessions, which are desirable in this patient group.