Exercise training improves hypertension in hemodialysis patients.
Exercise training improves hypertension in hemodialysis patients.
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运动训练可改善血液透析患者的高血压。
DOI：
10.1159/000166712
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发表时间：
1983
影响因子：
4.2
通讯作者：
Harter,HR
中科院分区：
文献类型：
--
作者：
Hagberg,JM;Goldberg,AP;Ehsani,AA;Heath,GW;Delmez,JA;Harter,HR
本文研究了6例终末期肾病、高血压和贫血患者，以确定耐力运动训练对其血压的影响。初始运动能力低（VO2max = 18±2 ml/kg/min）；而经过14±5个月的训练，他们的运动能力提高了（17±9%,p < 0.05）。这与最初需要降压药的5例患者降压药的减少以及透析前收缩压和舒张压的降低有关。训练期间血红蛋白浓度（7.3±0.4 g%至9.8±0.9 g%）和红细胞压积水平（23±2 g%至30±3%）显著增加，而体重、透析期间体重增加或血清白蛋白浓度没有变化。非运动透析患者在同一时间段内这些变量没有变化。这些结果表明，耐力运动训练可以降低一些血液透析患者的血压并改善贫血。
6 patients with end-stage renal disease, hypertension and anemia were studied to determine the effect of endurance exercise training on their blood pressure. Initial exercise capacities were low (VO2max = 18 ± 2 ml/kg/min); however, their capacities increased (17 ± 9%, p < 0.05) after 14 ± 5 months of training. This was associated with reductions in the antihypertensive medications in the 5 patients initially requiring them, and decreases in both predialysis systolic and diastolic blood pressures. There were significant increases in hemoglobin concentrations (7.3 ± 0.4 to 9.8 ± 0.9 g%) and hematocrit levels (23 ± 2 to 30 ± 3%) during training with no changes in body weights, interdialysis weight gains or serum albumin concentrations. 6 nonexercising dialysis patients had no changes in these same variables over the same period of time. These results suggest that endurance exercise training will reduce blood pressure and improve anemia in some hemodialysis patients.