比较三种不同治疗疗程肾病综合征患者早期康复后的临床结果。
Comparison of clinical outcomes following early rehabilitation in 3 cases of nephrotic syndrome with different treatment courses.
机构信息
Division of Physical Therapy, Rehabilitation Units, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, Shiga, Japan.
Graduate School of Health Science, Suzuka University of Medical Science, Suzuka, Mie, Japan.
出版信息
CEN Case Rep. 2020 Nov;9(4):365-369. doi: 10.1007/s13730-020-00486-6. Epub 2020 May 10.
There have been few published reports regarding rehabilitation for nephrotic syndrome. We compared the clinical outcomes of three cases of nephrotic syndrome with different treatment courses during 5 weeks of early rehabilitation.We report on three cases of nephrotic syndrome. Case 1 was a 67-year-old male who showed good progress after steroid treatment. Quadriceps torque and exercise capacity were increased after intervention. Case 2, a 78-year-old male, demonstrated resistance to steroid treatment. Quadriceps torque was decreased and exercise capacity was increased after intervention. Case 3 was an 83-year-old male who received nutrition therapy and diuretics without steroid treatment. Quadriceps torque and exercise capacity were decreased post-intervention.Early rehabilitation should be considered even if the steroid treatment course is different; furthermore, it is necessary to carefully consider the optimal exercise load in patients with nephrotic syndrome for whom regardless of whether or not steroid treatment is used.
关于肾病综合征的康复治疗，鲜有文献报道。我们比较了三例肾病综合征患者在 5 周早期康复治疗期间不同治疗方案的临床结果。本文报告了 3 例肾病综合征患者。病例 1 为 67 岁男性，经类固醇治疗后病情好转，股四头肌扭矩和运动能力增加。病例 2 为 78 岁男性，对类固醇治疗有抵抗，股四头肌扭矩下降，运动能力增加。病例 3 为 83 岁男性，未接受类固醇治疗，仅接受营养治疗和利尿剂治疗，股四头肌扭矩和运动能力下降。即使类固醇治疗方案不同，也应考虑早期康复治疗；此外，对于无论是否使用类固醇治疗的肾病综合征患者，有必要仔细考虑最佳运动负荷。
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