Beasley C R, Smith D A, Neale T J
Aust N Z J Med. 1986 Feb;16(1):5-10. doi: 10.1111/j.1445-5994.1986.tb01106.x.
Exercise capacity is documented to be poor in patients with end stage renal failure undergoing regular hemodialysis, but there is little information about exercise capacity in patients on continuous ambulatory peritoneal dialysis (CAPD). We studied a group of 18 patients undergoing CAPD, with a variety of cardiorespiratory disorders, using a progressive load treadmill exercise test. The influence of intraperitoneal fluid on work capacity was also assessed. The mean maximum oxygen uptake (VO2max) of the CAPD patients was reduced considerably (14.6 ml kg-1 min-1) compared with matched control subjects (33.6 ml kg-1 min-1). This corresponded to the difficulty experienced by these patients in carrying out daily activities. There was no significant change in VO2max or in maximum heart rate with the peritoneal cavity full. We conclude that physical fitness is poor in CAPD patients and that the infusion of dialysis fluid into the peritoneal cavity does not affect physical work capacity further.
据记载，接受定期血液透析的终末期肾衰竭患者运动能力较差，但关于持续非卧床腹膜透析（CAPD）患者运动能力的信息却很少。我们使用递增负荷跑步机运动试验，对一组18例患有各种心肺疾病的CAPD患者进行了研究。还评估了腹腔内液体对工作能力的影响。与匹配的对照受试者（33.6 ml·kg⁻¹·min⁻¹）相比，CAPD患者的平均最大摄氧量（VO2max）显著降低（14.6 ml·kg⁻¹·min⁻¹）。这与这些患者在进行日常活动时所经历的困难相对应。腹腔充满时，VO2max或最大心率没有显著变化。我们得出结论，CAPD患者的身体素质较差，并且向腹腔内注入透析液不会进一步影响体力工作能力。
