Wang Dan-Dan, Cheng Min, Chen Chun-Ying
Department of Rehabilitation Medicine, Zhejiang Hospital, Hangzhou 310012, Zhejiang Province, China.
Blood Purification Center, Zhejiang Hospital, Hangzhou 310012, Zhejiang Province, China.
World J Clin Cases. 2024 Jul 16;12(20):4217-4229. doi: 10.12998/wjcc.v12.i20.4217.
Pulmonary hypertension is a serious complication in the treatment of maintenance hemodialysis patients, which seriously affects the quality of life of patients and threatens their life safety. Prevention, treatment and improvement of pulmonary hypertension are of great significance to improve the quality of life of patients.
To investigate the intervention and control of pedal-powered bicycle in maintaining quality of life and pulmonary hypertension in hemodialysis patients.
73 patients with maintenance hemadialysis combined with pulmonary arterial hypertension at a hemodialysis center in a certain hospital from May 2021 to May 2022 are selected. Patients are divided into two groups, 37 cases in the control group (group C) and 36 cases in the intervention group (group I). Patients are divided into two groups, group C is treated with oral administration of betaglandin sodium combined with routine nursing care. Based on group C, group I conducts power cycling exercises.
After treatment, group I patients had higher muscle strength, 36-Item Short Form Health Survey scores, and Kidney Disease Targets Areas scores; The 6-minute walk distance test index level was higher and the Borg score was lower; The group I had lower systolic blood pressure, greater vital capacity, higher positive emotion, lower systolic pulmonary artery pressure index level, higher arterial partial oxygen pressure level, lower pulmonary vascular resistance index level, and higher blood oxygen saturation level [158.91 ± 11.89 152.56 ± 12.81, 1795.01 ± 603.18 1907.20 ± 574.15, 24.00 (22.00, 29.00) 24.00 (22.00, 28.00), < 0.001].
Aerobic exercise combined with Western medicine treatment can effectively improve patients' pulmonary hypertension, alleviate their negative emotions, and enable them to achieve a higher level of quality of life.
肺动脉高压是维持性血液透析患者治疗中的严重并发症，严重影响患者生活质量，威胁其生命安全。预防、治疗和改善肺动脉高压对提高患者生活质量具有重要意义。
探讨脚踏自行车运动对维持性血液透析患者生活质量及肺动脉高压的干预与控制作用。
选取某医院血液透析中心2021年5月至2022年5月期间维持性血液透析合并肺动脉高压的73例患者。将患者分为两组，对照组（C组）37例，干预组（I组）36例。两组患者，C组采用口服贝前列素钠联合常规护理治疗。I组在C组基础上进行功率自行车运动。
治疗后，I组患者肌力、36条目简明健康调查量表评分、肾脏病生活质量指数量表评分更高；6分钟步行距离测试指标水平更高，Borg评分更低；I组收缩压更低，肺活量更大，积极情绪更高，收缩期肺动脉压指数水平更低，动脉血氧分压水平更高，肺血管阻力指数水平更低，血氧饱和度水平更高[158.91±11.89 152.56±12.81，1795.01±603.18 1907.20±574.15，24.00（22.00，29.00） 24.00（22.00，28.00），<0.001]。
有氧运动联合西医治疗可有效改善患者肺动脉高压，缓解其负面情绪，使其达到更高水平的生活质量。
