光子治疗联合功能锻炼对老年终末期肾脏病病人的临床疗效

doi:10.3969/j.issn.1003-9198.2021.07.031

摘要/Abstract

摘要： 目的探讨光子治疗联合功能锻炼在老年终末期肾脏病病人中的应用效果。方法选取2018年1月至2019年5月在我院行自体动静脉内瘘成形术的60例老年终末期肾病病人,按照随机数字表法分为对照组(n=30例)和研究组(n=30例)。对照组采取功能锻炼,研究组在此基础上加用光子治疗。观察2组一次穿刺成功率、内瘘成熟率、术后头静脉内径、动静脉瘘血流量、血液透析时泵控血流量、生活质量及护理满意度。结果研究组一次穿刺成功率、术后1个月和2个月内瘘成熟率、头静脉内径、动静脉瘘血流量、血液透析时泵控制血流量及护理满意度评分均明显高于对照组(P＜0.05)。与对照组比较,研究组术后3个月肾脏病和生活质量问卷(KDQOLTM-36)中症状影响、肾病负担、肾病影响及疼痛度评分均明显降低(P＜0.05),而身体功能、社会功能、精力体力及情感状况评分均明显升高(P＜0.05)。结论光子治疗联合功能锻炼有助于改善经自体动静脉内瘘行血液透析的老年终末期肾脏病病人血管内径和血流量,促进动静脉瘘成熟,提高生存质量及护理满意度。

关键词: 光子治疗, 功能锻炼, 老年人, 终末期肾脏病, 血液透析, 生活质量

Abstract: Objective To explore the effect of photon therapy combined with functional exercise in the elderly patients with end-stage renal disease(ESRD). Methods A total of 60 elderly patients with ESRD who underwent autologous arteriovenous fistula plasty in our hospital from January 2018 to May 2019 were enrolled and divided into control group (n=30) and research group (n=30) randomly. The control group was given functional exercise, and the study group was given photon therapy on the basis of the control group. The success rate of puncture, maturity rate of internal fistula, internal diameter of cephalic vein, blood flow of arteriovenous fistula, pump-controlled blood flow during hemodialysis, quality of life and nursing satisfaction were observed and compared. Results The success rate of puncture, the maturation rate of fistula 1 month and 2 months after operation, the internal diameter of cephalic vein, the blood flow of arteriovenous fistula and pump-controlled blood flow during hemodialysis and the nursing satisfaction score in the study group were significantly higher than those in the control group (P<0.05). Compared with the control group, the scores of symptoms, burden of nephropathy, nephropathy and pain in the study group were significantly lower 3 months after operation(P<0.05), while the scores of physical function, social function, energy, physical strength and emotional status were significantly higher(P<0.05). Conclusions Photon therapy combined with functional exercise is helpful to improve the vascular diameter and blood flow in the elderly patients with ESRD undergoing hemodialysis through autologous arteriovenous fistula, and to promote the maturity of arteriovenous fistula, and to improve the quality of life and nursing satisfaction.

Key words: photon therapy, functional exercise, aged, end-stage renal disease, hemodialysis, quality of life

中图分类号:

R 746

陈颖, 赵梅. 光子治疗联合功能锻炼对老年终末期肾脏病病人的临床疗效[J]. 实用老年医学, 2021, 35(7): 776-779.

CHEN Ying, ZHAO Mei. Clinical efficacy of photon therapy combined with functional exercise in elderly patients with end-stage renal disease[J]. Practical Geriatrics, 2021, 35(7): 776-779.

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