八段锦运动在腹膜透析患者中的应用效果评价

目的 探讨八段锦运动对腹膜透析患者透析充分性、营养状况以及生活质量的影响。方法2019年6月至2020年6月，采用方便抽样方法选取在上海中医药大学附属龙华医院肾内科接受腹膜透析治疗的70例患者作为研究对象。采用随机数字表法将患者分为观察组（n=35）和对照组（n=35），对照组接受常规生活方式指导及腹膜透析相关并发症处理，观察组在此基础上增加八段锦运动。比较两组患者干预前、干预12周后的透析充分性、营养状况以及生活质量。结果 与干预前比，干预12周后两组患者透析充分性均无明显变化（P>0.05）；前白蛋白与血红蛋白均升高（P<0.05），白蛋白无明显变化（P>0.05）；观察组患者肾脏病影响维度得分提高（P<0.05）。干预12周后，观察组患者躯体健康综合评分、心理健康综合评分、肾脏病影响维度得分均高于对照组（P<0.05）。结论 八段锦运动能有效提高腹膜透析患者的生活质量。

A study on the effect of Badauanjin exercises on peritoneal dialysis patients

Objective: To investigate the effects of Baduanjin on adequacy, nutritional status and quality of life in peritoneal patients. Methods: 70 peritoneal patients were randomly divided into the group and the control group. The control group received routine lifestyle guidance and -related complications. The group received Baduanjin. The adequacy, nutritional status and quality of life of the two groups were evaluated before and after intervention. Results: After 12 weeks of Baduanjin , there was no significant change in adequacy; There were significant differences in prealbumin and hemoglobin between the two groups, but no significant change in albumin. The physical and mental component score, and the dimension of effect of disease in group were higher than those before intervention, with statistically significant change for the latter; the physical component score in the control group was higher than that before intervention, but no statistical significance. Conclusion: Baduanjin can improve the quality of life in patients with peritoneal , which is worthy of clinical application. It is still necessary to further explore the effect of Baduanjin on physical function in the future.