末期腎病患者血液透析中之運動訓練

Exercise Training During Hemodialysis for the Patients with End-Stage Renal Failure

林恆騰(Hang-Tan Lin) ； 林秋菊(Chiu-Chu Lin) ； 王鈺霖(Yu-Lin Wang) ； 洪榮斌(Rong-Bin Hong) ； 林孟輝(Meng-Huei Lin) ； 黃文君(Wen-Chun Huang) ； 謝麗雯(Li-Wen Hsien) ； 周偉倪(Wil-Ly Chou)

《中華民國復健醫學會雜誌》 29卷2期 (2001/06) Pp. 91-98

摘要

The purposes of this study were to explore the feasibility of exercise training during hemodialysis for end-stage renal failure patients, and the effect of exercise training on cardiopulmonary endurance, blood and biochemical changes. The purposive sample was recruited from a medical center in southern Taiwan. A total of 20 hemodialysis patients underwent a 30-50 minutes stationary bicycle training ( 3 times a week for 12 weeks ) within the first two hours of the hemodialysis period. Exercise testing was administered to measure cardiopulmonary endurance and the change of blood and biochemical data before and after the 12-weeks exercise training program. Results of this study showed no significant change of the resting systolic blood pressure and heart rate ( p=0.328, 0.479); the ?02 max increased from 0.81±0.21 l/min to 1.16±0.31 l/min which a 43.2％ increasement (p＜0.001), the anaerobic threshold ? 02 max increased from 0.47±0.14 to 0.63±0.19 l/min with a 34.0％ increasement (p＜0.001), and the maximal workload raised from 72.37±17.72 watts to 89.42 ±25.93 watts with a 23.6％ increasement (p＜0.001). But, no significant difference was noted in the blood or biochemical data.
During the 12 weeks of exercise training, some patients had experienced hypotension, dehydration, cramps, exhaustion and flu, so we had to cancel the exercise training. But the overall patients’ compliance rate was up to 94% without any major complications. We can conclude that exercise training performed in end-stage renal failure patients is a safe and feasible method to improve cardio-pulmonary endurance and maybe worthwhile to be integrated in the routine care of such patients.

關鍵字

血液透析 ； 運動訓練 ； 心肺耐力

並列摘要

The purposes of this study were to explore the feasibility of exercise training during hemodialysis for end-stage renal failure patients, and the effect of exercise training on cardiopulmonary endurance, blood and biochemical changes. The purposive sample was recruited from a medical center in southern Taiwan. A total of 20 hemodialysis patients underwent a 30-50 minutes stationary bicycle training ( 3 times a week for 12 weeks ) within the first two hours of the hemodialysis period. Exercise testing was administered to measure cardiopulmonary endurance and the change of blood and biochemical data before and after the 12-weeks exercise training program. Results of this study showed no significant change of the resting systolic blood pressure and heart rate ( p=0.328, 0.479); the ?02 max increased from 0.81±0.21 l/min to 1.16±0.31 l/min which a 43.2％ increasement (p＜0.001), the anaerobic threshold ? 02 max increased from 0.47±0.14 to 0.63±0.19 l/min with a 34.0％ increasement (p＜0.001), and the maximal workload raised from 72.37±17.72 watts to 89.42 ±25.93 watts with a 23.6％ increasement (p＜0.001). But, no significant difference was noted in the blood or biochemical data.
During the 12 weeks of exercise training, some patients had experienced hypotension, dehydration, cramps, exhaustion and flu, so we had to cancel the exercise training. But the overall patients’ compliance rate was up to 94% without any major complications. We can conclude that exercise training performed in end-stage renal failure patients is a safe and feasible method to improve cardio-pulmonary endurance and maybe worthwhile to be integrated in the routine care of such patients.

並列關鍵字

hemodialysis ； exercise training ； cardiopulmonary endurance