摘要
目的探讨基于多学科诊疗(MDT)的协作式运动疗法管理应用于维持性血液透析(MHD)患者的效果。方法按照随机数字表法将我院2020年1月至2021年9月收治的80例维持性血液透析患者分为对照组和观察组,每组各40例,对照组采用常规运动疗法,观察组采用基于MDT的协作式运动疗法,观察两组钙磷水平、微炎症状态以及营养状况。结果干预2个月后,观察组血钙高于对照组,血磷低于对照组(P<0.05);观察组C反应蛋白(CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)低于对照组(P<0.05);观察组白蛋白(ALB)、前白蛋白(PRE)高于对照组(P<0.05)。结论基于MDT的协作式运动疗法可以通过调节MHD患者钙磷代谢水平,控制微炎症状态,从而增加机体营养摄入,改善营养状况。
Objective:To investigate the effect of multidisciplinary diagnosis and treatment(MDT)-based collaborative exercise therapy management in patients with maintenance hemodialysis(MHD).Methods:According to the random number table method,80 patients with maintenance hemodialysis admitted in our hospital from January 2020 to September 2021 were selected and divided into the control group,who received routine exercise therapy,and the observation group,who received MDT-based collaboration,with 40 cases in each group.The calcium and phosphorus levels,micro-inflammatory state and nutritional status of the two groups were observed.Results:After 2 months of intervention,the blood calcium in the observation group was higher than that in the control group,and the blood phosphorus in the observation group was lower than that in the control group(P<0.05).α(TNF-α)was lower than the control group(P<0.05);the albumin(ALB)and prealbumin(PRE)of the observation group were higher than those of the control group(P<0.05).Conclusion:MDT-based collaborative exercise therapy can control the micro-inflammatory state by regulating calcium and phosphorus metabolism in MHD patients,thereby increasing the body’s nutritional intake and improving nutritional status.
作者
左丽艳
ZUO Li-yan(Affiliated Hospital of Jinggangshan University,Ji'an Jiangxi 343000,China)
出处
《透析与人工器官》
2022年第3期81-84,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
多学科诊疗(MDT)
协作式运动疗法
维持性血液透析
微炎症状态
multidisciplinary diagnosis and treatment(MDT)
collaborative exercise therapy
maintenance hemodialysis(MHD)
micro-inflammatory state
