护理学报 ›› 2020, Vol. 27 ›› Issue (15): 44-49.doi: 10.16460/j.issn1008-9969.2020.15.044
抗阻运动对血液透析患者血压控制及运动耐量恢复效果Meta分析
守丹1, 梁欣2, 黄金丹1, 高祖梅1
- 1.长江大学附属第一医院,湖北 荆州 434023;
2.长江大学医学部,湖北 荆州 434000
摘要： 目的 通过Meta分析探讨抗阻运动对血液透析患者血压控制及运动耐量恢复的效果。方法 检索Cochrane library、PubMed、Medline、Web of Scienc、EMbase、Sciencedirect、中国生物医学、中国知网、万方、维普数据库,收集文献由建库至2019年8月,血液透析患者采用抗阻运动或常规护理对透析期间血压控制效果的随机对照试验。严格文献质量评价后,利用RevMan 5.3进行统计处理。结果 纳入中英文文献17篇,研究的样本量为618例。Meta分析结果显示：抗阻运动组较常规组降低透析中低血压的发生率[RR=0.57,95%CI（0.43,0.77）,P<0.01];干预2~3个月后抗阻运动组的舒张压、收缩压均比对照组对血压控制效果好[MD=-3.53,95%CI（-6.28,-0.78）,P=0.01],[MD=-6.29,95%CI（-9.34,-3.23）,P<0.01],干预>3个月后抗阻运动组舒张压、收缩压均比对照组对血压控制效果好[MD=-4.70,95%CI（-8.55,-0.84）,P=0.02）],[MD=-7.79,95%CI（-14.51,-1.07）,P=0.02）;抗阻运动组较常规组提高患者6 min步行距离[RR=33.06,95%CI（7.89,58.23）,P=0.01]。结论 抗阻运动对血液透析患者血压控制较好,能提高患者运动耐量,医务人员可根据患者耐力及病情制定个性化抗阻运动,以期取得更好的临床效果。
中图分类号:
- R459.5
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