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Intervention control of aerobic exercise in maintaining quality of life and pulmonary hypertension in hemodialysis patients

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World Journal of Clinical Cases 2024年第20期12卷 4217-4229页

作者： Dan-Dan Wang Min Cheng Chun-Ying Chen Department of Rehabilitation Medicine Zhejiang HospitalHangzhou 310012Zhejiang ProvinceChina Blood Purification Center Zhejiang HospitalHangzhou 310012Zhejiang ProvinceChina

BACKGROUND Pulmonary hypertension is a serious complication in the treatment of maintenance hemodialysis patients,which seriously affects the quality of life of patients and threatens their life ***,treatment and improvement of pulmonary hypertension are of great significance to improve the quality of life of *** To investigate the intervention and control of pedal-powered bicycle in maintaining quality of life and pulmonary hypertension in hemodialysis *** 73 patients with maintenance hemadialysis combined with pulmonary arterial hypertension at a hemodialysis center in a certain hospital from May 2021 to May 2022 are *** are divided into two groups,37 cases in the control group(group C)and 36 cases in the intervention group(group I).Patients are divided into two groups,group C is treated with oral administration of betaglandin sodium combined with routine nursing *** on group C,group I conducts power cycling *** After treatment,group I patients had higher muscle strength,36-Item Short Form Health Survey scores,and Kidney Disease Targets Areas scores;The 6-minute walk distance test index level was higher and the Borg score was lower;The group I had lower systolic blood pressure,greater vital capacity,higher positive emotion,lower systolic pulmonary artery pressure index level,higher arterial partial oxygen pressure level,lower pulmonary vascular resistance index level,and higher blood oxygen saturation level[158.91±11.89 vs 152.56±12.81,1795.01±603.18 vs 1907.20±574.15,24.00(22.00,29.00)vs 24.00(22.00,28.00),P<0.001].CONCLUSION Aerobic exercise combined with Western medicine treatment can effectively improve patients'pulmonary hypertension,alleviate their negative emotions,and enable them to achieve a higher level of quality of life.

关键词： Aerobic exercise Hemodialysis Pulmonary arterial hypertension cycle ergometer Quality of life

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