中国血液净化

中国血液净化 ›› 2015, Vol. 14 ›› Issue (04): 210-212.doi: 10.3969/j.issn.1671-4091.2015.04.006

• 临床研究 • 上一篇    下一篇

维持性血液透析患者开展握力测量时间的探讨

杨东旭,王颖,檀敏,赵新菊   

  1. 北京大学人民医院肾内科
  • 收稿日期:2014-10-09 修回日期:2014-12-11 出版日期:2015-04-12 发布日期:2015-04-20
  • 通讯作者: 王颖 wangying19753344@sina.com E-mail:wangying19753344@sina.com
  • 基金资助:

    北京大学人民医院护理科研基金资助项目基金号(812232)

Studies on the appropriate time for grip strength measurement in maintenance hemodialysis patients

  • Received:2014-10-09 Revised:2014-12-11 Online:2015-04-12 Published:2015-04-20

RichHTML

0

PDF

230

摘要： 目的  探讨维持性血液透析(Maintenance hemodialysis，MHD)患者开展定期握力监测的最佳测量时间。方法112 例患者：青年组18 例；中年组63 例；老年组31 例。分别测量最大透析间期和最小透析间期的透析前、透析后的握力值，并分析其差异性。结果①全部患者透析前握力均值为30.90±12.63kg；透析后握力均值为28.95±12.08kg；(t=5.999;P=0.000)具有显著统计学差异；②全部患者最大透析间期透析前握力值30.90±12.63kg；最小透析间期透析前握力值31.62±12.17kg;(t =
-2.388;P =0.019),具有统计学差异;③分年龄组后，青年组最大透析间期握力44.56±13.63kg;最小透析间期握力42.81±13.25kg；中年组最大透析间期握31.11 ± 10.31kg;最小透析间期握力32.24±10.56kg;老年组最大透析间期握力22.55±9.04kg;最小透析间期握力23.84±8.93kg;(F 值分别为24.087，17.948；t 均=0.000)，具有统计学意义；④全部患者中100 例为主力侧手臂测量握力，均值32.44±12.22kg;12 例为非主力侧手臂测量,占全部样本量的10.7%,均值为24.13±9.59kg，(t=2.105，P=0.038)。结论MHD 患者握力测量的最佳时间为最小透析间期的透析前测量更利于管理，同时反映其相对较好的营养状况达到个体握力峰值。

关键词: 维持性血液透析, 握力

Abstract: Objective To study the appropriate time for regular grip strength measurement in maintenance hemodialysis (MHD) patients. Methods A total of 112 MHD patients were divided into young group (n=18), middle age group (n=63), and old age group (n=31). Grip strength values were measured in the longest time gap and the shortest time gap before and after a hemodialysis (HD) session. Result ①The average grip strength was 30.90±12.63 kg before a HD session, and was 28.95±12.08 kg after a HD session (t =5.999, P=0.000) in the MHD patients. ②Grip strength reached 30.90±12.63 kg in the longest dialysis time gap, and 31.62 ± 12.17 kg in the shortest dialysis time gap before HD session (t =-2.388, P=0.019) in the MHD patients. ③In young group, grip strength was 44.56±13.63 kg in the longest dialysis time gap, and was 42.81±13.25 kg in the shortest dialysis time gap; in middle age group, grip strength was 31.11±10.31 kg in the longest dialysis time gap, and was 32.24±10.56 kg in the shortest dialysis time gap; in old age group, grip strength was 22.55± 9.04 kg in the longest dialysis time gap, and was 23.84±8.93 kg in the shortest dialysis time gap (F=24.087 and 17.948; t =0.000). ④The average grip strength was 32.44±12.22 kg measured from the predominant handed side in 100 MHD patients, and was 24.13±9.59 kg measured from the non-predominant handed side in 12 (10.7%) MHD patients (t =2.105, P=0.038). Conclusion The shortest dialysis time gap before HD session was the appropriate time for grip strength measurement in MHD patients. Grip strength at this time point reached maximal value, well reflecting the nutritional status in MHD patients

Key words: Maintenance hemodialysis, Handgrip strength