中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (04): 217-220.doi: 10.3969/j.issn.1671-4091.2021.04.001

• 专题与讲座 •    下一篇

维持性血液透析患者的呼吸功能障碍与康复

王婷婷1,吕振存2,刘惠林2,马迎春1   

  1. 首都医科大学康复医学院，中国康复研究中心北京博爱医院1肾内科2神经系统理学疗法科
  • 收稿日期:2020-11-09 修回日期:2020-12-07 出版日期:2021-04-12 发布日期:2021-04-12
  • 通讯作者: 马迎春 mych323@163.com E-mail:mych323@163.com

Respiratory dysfunction and rehabilitation in maintenance hemodialysis patients

  1. 1Department of Nephrology, 2Department of Neurorehabilitation physiotherapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2020-11-09 Revised:2020-12-07 Online:2021-04-12 Published:2021-04-12
  • Contact: yingchun ma E-mail:mych323@163.com

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摘要： 【摘要】维持性血液透析(maintenance hemodialysis，MHD)患者由于存在多种代谢紊乱及血液透析相关因素，导致机体呼吸过程的各环节均可能出现功能障碍。呼吸功能障碍导致MHD 患者的生活质量降低，增加不良预后风险。肺康复可以改善患者的生理功能，提高运动耐力，减轻呼吸困难症状，提高健康相关生活质量。本文针对MHD患者呼吸功能障碍的病理生理机制及康复治疗进行综述。

关键词: 血液透析, 呼吸障碍, 呼吸肌, 肺康复, 运动疗法

Abstract: 【Abstract】The metabolic disorders and dialysis-related factors in maintenance hemodialysis(MHD) patients may result in dysfunction in all aspects of the respiratory process. Respiratory dysfunction reduces quality of life and increases the risk of poor prognosis in MHD patients. Pulmonary rehabilitation can improve patients' exercise endurance and reduce dyspnea. In this paper, we will discuss the pathophysiological mechanisms and rehabilitation treatment of respiratory dysfunction in MHD patients, aiming to provide new insights into the pathophysiology of respiratory dysfunction and improve clinical management of MHD patients.

Key words: Hemodialysis, Respiratory disorder, Respiratory muscle, Pulmonary rehabilitation, Exercise therapy

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