中国血液净化

中国血液净化 ›› 2026, Vol. 25 ›› Issue (03): 218-221.doi: 10.3969/j.issn.1671-4091.2026.03.009

• 临床研究 • 上一篇    下一篇

基于物联网的运动康复模式在老年腹膜透析肌少症患者中的应用研究

顾玲娜    潘富琴    蒋丽娜    吴丹薇    边学燕   

  1. 315010 宁波，1宁波大学附属第一医院肾内科
  • 收稿日期:2025-06-20 修回日期:2025-11-27 出版日期:2026-03-12 发布日期:2026-03-12
  • 通讯作者: 边学燕 E-mail:gulingna_gln@163.com
  • 作者简介:b875487903@163.com
  • 基金资助:

Application of exercise rehabilitation model based on Internet of Things in elderly peritoneal dialysis patients with sarcopenia

GU Ling-na, PAN Fu-qin, JIANG Li-na, WU Dan-wei, BIAN Xue-yan   

  1. Department of Nephrology, the First Affiliated Hospital of Ningbo University, Ningbo 315010, China
  • Received:2025-06-20 Revised:2025-11-27 Online:2026-03-12 Published:2026-03-12
  • Contact: 315010 宁波，1宁波大学附属第一医院肾内科 E-mail:gulingna_gln@163.com

摘要： 目的  研究基于物联网的运动康复模式在老年腹膜透析(peritoneal dialysis，PD)肌少症患者中的应用价值。 方法  回顾性选取2020年6月—2023年6月在宁波大学附属第一医院收治的老年PD肌少症患者分为A组和B组。A组采用常规康复，B组采用基于物联网的运动康复模式。比较2组肌肉功能、6 m步行所用时间等。 结果  共纳入60例患者，A、B组各30例。与治疗前相比，2组患者治疗后肌肉量，骨骼肌相对质量指数，左、右上肢握力，白蛋白升高；步行6 m所用时间缩短，C反应蛋白降低(B组：t= -10.637、-5.317、-6.381、-6.060、-10.143、8.948、7.701，均P ＜0.001；A组：t=-5.083、-4.744、-4.255、    -7.588、-6.805、6.048、7.076，均P ＜0.001)；治疗后B组的肌肉量，骨骼肌相对质量指数、左、右上肢握力、白蛋白、步行6 m所用时间及C反应蛋白的增加或降低幅度均高于A组(t=2.153、2.480、2.123、2.240、0.209、2.247、2.503，P=0.036、0.016、0.029、0.038、0.013、0.028、0.015)。 结论  基于物联网的运动康复模式可提升老年PD肌少症患者的肌肉功能和步行速度。

关键词: 基于物联网的运动康复模式, 腹膜透析肌少症, 肌肉功能, 炎症

Abstract: Objective  To study the application value of exercise rehabilitation model based on the Internet of Things in elderly peritoneal dialysis (PD) patients with sarcopenia.  Methods  A total of 60 elderly PD patients with sarcopenia treated in our hospital from June 2020 year to June 2023 year were retrospectively studied. They were divided into group A and group B with 30 cases in each group. Conventional rehabilitation was applied in group A, while the exercise rehabilitation model based on the Internet of Things was adopted in group B. Muscle mass, muscle function, left and right grip strength, time for 6m walk, and blood indexes were compared between the two groups.  Results Muscle mass, skeletal muscle relative mass index, left and right grip strength and serum albumin increased, time for 6m walk shortened, and C-reactive protein decreased in both groups after intervention (group B: t=-10.637, -5.317, -6.381, -6.060, -10.143, 8.948 and 7.701 respectively; group A: t=-5.083, -4.744, -4.255, -7.588, -6.805, 6.048 and 7.076 respectively; all P＜0.001). The improved ranges of the above indicators were higher in group B than in group A (t=2.153, 2.480, 2.123, 2.240, 0.209, 2.247 and 2.503 respectively; P=0.036, 0.016, 0.029, 0.038, 0.013, 0.028 and 0.015 respectively).  Conclusion The exercise rehabilitation model based on the Internet of Things can improve muscle function, walking speed and inflammation indicators in elderly PD patients with sarcopenia.

Key words: Exercise rehabilitation model based on Internet of Things, Peritoneal dialysis sarcopenia, Muscle function, Inflammation

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