中国血液净化

中国血液净化 ›› 2026, Vol. 25 ›› Issue (04): 316-323.doi: 10.3969/j.issn.1671-4091.2026.04.009

• 综述 • 上一篇    下一篇

腹膜透析患者体力活动和运动干预的系统评价

王 佳   吴同绚   何 娜  唐 雯   

  1. 100191 北京，北京大学第三医院1肾内科 2 康复医学科 3 药学部
  • 收稿日期:2025-07-23 修回日期:2026-01-19 出版日期:2026-04-12 发布日期:2026-04-12
  • 通讯作者: 唐雯 E-mail:tanggwen@126.com
  • 基金资助:
    北京大学第三医院临床队列建设项目(BYSYDL2023004)

A systematic review of physical activity and exercise interventions in peritoneal dialysis patients

WANG Jia, WU Tong-xuan, HE Na , TANG Wen   

  1. Department of Nephrology, 2Department of Rehabilitation Medicine, and 3Department of Pharmacy, Peking University Third Hospital, 49 North Garden Rd, Haidian District, Beijing 100191, China 
  • Received:2025-07-23 Revised:2026-01-19 Online:2026-04-12 Published:2026-04-12
  • Contact: 100191 北京，北京大学第三医院1肾内科 E-mail:tanggwen@126.com

摘要： 目的  评价体力活动和运动训练对腹膜透析(peritoneal dialysis，PD)患者的影响。 方法  系统检索MEDLINE、Embase、CINAHL、Cochrane对照研究注册中心、中国知网、万方中国学术期刊数据库、Sinomed数据库，收集建库至2024年1月前PD患者体力活动和运动训练的相关研究，进行质量评价并提取、汇总相关证据。 结果  共纳入25项干预性研究(n=1692)和16项观察性研究(n=1876)。结果表明体力活动及运动训练干预可改善PD患者身体功能、生活质量、营养状态与体成分，未报告严重不良事件。体力活动及运动训练对PD患者疲乏、骨密度、血压水平的影响仍存在不一致性。 结论  本研究结果支持体力活动和运动训练对改善PD患者多方面健康状况的积极作用。未来研究应致力于开发基于循证医学的个体化运动处方，并重点关注干预方案的长期依从性，以实现最大化临床获益。

关键词: 腹膜透析, 体力活动, 运动训练

Abstract: Objective  To evaluate the effects of physical activity and exercise training on patients undergoing peritoneal dialysis (PD). Methods  A systematic search was conducted in MEDLINE, Embase, CINAHL, the Cochrane Central Register of Controlled Trials, CNKI, Wanfang Chinese Academic Journal Database, and Sinomed to collect studies on physical activity and exercise training in PD patients published from database inception to January 2024. Quality assessment was performed, and relevant evidence was extracted and summarized.  Results  A total of 25 interventional studies (n=1692) and 16 observational studies (n=1876) were included. The results indicated that physical activity and exercise training interventions could improve physical function, quality of life, nutritional status, and body composition in PD patients, with no serious adverse events reported. However, the effects of physical activity and exercise training on fatigue, bone mineral density, and blood pressure levels in PD patients remained inconsistent.  Conclusion  The findings of this study support the positive role of physical activity and exercise training in improving multiple health outcomes in PD patients. Future research should focus on developing evidence-based individualized exercise prescriptions and emphasize long-term adherence to intervention protocols to maximize clinical benefits.

Key words: Peritoneal dialysis, Physical activity, Exercise training

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