Chinese Journal of Blood Purification ›› 2022, Vol. 21 ›› Issue (02): 119-122.doi: 10.3969/j.issn.1671-4091.2022.02.012

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Research progress in exercise intervention of autologous arteriovenous fistula in patients with maintenance hemodialysis

  

  1. 1Department of Cardiovascular Ultrasound and Cardiac Function, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China
  • Received:2021-07-06 Revised:2021-11-20 Online:2022-02-12 Published:2022-02-17

Abstract: 【Abstract】Autogenous arteriovenous fistula (AVF) is the main blood access pathway for patients with maintenance hemodialysis (MHD). However, the lagged maturation, stenosis and thrombosis of AVF are great challenges for both doctors and patients. Intimal hyperplasia is the main pathophysiological factor of AVF stenosis. In addition to endothelial dysfunction, local hydrodyna-mics also play an important role. Studies have shown that exercise intervention and rehabilitation training after AVF operation can facilitate its maturation and longer service life of AVF. This paper reviews the effects of different exercise modes on vascular function before and after AVF operation, and the research progress and pathophysiological mechanism in improvement of vascular patency rate, in order to provide economical, safe and effective intervention methods for clinical practice.

Key words: Autogenous arteriovenous fistula, Exercise intervention, Maintenance hemodialysis

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