Chinese Journal of Blood Purification

Chinese Journal of Blood Purification ›› 2023, Vol. 22 ›› Issue (10): 785-789.doi: 10.3969/j.issn.1671-4091.2023.10.015

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The comparison of upper limb function between maintenance hemodialysis patients with arteriovenous fistula or arteriovenous graft and healthy adults

WANG Xin-xin, SUN Chao, LI Shuang, ZHENG Han-xu, GU Guo-yan, SONG Xiao-duo, YU Hai-yan, YIN Yong-mei, WU Hai-hong, TIAN Xin, GUAN Yue-hong,  SHANG Yun-xiao, ZHAO Shuang, HUANG Fu-biao, MA Ying-chun   

  1. Department of Nephrology and 7Department of Occupational therapy, China Rehabilitation Research Center, Beijing BoAi Hospital, Capital Medical University Rehabilitation Medical College, Beijing 100068, China; 2Department of Nephrology, China Aerospace Science and Industry Corporation 731 Hospital, Beijing 100074, China; 3Hemodialysis Center, Beijing Fengtai Hospital, Beijing 100071, China; 4Hemodialysis Center, Fengtai Rehabilitation Hospital of Beijing Municipality (Tieying Hospital), Beijing 100079, China; 5Hemodialysis Center, Fengtai Nanyuan Hospital, Beijing 100076, China; 6Hemodialysis Center, Beijing Fengtai You’anmen Hospital, Beijing 100069, China
  • Received:2023-06-09 Revised:2023-08-10 Online:2023-10-12 Published:2023-09-28
  • Contact: 100068 北京，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 E-mail:mych323@163.com

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Abstract: Objective To compare the upper limb function between right-handed maintenance hemodialysis (MHD) patients with arteriovenous fistula (AVF) or AVF graft and healthy adults.  Method  The right-handed MHD patients with AVF or AVF graft for blood access from six hemodialysis centers in Beijing were enrolled in this cross-sectional study. Demographic and biochemical data, grip strength, and the operation time of Simple Test for Evaluating Hand Function (STEF) were collected. t-test was used to compare the upper limb function between MHD patients and healthy adults.  Results  A total of 90 MHD patients were enrolled, 51 patients were males, the mean age was 59.63±10.60 years, and the median dialysis vintage was 62.50 (24.00, 113.00) months. The MHD patients were divided into 8 groups by gender and age. The grip strength of MHD patients vs. healthy adults in the age groups were 35-40 years old (female: 20.27±1.10 vs. 28kg, t=-9.968, P=0.064; male: 25.85±8.38 vs. 45kg, t=-4.998, P=0.038), 41-50 years old (female: 20.37±9.25 vs. 28kg, t=-1.844, P=0.139; male: 27.59±10.43 vs. 43kg, t=-4.433, P=0.002), 51～60 years old (female: 17.99±8.84 vs. 26kg, t=-2.717, P=0.026; male: 25.64±9.04 vs. 40kg, t=-4.205, P=0.006), and 61～70 years old (female: 14.11±9.45 vs. 23kg, t=-3.880, P=0.001; male: 27.41±9.22 vs. 36kg, t=-4.837, P<0.001), indicating grip strength decreased in MHD patients as compared with healthy adults of the same age range. The operation time of each STEF items increased in MHD patients than in Chinese healthy adults (P<0.05).  Conclusions  The grip strength and flexibility were lower in MHD patients with AVF or AVF graft than in healthy people.

Key words: Maintenance hemodialysis, Arteriovenous fistula, Upper limb function

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