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Rehabilitation Practice and Science

Translated Title

尿毒病患血液透析中之運動訓練：病例報告

Abstract

Exercise training, especially aerobic exercise, is beneficial to one's health. This is also true for end-stage renal failure patients. However, exercise programs prescribed on non-dialysis days are not usually carried out by the patients, which can decrease the expected effectiveness of exercise training.We present an uremic patient who first underwent a 3 month non-exercise control period, then immediately followed by another 3 months of exercise training during hemodialysis, with a stationary bike. We found the patient's compliance rate for exercise training was 94% (34/36). His maximal oxygen consumption increased by 37.8%, and he was able to discontinue his anti-hypertensive agents due to a normalization of his resting blood pressure and heart rate. Cholesterol and triglyceral levels decreased by 42 and 38 mg/dl, and HDL levels increased by 10.2 mg/dl, as compared with his non-exercise period results (+10, +4 and –1 mg/dl). The patient's Zung depression score also decreased from 62 to 41. However, no significant difference was noted in the RBC, Hb, Hct, BUN, creatinine, and uric acid levels between the two periods. We can conclude that exercise training performed in end-stage renal failure patients during hemodialysis is a safe form of cardiopulmonary rehabilitation. and the high compliance rate, can assure the expected results of exercise training.

Language

Traditional Chinese

First Page

95

Last Page

101

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