【摘要】 目的 探讨渐进性抗阻训练对老年腹膜透析（PD）合并肌少症患者日常生活能力及营养状况的影响。方法 选择2020年1月至2022年12月于新乡医学院第一附属医院腹膜透析中心规律随访的126例老年PD合并肌少症患者作为研究对象，按照随机数字表法将其分为对照组和干预组，每组63例。对照组保持既往日常体力活动，干预组在日常基础上联合渐进性抗阻训练。比较两组干预前、后的肌少症相关指标[骨骼肌质量指数（SMI）、握力（HGS）、6 m步速]、躯体功能[简易体能评估量表（SPPB）评分]、日常生活能力[Barthel指数评定量表（BI）评分]以及营养状况[微型营养评估简表（MNA-SF）评分]。结果 干预后，干预组的SMI、HGS及6 m步速高于对照组及干预前，差异具有统计学意义（P<0.05）。干预后，干预组的SPPB、BI及MNASF评分高于对照组及干预前，差异具有统计学意义（P<0.05）。结论 渐进性抗阻训练可改善老年PD合并肌少症患者的日常生活能力及营养状况，提高其生活自理能力。更多还原

【Abstract】 Objective To investigate the effects of progressive resistance training on activities of daily living and nutritional status in elderly peritoneal dialysis(PD) patients combined with sarcopenia. Methods A total of 126 elderly PD patients combined with sarcopenia who were regularly followed up in the peritoneal dialysis center of the First Affiliated Hospital of Xinxiang Medical University from January 2020 to December2022 were selected as the research objects. According to the random number table method, the patients were divided into control group and intervention group, with 63 cases in each group. The control group maintained daily physical activity, and the intervention group combined with progressive resistance training on the basis of daily exercise. The sarcopenia-related indicators [skeletal muscle mass index(SMI), handgrip strength(HGS),6 m pace], physical function [Short Physical Performance Battery(SPPB) score], daily living ability [Barthel Index(BI) score] and nutritional status [Mini Nutritional Assessment-Short Form(MNA-SF) score] between the two groups before and after intervention were compared. Results After intervention, the SMI, HGS and 6 m pace of the intervention group were higher than those of the control group and before intervention, and the differences were statistically significant(P<0.05). After intervention, the SPPB, BI and MNA-SF scores of the intervention group were higher than those of the control group and before intervention, and the differences were statistically significant(P<0.05). Conclusion Progressive resistance training can improve the activity daily living and nutritional status of elderly PD patients with sarcopenia, and enhance their self-care ability.更多还原