动静脉瘘长寿运动计划结合视频辅助患者教育对维持性血液透析患者瘘管成熟的影响
The effect of arteriovenous fistula longevity preservation exercise program combined with video-assisted patient education on fistula maturation for maintenance hemodialysis patients.
摘要(中文译文)
本研究旨在探讨动静脉内瘘（AVF）运动训练联合视频辅助患者教育对维持性血液透析（MHD）成人患者AVF成熟的影响。本研究为前瞻性非随机对照试验，于2023年9月至2024年11月在广东省中医院开展。共纳入88例符合条件的新建前臂AVF患者，根据其接受新型或传统运动训练的意愿分为干预组（43例）和对照组（45例）。对照组接受标准术后护理，干预组接受为期8周的结构化 program，该方案将中医理论指导下的监督式AVF运动训练与视频辅助反馈教育相结合。主要结局包括AVF成熟率、成熟时间及超声参数（肱动脉血流量、动脉/静脉内径、AVF深度）。次要结局包括AVF相关并发症发生率。8周时，干预组肱动脉血流量显著更高（P < 0.001），肱动脉内径更大（P < 0.001），静脉内径更大（P < 0.001），同时内瘘深度更浅（P < 0.001）。与对照组相比，干预组成熟率更高（P = 0.030），中位成熟时间更短（P = 0.040）。两组并发症发生率未见显著差异。优化的运动训练方案联合视频辅助教育可改善内瘘成熟参数并加速血液透析的功能准备，提示其可作为MHD人群标准AVF护理的补充策略。https://www.chictr.org.cn/index.html，注册号ChiCTR2400080010。
Abstract
This study aimed to investigate the efficacy of arteriovenous fistula (AVF) exercise training combined with video-assisted patient education on AVF maturation in adults undergoing maintenance hemodialysis (MHD). A prospective non-randomized controlled trial was conducted at Guangdong Provincial Hospital of Chinese Medicine from September 2023 to November 2024. A total of 88 eligible patients with newly created forearm AVFs were recruited and divided into an intervention group ( = 43) and a control group ( = 45) according to their willingness to perform novel or traditional exercise training. The control group received standard postoperative care, while the intervention group underwent a structured 8-week program that combined supervised AVF exercise training guided by Chinese Medicine theory with video-assisted feedback education. Primary outcomes included AVF maturation rate, time to maturation, and ultrasonographic parameters (brachial artery blood flow, arterial/venous inner diameter, AVF depth). Secondary outcomes included AVF-related complication rates. At 8 weeks, the intervention group demonstrated significantly higher brachial artery flow ( < 0.001), larger brachial artery inner diameter ( < 0.001), and venous diameter ( < 0.001), alongside reduced fistula depth ( < 0.001). The intervention group also demonstrated higher maturation rates ( = 0.030) and shorter median maturation time ( = 0.040) compared to the control group. No significant differences in complication rates were observed. An optimized exercise training program, combined with video-assisted education, enhances fistula maturation parameters and accelerates functional readiness for hemodialysis, suggesting its potential as a complementary strategy to standard AVF care in MHD populations. https://www.chictr.org.cn/index.html, identifier ChiCTR2400080010.
如何引用
AMA
Shimiao Luo, Xusheng Liu, Qizhan Lin, Zhicong Zhong, Yuchi Wu, Yuling Ye, et al. The effect of arteriovenous fistula longevity preservation exercise program combined with video-assisted patient education on fistula maturation for maintenance hemodialysis patients.. Frontiers in medicine. 2026; doi:10.3389/fmed.2026.1788809.
APA
Shimiao Luo, Xusheng Liu, Qizhan Lin, Zhicong Zhong, Yuchi Wu, Yuling Ye, et al (2026). The effect of arteriovenous fistula longevity preservation exercise program combined with video-assisted patient education on fistula maturation for maintenance hemodialysis patients.. Frontiers in medicine. https://doi.org/10.3389/fmed.2026.1788809
GB/T 7714
Shimiao Luo, Xusheng Liu, Qizhan Lin, Zhicong Zhong, Yuchi Wu, Yuling Ye, et al. The effect of arteriovenous fistula longevity preservation exercise program combined with video-assisted patient education on fistula maturation for maintenance hemodialysis patients.[J]. Frontiers in medicine, 2026 doi:10.3389/fmed.2026.1788809.
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