主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (11): 1540-1543.doi: 10.3969/j.issn.1672-1756.2018.11.023

• • 上一篇    

造血干细胞移植期间患儿运动锻炼的临床实践

张冰花;何梦雪;沈南平   

  1. 上海交通大学医学院附属上海儿童医学中心血液肿瘤科,200127(张冰花,何梦雪);护理部(沈南平)
  • 发布日期:2019-01-07
  • 基金资助:
    上海市卫生和计划生育委员会科研课题资助项目(201540353)

Cilinical practice of the exercise therapy for children with Hematopoietic Stem Cell Transplantation

  • Published:2019-01-07

摘要: 目的:对造血干细胞移植(HSCT)期间患儿实施运动锻炼,分析其可行性与安全性。方法:对2016年1月至2017年3月间入住上海某专科儿童医院进行HSCT并符合纳入标准的患儿进行医护人员监督指导下的运动锻炼,使用脚踏功率自行车进行有氧及抗阻运动,同时收集患儿的一般资料、运动消耗及过程数据。结果:共纳入44例HSCT患儿,其中31名完成运动锻炼计划,总运动次数为363次;运动期间出现恶心中止运动1例,其余无运动相关并发症或不良反应发生。大部分运动指标呈现先降后升的趋势,第四周降至低谷,而被动运动时间的变化则相反。结论:在临床专业人员的评估、指导及监测下,HSCT期间患儿可以在住院时进行中低强度的有氧加抗阻运动锻炼。

关键词: 造血干细胞移植;儿童;运动锻炼;可行性

Abstract: Objective: To implement the exercise therapy for children with Hematopoietic Stem Cell Transplantation (HSCT), and assess its feasibility. Methods: Eligible HSCT children admitted to a specialized children's hospital in Shanghai during 2016 January to 2017 March were enrolled. All the children were instructed with aerobic exercise and resistance exercise therapy with a cycle ergometer, under the supervision of the therapist or trained nurse. The basic information, energy expenditure and monitoring data were assessed and documented. Results: Totally 31 children among the 44 cases completed the therapy, and the total number of exercises was 363. Only one child stopped exercise due to nausea. Most exercise indexes showed a trend of falling first and then rising, with the lowest point in the fourth week. While the change trend of passive exercise time was just opposite. Conclusion: Moderate or low intensity aerobic exercise and resistance exercise therapy for children with HSCT is acceptable with the assessment, guidance, and monitoring of the clinical professionals.

Key words: Hematopoietic Stem Cell Transplantation; pediatric patients; exercise therapy; feasibility