摘要
目的:观察辨证施灸方案对维持性血液透析患者肌肉运动康复的影响。方法:92例维持性血液透析患者采用中央随机系统分为治疗组与对照组,每组46例。2组均给予西医常规治疗,治疗组在此基础上加用辨证施灸方案,观察周期为12周。治疗前后记录2组患者心肺耐力(6 min步行距离、心率血压乘积)、肌肉耐力(握力、握力耐力),采用生存质量评定(肾脏病生存质量专用量表KDQOL-SFTM1.3)评价辨证施灸方案对维持性血液透析患者肌肉运动康复的临床疗效。结果:(1)治疗后治疗组6 min步行距离长于治疗前,差异有统计学意义(P<0.05);治疗后2组6 min步行距离比较,差异有统计学意义(P<0.05)。(2)肾病生存质量评价中,治疗组治疗后睡眠状况优于治疗前,差异有统计学意义(P<0.05);治疗组总体健康评分优于对照组,差异有统计学意义(P<0.05)。结论:辨证施灸方案可延长维持性血液透析患者的6 min步行距离,改善患者睡眠及总体健康状况。
Objective：To observe the effect of moxibustion according to syndrome differentiation on the rehabilitation of muscle function in patients with maintenance hemodialysis. Methods：A total of 92 patients seclected from five hospitals with maintenance hemodialysis were randomly assigned to the treatment group and the control group by using central randomization system. Both groups received Western conventional treatment, while the treatment group were added with moxibustion according to syndrome differentia- tion. The observation cycle was twelve weeks. Cardiopulmonary endurance （six minutes walking distance, heart rate and blood pres- sure product）, muscle endurance （such as grip strength, grip strength endurance） and the quality of life assessment （the score of kid- ney disease quality of life KDQOL-SFTM 1.3 ） were observed and recorded before and after treatment to evaluate the efficiency ofmoxi- bustion based on syndrome differentiation. Results ：After twelve-week treatment, the six minutes walking distance was extended in the treatment group （P〈 0.05 ） ;there was significant difference on six minutes walking distance between the two groups after treatment （P〈 0.05 ）. After treatment, the sleep status was better than that before treatment （P〈 0.05 ）, and the overall health score in treatment group was better than that of the control group （P〈 0.05 ）. Conclusion：Moxibustion based on syndrome differentiation can extend six minutes walking distance, and improve the patient＇s sleep and overall health status. This program provides a simple and effective traditional Chinese medicine treatment to improve the muscle function in patients with maintenance hemodislysis.
作者
闫二萍
邱模炎
任建伟
康志敏
曹钋
刘士英
孔令新
YAN Erping QIU Motan REN Jianwei KANG Zhimin CAO Po LIU Shiying KONG Lingxin(Wangjing Hospital, China Academy of Chinese Medical Sciences ,Beijing 100102, China Aerospace General Hospital, China Medical University,Beijing 100012, China Dongzhimen Hospital ,Beijing University of Chinese Medicine ,Beijing 100007, China Changping Hospital oflntegrated Chinese and Western Medicine ,Beijing 102208,China Fangshan Traditional Medical Hospital of Beijing,Beijing 102400, China)
出处
《康复学报》
2016年第4期6-10,16,共6页
Rehabilitation Medicine
基金
北京市中医药科技项目(JJ2013-64)
关键词
血液透析
辨证施灸
肌肉运动康复
尿毒症
hemodialysis, moxibustion according to syndrome differentiation, muscles function rehabilitation, uremia
