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中药熏蒸疗法联合艾灸对慢性肾功能不全患者生活质量的影响

Influence of traditional Chinese medicine fumigation combined with moxibustion on quality of life in patients with chronic renal insufficiency
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摘要 目的研究中药熏蒸疗法联合艾灸对慢性肾功能不全患者生活质量的影响。方法选取2020年3月至2021年2月无锡市中医医院收治的100例慢性肾功能不全患者作为研究对象,按照随机数字表法分为对照组(50例)和观察组(50例)。对照组进行常规西医治疗,观察组在对照组的基础上加用中药熏蒸疗法联合艾灸治疗。比较两组患者的肾血流指标变化情况,研究两组患者的生活质量改善状况。结果治疗前,两组患者的肾叶间动脉收缩峰值血流速(PSV)、舒张末期血流速(EDV)、血流阻力指数(RI)水平比较,差异无统计学意义(P>0.05)。治疗2个月后,观察组的EDV水平高于对照组,RI水平低于对照组,差异有统计学意义(P<0.05);两组患者治疗2个月后的PSV水平比较,差异无统计学意义(P>0.05)。治疗前,两组患者的精力、躯体疼痛、情感职能、生理功能、生理职能、社会功能、情感健康、总体健康评分比较,差异无统计学意义(P>0.05)。治疗2个月后,观察组的精力、躯体疼痛、情感职能、生理功能、生理职能、社会功能、情感健康、总体健康评分高于对照组,差异有统计学意义(P<0.05)。结论中药熏蒸法联合艾灸能够改善肾动脉血流,提升患者生活质量,是一种发展前景广阔的中医疗法,值得推荐。 Objective To study the influence of traditional Chinese medicine fumigation combined with moxibustion on the quality of life of patients with chronic renal insufficiency.Methods A total of 100 patients with chronic renal insufficiency admitted to Wuxi Hospital of Traditional Chinese Medicine from March 2020 to February 2021 were selected as the research objects,and they were divided into the control group(50 cases)and the observation group(50 cases)according to the random number table method.The control group was treated with conventional Western medicine,and the observation group was treated with traditional Chinese medicine fumigation therapy combined with moxibustion on the basis of the control group.The changes of renal blood flow indexes between the two groups were compared,the improvement of the quality of life of the two groups of patients was studied.Results There were no significant differences in peak systolic velocity(PSV),end diastolic velocity(EDV)and resistance index(RI)between the two groups before treatment(P>0.05).After 2 months of treatment,the EDV level of the observation group was higher than that of the control group,and the RI level of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in PSV level between the two groups after 2 months of treatment(P>0.05).There were no significant differences in the scores of energy,physical pain,emotional function,physiological function,physiological function,social function,emotional health and overall health between the two groups before treatment(P>0.05).After 2 months of treatment,the scores of energy,physical pain,emotional function,physiological function,physiological function,social function,emotional health and overall health in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine fumigation combined with moxibustion can improve renal arterial blood flow and improve the quality of life of patients.It is a promising Chinese medicine method that is worth recommending.
作者 杨咏君 YANG Yongjun(Department of Nephrology,Wuxi Hospital of Traditional Chinese Medicine,Jiangsu Province,Wuxi214072,China)
出处 《中国当代医药》 CAS 2022年第16期162-165,共4页 China Modern Medicine
基金 江苏省无锡市中医医院院内课题(ZYYYB21021)。
关键词 慢性肾功能不全 中药熏药 艾灸 肾血流动力学 生活质量 Chronic renal insufficiency Fumigation of traditional Chinese medicine Moxibustion Renal hemodynamics Quality of life
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