穴位按摩治疗血液透析患者疲乏和睡眠障碍的临床研究  

Clinical Observation of Acupoint Massage in the Treatment of Fatigue and Sleep Disorder in Hemodialysis Patients

作　　者：郭军军[1] 刘敏华 何超成 魏妃苑 吴秀清[1] 刘旭生[1] 邓丽丽[1] Guo Junjun;Liu Minhua;He Chaocheng;Wei Feiyuan;Wu Xiuqing;Liu Xusheng;Deng Lili(The Second Clinical College of Guangzhou University of Chinese Medicine,Guanghzou 510120,China;Guangzhou University of Chinese Medicine,Guanghzou 510120,China)

机构地区：[1]广州中医药大学第二临床医学院(广东省中医院),广州510120 [2]广州中医药大学,广州510120

出　　处：《世界科学技术-中医药现代化》2020年第7期2499-2503,共5页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局重大疑难疾病中西医临床协作试点建设项目(0103020603):慢性肾脏病,负责人:刘旭生;广州市荔湾区科技工业和信息化局科技民生项目(202004032):基于“医联体”框架的慢性肾脏病科普教育体系建设与中医特色疗法推广应用,负责人:郭军军

摘　　要：目的探讨穴位按摩对改善维持性血液透析患者疲乏状态及睡眠障碍的作用效果。方法选取2017年5月至2017年10月在广东省中医院大德路总院透析科规律行维持性血液透析并符合纳入标准的患者60例,随机分为对照组和治疗组,每组30例。对照组给予常规治疗,透析结束后卧床休息15 min,自行恢复;观察组在对照组基础上,选取双侧足三里、三阴交、太溪、涌泉,单侧内关(内瘘对侧上肢)穴位,进行穴位按摩,共治疗4周。观察两组每次治疗前后简单疲乏量表(Brief Fatigue Inventory,BFI)评分,修订版Piper疲乏量表(Revised Piper FatigueScale,RPFS)及匹茨堡睡眠质量评分(Pittsburgh Sleep Quality Index,PSQI)变化情况。结果治疗前两组研究对象RPFS评分量表各维度评分、RPFS总分及PSQI评分进行对比,两组差异无统计学意义(P>0.05),具有可比性;治疗后两组间RPFS评分量表各维度评分、RPFS总分、每次BFI评分平均值及PSQI评分组间对比,差异均有统计学意义(P<0.05);治疗前后观察组RPFS评分量表各维度评分、RPFS总分、PSQI评分比较,差异均有统计学意义(P<0.05);治疗前后对照组RPFS评分量表各维度评分、RPFS总分差异有统计学意义,PSQI评分差异无统计学意义(P>0.05)。结论穴位按摩可以有效改善维持性血液透析患者的疲乏症状,同时缓解睡眠障碍。Objective To explore the effect of acupoint massage on fatigue and sleep quality of maintenance hemodialysis patients.Methods From May 2017 to October 2017,60 patients with maintenance hemodialysis who met the inclusion criteria were enrolled in the dialysis department of the general hospital.They were randomly divided into control group and treatment group.30 cases in control group were given routine treatment.After dialysis,they were rested in bed for 15 minutes and recovered by themselves.On the basis of the control group,30 patients in the observation group were given acupoint massage at Zusanli,Sanyinjiao,Taixi,Yongquan and Neiguan(the opposite upper limb of internal fistula).The treatment lasted for 4 weeks.The changes of Brief Fatigue Inventory(BFI)score,Revised Piper Fatigue Scale(RPFS)and Pittsburgh Sleep Quality Index(PSQI)were observed before and after each treatment.Results There was no significant difference in RPFS score,total RPFS score and PSQI score between the two groups before and after treatment(P>0.05).There were significant differences in RPFS score,total RPFS score,average BFI score and PSQI score between the two groups after treatment(P<0.05).There were significant differences in each dimension score,total RPFS score and PSQI score(P<0.05);there were significant differences in each dimension score and total RPFS score of the control group before and after treatment,and there was no significant difference in PSQI score(P>0.05).Conclusion Acupoint massage can effectively improve the fatigue symptoms of maintenance hemodialysis patients and relieve sleep disorders.

关 键 词：血液透析 疲乏 睡眠障碍 穴位按摩 

分 类 号：R244.1[医药卫生—针灸推拿学]