灸法治疗血液透析中低血压的临床观察  

Clinical Observation on Moxibustion Treating Hemodialysis Hypotension

作　　者：李葆青[1] 邱模炎[1] 李楠[1] 王绍华[1] 栾洁[1] 

机构地区：[1]中国中医科学院望京医院血液净化中心,北京100102

出　　处：《世界中医药》2013年第10期1233-1236,共4页World Chinese Medicine

摘　　要：目的:观察灸法对血液透析中低血压的治疗作用。方法:将71例维持性血液透析患者随机分为治疗组(37例)和对照组(34例),两组均采用西医常规治疗方法;治疗组采用纸管贴穴灸疗器艾灸足三里、三阴交(两穴左右交替选用)及关元。比较两组透析相关低血压发生率、症状性低血压发生情况,进行疗效评价。结果:治疗期第3个疗程,治疗组低血压发生率低于对照组(P<0.05),该差异持续至随访期第2个月;治疗期和随访期治疗组症状性低血压发生率均低于对照组,差异具有统计学意义(P<0.05)。结论:灸疗可以预防血液透析中低血压的发生,起效缓慢,但作用持久,同时可以增强患者在血液透析过程中的耐受性,减少症状性低血压的发生。Objective： To observe the clinical efficacy of moxibustion in the treatment of hemodialysis hypotension. Methods： Seventy one maintenance hemodialysis patients were randomly divided into a treatment group（ n = 37） and a control group（ n = 34）,and routine western medicines were used in both groups. Besides,moxibustion was given at acupoints of Zúsānlǐ,Sānyīnjiāoand Guānyuán with a paper-tube-moxibustion equipment in the treatment group. The hypotension incidence relevant to dialysis,symptomatic hypotension,and curative effect of the two groups were compared and evaluated. Results： On the 3rd period of treatment course,the incidence of low blood pressure of the treatment group was lower than that of the control group（ P〈0. 05）,and the differences continued until 2 months after follow-up; the incidence of symptomatic hypotension of the treatment group was lower than the control group in follow-up and treatment period,and the difference was statistically significant（ P〈0. 05）. Conclusion： The moxibustion could prevent the occurrence of the blood dialysis hypotension with slow but long-lasting effect. At the same time,it could enhance patients＇ tolerance in the process of hemodialysis,so as to reduce the occurrence of symptomatic hypotension.

关 键 词：灸疗 血液透析 低血压 

分 类 号：R459.5[医药卫生—治疗学]