调理脾胃灸法改善血液透析患者生存质量:多中心随机对照研究  

Improvement of survival quality of the patients with hemodialysis treated with moxibustion for regulating spleen and stomach functions:multi-central randomized controlled study

作　　者：王绍华[1] 邱模炎[1] 程爱华[1] 李楠[2] 谢雁鸣[3] 郝建荣[4] 张启蒙 栾洁[1] 刘鹏[1] 闫二萍[1] 浮金晨 余宗洋[7] 朱莉[1] 田芃[1] 刘晓丽[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 [2]中国中医科学院研究生院 [3]中国中医科学院中医临床基础医学研究所 [4]北京京煤集团总医院 [5]北京中关村医院 [6]北京昌平区中西医结合医院 [7]重庆三峡中心医院

出　　处：《中国针灸》2014年第4期319-324,共6页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院第二批优势病种项目:CACMS 07Y0019

摘　　要：目的:探讨调理脾胃灸法对终末期肾脏病维持性血液透析患者生存质量的影响。方法:将来源于3个透析中心的109例尿毒症维持性血液透析患者随机分为观察组(58例)和对照组(51例)。两组均采用西医规律血液透析加常规药物治疗,观察组在此基础上,采用纸管贴穴灸疗器于足三里、三阴交两穴施灸,每周治疗2~3次,4周为一疗程,治疗3个疗程,随访3个月。应用肾脏疾病生存质量专用量表(kidney disease quality of life short form,KDQOL-SFTM1.3)在治疗前、治疗后、随访结束后分别对两组进行问卷调查评价其生存质量。结果:治疗后,观察组患者在躯体功能(83.62±13.27vs 79.32±22.17)、一般健康(58.88±20.24vs 48.82±20.89)、活力(77.07±15.56vs 70.59±22.61)3个领域的生存质量评分高于对照组(均P<0.05);同组治疗前后比较,观察组在躯体功能、一般健康、活力、症状与不适4个领域的生存质量评分提高(均P<0.05)。随访结束后,观察组患者在躯体功能、一般健康、情感健康、社交功能、活力、肾脏病对日常生活的影响、认知功能等7个领域的生存质量评分高于对照组(均P<0.05);随访结束后与治疗前比较,观察组在活力、症状与不适、认知功能3个领域的生存质量评分提高(均P<0.05)。对照组在治疗前后及随访后全部19个领域的生存质量评分差异均无统计学意义(均P>0.05)。结论:调理脾胃灸法可在躯体功能、一般健康、活力3个领域改善透析患者生存质量,随之对患者的心理产生有益的影响,进而改善情感健康、社交功能、肾脏病对日常生活的影响、认知功能等领域的生存质量。Objective To discuss the impacts of moxibustion for regulating spleen and stomach function on the survival quality of the patients of end stage renal disease （ESRD） with maintenance hemodialysis （MHD）. Methods One hundred and nine cases of uremia with MHD from 3 hemodialysis centers were randomized into an observation group （58 cases） and a control group （51 cases）. The regular hemodialysis and conventional medica- tion were used in the two groups. In the observation group, on the basis of the common treatment, moxibustion was applied to Zusanli （ST 36） and Sanyinjiao （SP 6）, 2-3 times a day, the treatment of 4 weeks made one ses- sion. Totally, 3 sessions were required and the follow-up lasted for 3 months. KDQOL-SF （kidney disease quality of life short form,KDQOL-SFTM 1. 3） was adopted for the questionnaire investigation on survival quality before treatment, after treatment and at the end of follow-up separately in the two groups. Results After treatment, the survival quality scores in terms of physical functioning （83.62~ 13.27 vs 79.32~22.17）, general health （58.88~ 20.24 vs 48.82q-20.89） and vitality （77.07＋15.56 vs 70.59~22.61） in the observation group were higher than those in the control group （all P^0.05）. In comparison before and after treatment in the same group, the survival quality scores in terms of physical functioning, general health, vitality and symptoms/problems were all improved in the observation group （all P^0.05）. At the end of follow-up, the survival quality scores in terms of physical functioning, general health, mental health, social functioning, vitality, effects of kidney disease and cognitive function were higher in the observation group as compared with those in the control group （all P^0.05）. In com- parison of the results at the end of follow-up with those before treatment, the survival quality scores in terms of vitality, symptoms/problems and cognitive function in the observation group were improved （all P~ 0. 05）. The dif

关 键 词：终末期肾脏病 血液透析 生存质量 艾灸疗法 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]