督灸疗法对维持性血液透析患者不宁腿综合征的改善:随机对照研究  

Effect of governor moxibustion for restless legs syndrome of maintenance hemodialysis:a randomized controlled trial

作　　者：高云[1] 赵俊峰[2] 郭存霞[3] 

机构地区：[1]广州医科大学护理学院,广东广州510180 [2]河南省中医院泌尿外科,郑州471000 [3]河南省中医院血液透析中心

出　　处：《中国针灸》2016年第6期597-600,共4页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药管理局中医药强省项目:20141168;广东省教育厅高校省级重点平台和重大科研项目:2015WTSCX090

摘　　要：目的:观察督灸疗法对维持性血液透析患者不宁腿综合征(RLS)的影响。方法:将69例维持性血液透析合并不宁腿综合征的患者随机分为观察组(34例)和对照组(35例)。两组均给予血液透析常规治疗,观察组在常规治疗的基础上采用督灸疗法,督灸部位选取从大椎到腰俞之督脉,于督脉之上隔督灸粉及生姜泥进行艾灸,2周治疗1次,8次为一疗程,连续治疗1个疗程。观察两组治疗前后RLS严重程度(IRLS)、匹兹堡睡眠质量指数量表(PSQI)总分,并评价两组综合疗效。结果:两组治疗后IRLS、PSQI总分均较治疗前降低(均P<0.01);观察组治疗后IRLS、PSQI总分显著低于对照组(均P<0.05);观察组愈显率为58.8%(20/34),对照组愈显率为22.9%(8/35),差异具有统计学意义(P<0.01)。结论:督灸疗法能有效改善维持性血液透析患者不宁腿综合征症状及睡眠质量。Objective To observe the effect of governor moxibustion for restless legs syndrome（RLS）of maintenance hemodialysis.Methods Sixty-nine patients with RLS of maintenance hemodialysis were randomly divided into an observation group（34cases）and a control group（35cases）.Conventional hemodialysis was applied in the two groups.Moxibustion was used at the governor vessel from Dazhui（GV 14）to Yaoshu（GV 2）separated by governor moxibustion powder and ginger mud in the observation group.Treatment was given once two weeks and continuous eight times were taken as a course.One course was adopted.Scores of international restless legs syndrome（IRLS）and Pittsburgh sleep quality index（PSQI）were observed before and after treatment and comprehensive effects were evaluated in the two groups.Results The total scores of IRLS and PSQI were decreased after treatment in the two groups（all P〈0.01）.And the above two scores after treatment of the observation group were apparently lower than those of the control group（both P〈0.05）.The cured and effective rate of the observation group was 58.8%（20/34）,and that of the control group was 22.9%（8/35）,with statistical difference（P〈0.01）.Conclusion Governor moxibustion can effectively improve the symptoms and sleep quality of RLS of maintenance hemodialysis.

关 键 词：不宁腿综合征 血液透析 灸法 督脉铺灸 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]