中药足浴联合放松训练对维持性透析尿毒症患者失眠症、情绪障碍及社会功能影响  

Effect of TCM Lavipeditum Combined with Relaxation Training on Insomnia,Emotional Disorders and Social Function in Uremic Patients Undergoing Maintenance Hemodialysis

作　　者：杨红荣[1] 史秀岩[1] 叶艳[1] 刘丹[1] 张莹[1] YANG Hongrong SHI Xiuyan YE Yan LIU Dan ZHANG Yin(Taihe Hospital Affiliated to Hubei Univerty of Medicine, Shiyan 442000, Hubei, Chia)

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000

出　　处：《辽宁中医药大学学报》2017年第7期162-165,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：湖北省十堰市科技局项目(WJ2015MB288)

摘　　要：目的:探究中药足浴联合放松训练对维持性透析(MHD)尿毒症患者失眠症、情绪障碍及社会功能的影响。方法:选取2013年6月—2015年6月在我院血液透析中心进行MHD治疗的86例患者为研究对象,所有患者按随机法分为对照组和观察组,每组43例,对照组患者接受医院常规宣教,观察组患者接受中药足浴联合渐进性肌肉放松训练治疗。采用匹兹堡睡眠质量指数量表(PSQI)、社会功能缺陷评分表(SDSS),情绪障碍评分采用焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分,比较两组患者睡眠质量和情绪障碍评分和并发症发生情况。结果:观察组患者睡眠治疗总有效明显高于对照组,差异具有统计学意义(χ2=4.914,P<0.05)。治疗后两组患者睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍、催眠药物、睡眠效率及PSQI总分较治疗前均降低,且观察组在睡眠质量、睡眠时间、睡眠障碍、日间功能障碍及PSQI总分较对照组明显降低,差异具有统计学意义(P<0.05);治疗后两组患者SDSS评分、SAS评分及SDS评分较治疗前明显降低,观察组患者SDSS评分、SAS评分及SDS评分明显低于对照组,差异具有统计学意义(P<0.05)。经随访调查发现,观察组短期内并发高血压发生率为11.62%,对照组患者短期内高血压发生率32.56%,两组差异显著,具有统计学意义(χ2=5.472,P<0.05)。结论:中药足浴联合放松训练对维持性透析尿毒症患者疗效显著,能够显著改善患者睡眠障碍,消除患者焦虑、抑郁等情绪障碍,促进患者社会功能恢复,同时有利于降低高血压等并发症的发生,值得临床推广使用。Objective：To explore the effect of TCM lavipeditum combined with relaxation training on insomnia,emotional disorders and social function in uremic patients undergoing maintenance hemodialysis（MHD）. Methods：Eighty-six patients who underwent MHD hemodialysis center of our hospital between June 2013 and June 2015 were selected as study subjects and were randomized into the control group and the observation group,43 cases in each group. Patients in control group received routine education while patients in observation group received TCM lavipeditum combined with relaxation training. The Pittsburgh Sleep Quality Index scale（PSQI）,Social Disability Screening Schedule（SDSS）,Selfrating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）were used for evaluation. The sleep quality and emotional disorder scores and complications were compared between the two groups. Results：The total effective of treatment for sleep in observation group was significantly higher than control group（χ2=4.914,P〈0.05）. After treatment,total scores of sleep quality,time of falling asleep,sleeping time,sleep disorders,daytime dysfunction,hypnotic agents,sleep efficiency and PSQI in both groups were significantly lower than those before treatment,and the scores of sleep quality,sleeping time,sleep disorders,daytime dysfunction and PSQI in observation group were significantly lower than those in control group（P〈0.05）;After treatment,the scores of SDSS,SAS and SDS were significantly lower than those before treatment,the scores in observation group were significantly lower than control group（P〈0.05）. The follow-up survey found that the incidence of short-term hypertension in observation group was 11.62% while in the control group was 32.56%（χ2=5.472,P〈0.05）. Conclusion：The curative effect of TCM lavipeditum combined with relaxation training in uremic patients undergoing MHD is significant. It can significantly relieve sleep disorders,eliminate anxiety,depression and other unhealthy emotions,and

关 键 词：中药足浴 放松训练 维持性透析 症状困扰 

分 类 号：R692.9[医药卫生—泌尿科学]