雷火灸治疗血液透析内瘘流量不足的临床研究  

Clinical Study of Thunder-fire Moxibustion for Fistula Blood Flow Insufficiency in Hemodialysis

作　　者：马源 费佳 朱辟疆 MA Yuan;FEI Jia;ZHU Pijiang(Zhenjiang Hospital of Chinese Traditional and Western Medicine,Zhenjiang 212000,China;Zhenjiang Hospital of Traditional Chinese Medicine,Zhenjiang 212000,China)

机构地区：[1]镇江市中西医结合医院,镇江212000 [2]镇江市中医院,镇江212000

出　　处：《上海针灸杂志》2022年第5期450-453,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：镇江市社会发展指导性项目(FZ2019032);江苏省第二批名老中医药专家传承工作室建设项目(朱辟疆江苏省名中医传承工作室)[苏中医科教(2016)6号]。

摘　　要：目的观察雷火灸治疗血液透析内瘘流量不足的临床疗效。方法将62例维持性血液透析内瘘流量不足患者随机分为试验组和对照组,每组31例。试验组采取雷火灸联合常规护理方案,对照组采取常规护理方案。比较两组治疗前后血液透析内瘘每分钟最大血流量、心理状态情况,并比较两组内瘘并发症发生情况。结果两组治疗后血液透析内瘘每分钟最大血流量、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估分值较治疗前改善(P<0.05),且试验组优于对照组(P<0.05)。试验组治疗后血流量不足、血管狭窄、血管栓塞、血肿发生率均低于对照组,差异有统计学意义(P<0.05)。结论在常规护理方案基础上,雷火灸能够提高血液透析内瘘流量不足患者的透析效果,改善患者生活质量,降低内瘘并发症的发生率。Objective To observe the clinical efficacy of thunder-fire moxibustion in treating fistula blood flow insufficiency in hemodialysis. Method Sixty-two patients with fistula blood flow insufficiency in hemodialysis were randomized into an experimental group and a control group, with 31 cases in each group. The experimental group received thunder-fire moxibustion combined with conventional nursing, and the control group only received conventional nursing. Before and after the treatment, the maximum blood flow per minute of the hemodialysis fistula and mental state in the two groups were compared. The incidences of fistula complications were also compared. Result After the treatment, the maximum blood flow per minute of the hemodialysis fistula, self-rating anxiety scale(SAS)score, and self-rating depression scale(SDS) score improved in both groups(P<0.05), and the experimental group was superior to the control group(P<0.05). The incidences of blood flow insufficiency, vascular stenosis, vascular embolism, and hematoma were significantly lower in the experimental group than in the control group(P<0.05).Conclusion On the basis of conventional nursing, thunder-fire moxibustion can improve the hemodialysis result in patients with fistula blood flow insufficiency in hemodialysis, and it can enhance the quality of life and reduce the incidences of fistula complications.

关 键 词：雷火针灸疗法 血液透析 动静脉内瘘 焦虑自评量表 抑郁自评量表 

分 类 号：R246.1[医药卫生—针灸推拿学]