大定风珠联合耳穴埋籽对降低肝肾阴虚型老年维持性血液透析患者收缩压变异性的临床观察  

Clinical Effect of Dading Fengzhu Combined with Auricular Point Seed Embedding on Reducing the Systolic Blood Pressure Variability in Elderly Patients with Maintenance Hemodialysis of Liver-Kidney Yin Deficiency

作　　者：徐莹银 徐苏苏 许丽璇 郑冬雅 刘建璟 XU Yingyin;XU Susu;XU Lixuan;ZHENG Dongya;LIU Jianjing(Nanjing Lishui District Hospital of Traditional Chinese Medicine,Medical College of Yangzhou University,Nanjing 210000,China)

机构地区：[1]南京市溧水区中医院,扬州大学医学院附属医院,江苏南京210000

出　　处：《基层中医药》2022年第10期50-55,共6页Basic Traditional Chinese Medicine

基　　金：南京市溧水区中医院院级科研项目(LSZYJN202005)。

摘　　要：目的 观察大定风珠联合耳穴埋籽对降低肝肾阴虚型老年维持性血液透析(MHD)患者收缩压变异性的临床效果。方法 选取南京市溧水区中医院血液净化室符合肝肾阴虚证型的MHD老年患者40例,使用随机数字表法将患者分为观察组和对照组,观察组20例,对照组20例,观察组患者在基本治疗的基础上,给予大定风珠联合耳穴埋籽治疗,对照组给予基本治疗,收集两组患者透析前收缩压(SBP),计算两组患者透析过程中收缩压变异系数(SBP-CV),观察组和对照组治疗时间均为2个月。结果 1)观察组治疗前、后的透析前SBP比较,治疗后(149.90±9.53)mm Hg低于治疗前(161.85±17.63)mm Hg(P<0.05)。对照组治疗前、后的透析前SBP比较,差异无统计学意义(P> 0.05)。2)观察组、对照组治疗前的透析前SBP比较,差异无统计学意义(P> 0.05)。观察组、对照组治疗后比较,观察组的透析前SBP(149.90±9.53)mm Hg低于对照组(158.60±12.37)mm Hg(P<0.05)。3)观察组患者治疗后与治疗前比较,透析前SBP水平降低(P<0.05)。透析1 h、2 h、3 h、4 h比较,差异无统计学意义(P> 0.05)。4)对照组患者治疗后与治疗前比较,透析前、透析1 h、2 h、3 h、4 h比较,差异无统计学意义(P> 0.05)。5)观察组治疗后SBP-CV(4.2%)低于治疗前(9.39%),收缩压变异指数明显降低;对照组治疗后SBP-CV(7.38%)较治疗前(7.87%)略有降低。结论 大定风珠联合耳穴埋籽在降低肝肾阴虚型老年维持性血液透析患者收缩压变异性方面具有肯定的作用。Objective To observe the clinical effect of Dading Fengzhu combined with auricular point seed embedding on decreasing systolic blood pressure(SBP) variability in elderly patients with maintenance hemodialysis(MHD) of liver-kidney yin deficiency. Methods A total of 40 elderly MHD patients with liver-kidney yin deficiency were selected from the blood purification room of Nanjing Lishui District Hospital of Traditional Chinese Medicine, and they were divided into an observation group(20 cases) and a control group(20 cases) by random number table. Patients in the control group received basic treatment, while patients in the observation group were treated with Dading Fengzhu combined with auricular point seed embedding on the basis of basic treatment. Before dialysis, the SBP of the two groups was collected, and the coefficient of variation in systolic blood pressure(SBP-CV) in both groups was calculated during dialysis. The treatment time was 2 months. Results 1) After treatment, the SBP of the observation group was lower than that before treatment(149.90±9.53 mm Hg vs 161.85±17.63 mm Hg, P<0.05). There was no significant difference in SBP of the control group before and after treatment(P>0.05). 2) The SBP of the observation group was decreased compared with that of the control group,(149.90±9.53 mm Hg vs 158.60±12.37 mm Hg, P<0.05). 3) No distinct difference was observed in SBP of the observation group after 1 h, 2 h, 3 h and 4 h of dialysis(P>0.05). 4) For the control group, the SBP had no marked difference before dialysis and after 1 h, 2 h, 3 h and 4 h of dialysis(P>0.05). 5) After treatment, the SBP-CV of the observation group was 4.2% lower than 9.39% before treatment, while the control group had slight decrease in SBP(7.38%) compared with that(7.87%) before treatment. Conclusion Dading fengzhu combined with auricular seed embedding had a positive effect on reducing the SBP variability in elderly MHD patients with liver-kidney yin deficiency.

关 键 词：大定风珠 耳穴埋籽 肝肾阴虚 血液透析 收缩压变异性 

分 类 号：R47[医药卫生—护理学]