安神足浴方配合舒眠中药枕治疗终末期肾脏病血液透析患者失眠的疗效探讨  

Curative Effect Discussion of Tranquilizing Footbath Formula Combined with Sleep Traditional Chinese Medicine Pillow on Insomnia of End-Stage Renal Disease Patients with Hemodialysis

作　　者：卢海龙 LU Hailong(Nephrology Department,Zhangjiagang Guanghe Integrated Traditional Chinese and Western Medicine Hospital,Zhangjiagang,Jiangsu 215633)

机构地区：[1]张家港广和中西结合医院肾病科,江苏张家港215633

出　　处：《智慧健康》2023年第11期241-245,255,共6页Smart Healthcare

摘　　要：目的 探讨终末期肾脏病行血液透析伴发失眠时运用安神足浴方与舒眠中药枕的效果。方法选取2021年3月-2022年3月本院收治的52例终末期肾脏病行血液透析并伴发失眠病症的患者为研究对象,将所有患者随机分对照组(纳选26例患者、常规西医治疗)和观察组(纳选26例患者、加用安神足浴方与舒眠中药枕),对两组患者总有效率、匹兹堡睡眠质量评测值(PSQI)、中医症候积分情况、血压变异性评价指标(dSSD、dDSD、nSSD、nDSD)、血清指标测定值(Ca、P、Hb、iPTH)进行比较。结果 经对临床疗效分析,观察组较对照组更高(P<0.05)。干预前所予评测PSQI各维度分值组间无差异(P>0.05);干预后,所测观察组分值具体数据趋于更低表现(P<0.05)。经对中医症候积分测评,干预前分值组间相近(P>0.05);干预后观察可见,观察组显著更低(P<0.05)。在干预前dSSD、dDSD与nSSD、nDSD相比,差异均衡(P>0.05);在经干预后,观察组上述数据值均以更低水平显示(P<0.05)。干预前后组间Ca、P值比较无显著性差异(P>0.05),Hb与iPTH指标测定结果在干预前组间无差异(P>0.05);干预后观察组数据Hb更高、iPTH更低(P<0.05)。结论 针对血液透析并伴发失眠的患者,在基础治疗的同时加以安神足浴方与舒眠中药枕干预,可进一步优化疗效,更好改善睡眠质量,减轻不适感受,降低血压波动幅度,同时改善血清指标,价值突出。Objective To explore effect of Tranquilizing Footbath Formula and Sleep Traditional Chinese Medicine Pillow on insomnia of end-stage kidney disease patients with hemodialysis.Methods The paper chose 52 cases insomnia patients with end-stage kidney disease with hemodialysis admitted to our hospital from March 2021 to March 2022 as research objects,and divided them into control group(26 cases,treated with routine Western medicine)and observation group(26 cases,with Tranquilizing Footbath Formula and Sleep Traditional Chinese Medicine Pillow)randomly.Total effective rate,Pittsburgh Sleep Quality Assessment(PSQI),and TCM symptom scores between two groups were evaluated,evaluation indicators of blood pressure variability(dSSD,dDSD,nSSD,nDSD)and measured values of serum indicators(Ca,P,Hb,iPTH)were compared.Results After analyzing clinical effect,observation group showed higher levels than control group(P<0.05).There was no difference in scores of each dimension of PSQI evaluated before intervention between the groups(P>0.05).After intervention,specific data of observed component values tended to be lower(P<0.05).After evaluation,scores of traditional Chinese medicine symptoms before intervention were similar among the groups(P>0.05).After intervention,those of observation group were significantly lower(P<0.05).Before intervention,dSSD and dDSD showed balanced difference compared to nSSD and nDSD(P>0.05).After intervention,above data values in observation group were in lower levels(P<0.05).There was no significant difference in Ca and P values between the groups before and after intervention(P>0.05),and there was no difference in Hb and iPTH measurement between the groups before intervention(P>0.05).After intervention,data of observation group showed higher Hb and lower iPTH(P<0.05).Conclusion Intervention of Tranquilizing Footbath Formula and Sleep Traditional Chinese Medicine Pillow combined with basic treatment,can further optimize curative effect,improve sleep quality,reduce discomfort and blood pressure fluctuatio

关 键 词：安神足浴方 舒眠中药枕 终末期肾脏病 血液透析 失眠 睡眠质量 血压变异性 

分 类 号：R256.23[医药卫生—中医内科学] R277.5[医药卫生—中医学]