穴位埋线治疗维持性血液透析后疲劳临床疗效观察  

Clinical observation on acupoint threads embedding in treatment of post-dialysis fatigue in maintenance hemodialysis patients

作　　者：孙丽丽 邢立朝 刘欢彩 刘丹 曹颖 张国伟[1] SUN Li-i;XING Li-chao;LIU Huan-cai;LIU Dan;CAO Ying;ZHANG Guo-wei(Baoding First Hospital of TCM,Baoding 071000)

机构地区：[1]河北省保定市第一中医院,河北保定071000

出　　处：《湖北中医药大学学报》2024年第3期85-87,共3页Journal of Hubei University of Chinese Medicine

基　　金：河北省保定市科技计划项目(项目编号:2241ZF283)。

摘　　要：目的观察穴位埋线治疗维持性血液透析(MHD)后疲劳患者的临床疗效。方法将我院66例MHD后疲劳患者随机分为对照组与治疗组各33例。对照组行MHD治疗,治疗组行MHD+穴位埋线治疗。评价两组临床疗效、每项匹兹堡睡眠质量指数(PSQI)评分和总分、超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)水平、慢性病治疗的功能评估-疲劳量表(FACIT)和汉密尔顿焦虑量表(HAMA)评分。结果治疗后,治疗组总有效率高于对照组(P<0.05);两组每项PSQI评分和总分低于治疗前,治疗组上述指标低于对照组(P<0.05);两组hs-CRP、IL-6水平低于治疗前,治疗组hs-CRP、IL-6水平低于对照组(P<0.05);两组FACIT评分高于治疗前,HAMA评分低于治疗前,治疗组FACIT评分高于对照组,HAMA评分低于对照组(P<0.05)。结论穴位埋线治疗MHD后疲劳疗效较佳,可提高患者睡眠质量,降低微炎症反应,改善疲劳和焦虑。Objective To observe the clinical efficacy of acupoint threads embedding in treatment of fatigued patients after maintenance hemodialysis(MHD).Methods 66 patients with post-MHD fatigue were randomly divided into control group and treatment group,with 33 cases in each group.Control group underwent MHD,while treatment group underwent MHD+acupoint embedding.The clinical fficacy,Pittsburgh Sleep Quality Index(PSQI)score and total score,hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6),Functional Assessment-Fatigue Scale for Chronic Disease Treatment(FACIT)score,and Hamilton Anxiety Scale(HAMA)score of the two groups were evaluated.Results After treatment,the total effective rate of treatment group was higher than that of control group(P<0.05);the PSQI score and total score of both groups were lower than those before treatment,and were lower in treatment group than control group(P<0.05);hs-CRP and IL-6 levels in treatment group were lower than those before treatment,and were lower than those in control group(P<0.05);FACIT scores of both groups were higher than that before treatment,while HAMA scores were lower,and both scores were superior in treatment group to those in control group(P<0.05).Conclusion Acupoint threads embedding has a good effect on fatigue after MHD,improving sleep quality,reducing micro-inflammatory response,and improving fatigue and anxiety.

关 键 词：疲劳 维持性血液透析 穴位埋线 

分 类 号：R245.9[医药卫生—针灸推拿学]