复方精油穴位按摩联合远红外线照射治疗血液透析患者不宁腿综合征的效果  

The Effect of Compound Essential Oil Acupoint Massage Combined with Far-infrared Radiation on Restless Leg Syndrome in Hemodialysis Patients

作　　者：樊梅荣[1] 黄姣 殷鹭 FAN Mei-rong;HUANG Jiao;YIN Lu(Blood Purification Center,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Nephrology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院血液净化中心,南昌330006 [2]南昌大学第一附属医院肾内科,南昌330006

出　　处：《实用临床医学（江西）》2024年第5期89-92,96,共5页Practical Clinical Medicine

基　　金：江西省中医药科技计划项目(2022B052)。

摘　　要：目的探讨复方精油穴位按摩联合远红外线照射治疗血液透析(血透)患者不宁腿综合征(RLS)的效果。方法选取合并RLS的血透患者50例,随机分为观察组和对照组,每组25例。对照组在遵医嘱服用药物治疗同时加用远红外线照射,观察组在对照组治疗基础上加用复方精油穴位按摩,2组均治疗8周。观察2组患者实际血透治疗时间、提前结束血透治疗次数、尿素清除指数(Kt/V)、尿素下降率(URR)、中医症状评分、国际不宁腿综合征量表(IRLS)评分及匹兹堡睡眠质量指数(PSQI)评分。结果与对照组比较,观察组实际血透治疗时间延长(P<0.05),提前结束血透治疗次数明显减少(P<0.001)。治疗后,观察组Kt/V及URR均明显高于对照组(P<0.05,P<0.001)。治疗前2组中医症状评分、IRLS及PSQI评分比较差异无统计学意义(P>0.05);治疗后,2组中医症状评分、IRLS及PSQI评分均较治疗前下降(均P<0.05),且观察组优于对照组(均P<0.001)。结论复方精油穴位按摩联合远红外线照射可改善合并RLS的血透患者临床症状,有效延长患者实际透析时间、减少提前结束血透治疗次数,提升血液透析充分性及患者睡眠质量。Objective To explore the effect of compound essential oil acupoint massage combined with far-infrared radiation on restless leg syndrome(RLS)in hemodialysis(HD)patients.Methods 50 HD patients with RLS were selected and randomly divided into the observation group and the control group,25 patients in each group.The control group was treated with medication and far-infrared radiation,whereas the observation group was further treated with acupoint massage with compound essential oils.Both groups were treated for 8 weeks.Actual duration of hemodialysis,the number of early termination of hemodialysis,urea clearance index(Kt/V),urea reduction rate(URR),the Traditional Chinese Medicine(TCM)symptom scores,the International Restless Legs Syndrome Scale(IRLS)scores,and the Pittsburgh Sleep Quality Index(PSQI)scores were observed in the 2 groups.Results Compared with the control group,the actual duration of hemodialysis in the observation group was prolonged(P<0.05),and the number of early termination of hemodialysis was significantly reduced(P<0.001).After treatment,the Kt/V and URR in the observation group were significantly higher than those in the control group(P<0.05,P<0.001).There was no statistically significant difference in the TCM,IRLS,and PSQI scores between the 2 groups before treatment(P>0.05);after treatment,the TCM,IRLS,and PSQI scores in both groups decreased compared with before treatment(all P<0.05),and the above scores in the observation group was better than those in the control group(all P<0.001).Conclusions Compound essential oil acupoint massage combined with far-infrared radiation can alleviate clinical symptoms of hemodialysis patients with RLS,positively prolong actual dialysis time and reduce the number of premature termination of hemodialysis,contributing to the improvement of hemodialysis adequacy and sleep quality in patients.

关 键 词：血液透析 不宁腿综合征 复方精油 穴位按摩 远红外线 

分 类 号：R473.5[医药卫生—护理学] R248[医药卫生—临床医学]