循经点穴疗法联合耳穴贴压在维持性血液透析患者中的应用  

Meridian point therapy combined with ear point pressing for patients taking maintenance hemodialysis

作　　者：魏小燕[1] 王美荣 张群芳[3] 曾志奎 Wei Xiaoyan;Wang Meirong;Zhang Qunfang;Zeng Zhikui(Outpatient Office,Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;Cadre Health Department,Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;Health Management and Physical Examination Center,Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;Department of Traumatology and Orthopedics,Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院门诊办公室,南昌330006 [2]江西中医药大学附属医院干部保健科,南昌330006 [3]江西中医药大学附属医院健康管理体检中心,南昌330006 [4]江西中医药大学附属医院创伤骨科,南昌330006

出　　处：《国际医药卫生导报》2024年第21期3685-3688,共4页International Medicine and Health Guidance News

基　　金：江西省中医药管理局科技计划(2023A0089)。

摘　　要：目的分析循经点穴疗法联合耳穴贴压对维持性血液透析(MHD)患者的影响。方法选取2023年1月至2024年1月江西中医药大学附属医院收治的84例MHD患者,随机数字表法分为两组,各42例。对照组中男27例,女15例,年龄(54.29±3.40)岁,采用常规干预;观察组中男29例,女13例,年龄(54.40±3.26)岁,在对照组基础上加以循经点穴疗法联合耳穴贴压。持续干预4周,对比两组心理状态、疾病相关症状、疲乏症状、睡眠质量。统计学方法采用χ^(2)、t检验。结果干预后,观察组的汉密尔顿抑郁量表、汉密尔顿焦虑量表、透析疲乏量表内各症状、疲劳量表-14、匹兹堡睡眠质量指数评分分别为(9.33±1.26)分、(8.61±1.02)分、(1.02±0.16)分、(1.35±0.19)分、(0.89±0.16)分、(1.02±0.18)分、(0.96±0.19)分、(4.35±0.69)分、(6.80±1.16)分,均低于对照组[(13.29±1.59)分、(12.25±1.53)分、(1.77±0.25)分、(2.16±0.20)分、(1.55±0.21)分、(1.73±0.24)分、(1.62±0.25)分、(6.21±1.25)分、(10.31±1.54)分],差异均有统计学意义(t=12.650、12.829、16.376、19.029、16.201、15.338、13.622、8.443、11.798,均P<0.05)。结论循经点穴疗法联合耳穴贴压可改善MHD患者心理状态,减轻疲乏症状,提高生活质量。Objective To analyze the effect of meridian point therapy combined with ear point pressing for patients taking maintenance hemodialysis(MHD).Methods Eighty-four patients taking MHD at Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine from January 2023 to January 2024 were selected,and were divided into a control group and an observation group by the random number table method,with 42 cases in each group.There were 27 males and 15 females in the control group;they were(54.29±3.40)years old.There were 29 males and 13 females in the observation group;they were(54.40±3.26)years old.The control group took routine intervention;in addition,the observation group took meridian point therapy and ear point pressing.Both groups were intervened for 4 weeks.The psychological status,disease-related symptoms,fatigue symptoms,and sleep quality were compared between two groups byχ^(2)and t tests.Results After the intervention,the scores of the Hamilton Depression Scale,Hamilton Anxiety Scale,symptoms of Dialysis Fatigue Scale,Fatigue Scale-14,and Pittsburgh Sleep Quality Index in the observation group were lower than those in the control group[(9.33±1.26)vs.(13.29±1.59),(8.61±1.02)vs.(12.25±1.53),(1.02±0.16)vs.(1.77±0.25),(1.35±0.19)vs.(2.16±0.20),(0.89±0.16)vs.(1.55±0.21),(1.02±0.18)vs.(1.73±0.24),(0.96±0.19)vs.(1.62±0.25),(4.35±0.69)vs.(6.21±1.25),and(6.80±1.16)vs.(10.31±1.54)],with statistical differences(t=12.650,12.829,16.376,19.029,16.201,15.338,13.622,8.443,and 11.798;all P<0.05).Conclusion Meridian point therapy combined with ear point pressing for patients taking MHD can improve their psychological state and life quality,and alleviate their fatigue symptoms.

关 键 词：维持性血液透析 循经点穴疗法 耳穴贴压 心理状态 睡眠质量 

分 类 号：R248.1[医药卫生—中医临床基础]