耳穴按压控制维持性血液透析患者口渴程度的研究(1)
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[摘要] 目的 研究耳穴按压治疗减轻血液透析患者口渴症状临床疗效。 方法 选取维持性血液透析口渴症患者19例，随机分为常规治疗组和对照组，分别于治疗4周和8周后应用口干渴强度评分表、日净增体重比作为与透析间期体重增长的观察指标。 结果 治疗4周和8周后，10例常规治疗组患者口干渴程度变化不明显，9例患者治疗2个疗程后, 口干渴强度评分明显下降(P < 0.05)，日净增体重比亦有统计学意义(P < 0.05)。 结论 耳穴按压治疗可改善维持性血液透析患者口渴症状，值得临床推广应用。
[关键词] 维持性血液透析；耳穴按压；口渴
[中图分类号] R692 [文献标识码] B [文章编号] 1673-9701(2012)06-0068-02
The effect of auricular point sticking therapy on the thirsty degree of hemodialysis patients
XIE Min LIN Riyang HU Zhenfen
Hemopurification Center, Wenzhou Hospital of Traditional Chinese Medicine in Zhejiang Province, Wenzhou 325000, China
[Abstract] Objective To study clinical effect of auricular point sticking therapy on the thirsty degree of hemodialysis patients. Methods All of 19 hemodialysis patients with the symptom of thirsty were randomly divided into the control group and the treatment group. After these patients were treated 4 weeks and 8 weeks, the indixes were observed by XQ、percent of daily increase weight gain (IWG%) and IDWG to evaluate the effect. Results After 4 weeks and 8 weeks' treatment, the change of the thirsty degree of hemodialysis patients in treatment group was not obvious, and XQ scores of 9 cases were droped obviously after 2 coures of treatment (P < 0.05) and IDWG and there was significant difference between two groups (P < 0.05). Conclusion The effect of Auricular Point Sticking therapy on hemodialysis patients' thirsty degree is obviously and should be used as a routine method in clinical.
[Key words] Hemodialysis; Auricular point sticking; Thirsty degree
耳穴贴压是中医养生保健的重要手段之一，由于简便有效得到国内外学者和患者的认同。目前耳穴已经用于治疗多种急慢性疾病，包括精神性疾病。血液透析患者口渴程度轻重不一，受到包括心理等多种因素的影响，已有学者使用体针治疗口渴症状取得一定疗效。本课题组前期研究发现耳穴贴压可以在短期内减低血液透析患者的口渴评分，但由于实验条件限制，未能选择严格对照、样本量亦小。本研究在既往实验的基础上进一步扩大了样本量，采用随机单盲对照实验，进一步观察耳穴对口渴症的治疗作用。
1 资料与方法
1.1 一般资料
本院共收集维持性血液透析患者19例，其中原发病为慢性肾小球肾炎10例、高血压肾病1例、糖尿病肾病6例、慢性肾盂肾炎1例、多囊肾1例。实验经伦理委员会审批通过，患者知情同意。随机分为常规治疗组10例和耳穴治疗组(常规治疗+耳穴按压)9例，常规治疗组平均年龄(54.9±10.2)岁，耳穴治疗组平均年龄(53.8±12.5)岁，两组年龄差异无统计学意义(P > 0.05), 常规治疗组平均干体重(54±9.0)kg，耳穴治疗组平均干体重(55.2±9.3)kg，两组干体重差异无统计学意义(P > 0.05), 常规治疗组口渴评分(39.1±7.3)，耳穴治疗组口渴评分(39.6±6.54)分，两组比较差异无统计学意义(P > 0.05)。
1.2 方法
1.2.1 病例纳入标准[1]及排除标准 纳入标准：①符合尿毒症诊断标准；②维持性血液透析治疗≥6个月 ......
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