摘要
Objective To explore the effective therapy for deficiency syndrome in the maintenance hemodialysis patients of end-stage renal disease. Methods Ninety-seven maintenance hemodialysis patients of end-stage renal disease were divided into an observation group （51 cases） and a control group （46 cases） randomly, and routine western medicines were used in both groups. On this base, moxibustion was given at Zusanli （足三里 ST 36） and Sanyijiao （三阴交 SP 6） with a paper-tube-moxibustion equipment in the observation group. The therapeutic effects on syndromes were evaluated by comparing the symptom scores in two groups before and after treatment. Results After treatment, all the symptom scores in the observation group were improved significantly （all P〈0.05）, with fatigue and weakness, short breath and aversion to talking, poor appetite, lassitude in loin and knees, aversion to cold, cool extremities and so on most obviously improved, and the total effective rate on the syndrome in observation group （64.7%, 33/51） was significantly higher than that in control group （23.9%, 11/46）, with a significant difference between the two groups （P〈0.05）. Conclusion Moxibustion can improve the clinical symptoms of maintenance hemodialysis patients of end-stage renal disease, and it has some therapeutic effect on the deficiency syndrome.
目的:探寻治疗终末期肾脏病维持性血液透析患者虚证的有效疗法。方法:将97例终末期肾脏病维持性血液透析患者随机分为观察组(51例)、对照组(46例),两组均采用西医常规治疗方法;观察组在此基础上给予纸管贴穴灸疗器艾灸足三里、三阴交两穴。比较两组治疗前后症状积分,进行证候疗效评价。结果:观察组治疗后全部症状积分均有改善,差异有统计学意义(均P<0.05),尤以倦怠乏力、气短懒言、食少纳呆、腰膝酸软、畏寒肢冷等症状改善最为明显;证候疗效方面观察组总有效率64.7%(33/51),优于对照组的23.9%(11/46)(P<0.05)。结论:灸法能够改善终末期肾脏病维持性血液透析患者临床症状,对该类患者的虚证有一定的治疗作用。
基金
Supported by the second lot TCM superior diseases clinical research items of China Academy of Chinese Medical Sciences: CACMS07Y0019
