摘要
目的探讨基于脾肾互赞理论的改良后苇管灸疗法在持续不卧床腹膜透析(CAPD)合并脾肾阳虚型失眠患者中的应用效果。方法采用便利抽样法,选取2020年9月—2022年12月浙江中医药大学附属宁波市中医院肾内科收治的64例CAPD合并脾肾阳虚型失眠患者为研究对象。采用随机数字表法将研究对象分为对照组和研究组,每组32例。对照组采用常规治疗和揿针耳穴疗法;研究组采用常规治疗、揿针耳穴疗法及改良后苇管灸疗法,干预时间为3个月。比较两组失眠严重指数、腹膜透析充分性的差异。结果干预后,研究组的失眠严重指数量表得分低于对照组,差异有统计学意义(P<0.05);研究组的尿素清除指数、肌酐清除率高于对照组,差异有统计学意义(均P<0.05)。结论基于脾肾互赞理论的改良苇管灸疗法对改善CAPD合并脾肾阳虚型失眠患者的失眠症状、提高透析充分性具有积极作用。
ObjectiveTo explore the effect of modified reed tube moxibustion based on spleen-kidney mutual assistance theory in patients with continuous ambulatory peritoneal dialysis(CAPD)combined with spleen-kidney yang deficiency type of insomnia.MethodsFrom September 2020 to December 2022,64 patients with CAPD combined with insomnia of spleen-kidney yang deficiency type were selected from the Department of Nephrology,Ningbo Municipal Hospital of Traditional Chinese Medicine,Zhejiang Chinese Medical University by the convenience sampling method.A randomized numerical table method was used to divide study subjects into a control group and a study group,with 32 cases in each group.The control group received conventional treatment and auricular needle-embedding therapy;while the study group received traditional treatment and auricular needle-embedding therapy combined with modified reed tube moxibustion.The intervention period lasted three months.Differences in Insomnia Severity Index,Chinese medicine syndrome score,and peritoneal dialysis adequacy were compared between the two groups.ResultsAfter intervention,the Insomnia Severity Index score of the study group was lower than those of the control group,and the difference was statistically significant(P<0.05).The urea clearance index and creatinine clearance rate of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).ConclusionsModified reed tube moxibustion based on spleen-kidney mutual assistance theory has a positive effect on improving insomnia symptoms and dialysis adequacy in patients with CAPD combined with insomnia of spleen-kidney yang deficiency type.
作者
金颖
钟光辉
毛丹旦
邢洁
陈芙蓉
毛颖
Jin Ying;Zhong Guanghui;Mao Dandan;Xing Jie;Chen Furong;Mao Ying(Zhiweibing Center,Ningbo Municipal Hospital of Traditional Chinese Medicine,Zhejiang Chinese Medical University,Ningbo 315010,China)
出处
《中华现代护理杂志》
2025年第27期3691-3695,共5页
Chinese Journal of Modern Nursing
基金
浙江省中医药科技计划(2021ZB250)
宁波市科技计划(2023Z165)。
关键词
腹膜透析
持续不卧床
灸法
失眠
Peritoneal dialysis
Continuous ambulatory
Moxibustion
Insomnia
