【摘要】：目的觀察耳穴壓丸法對維持性血液透析(MHD)患者焦慮狀態(tài)的影響,并同時探討患者干預前后焦慮評分變化與尿素清除指數(shù)(Kt/V)、血紅蛋白(Hb)、血清白蛋白(Alb)、鈣磷乘積(Ca×P)等指標的相關(guān)性。方法選擇2016年3~10月在東直門醫(yī)院透析室進行MHD的患者共44例,隨機分為兩組,采用交叉試驗設計,分為兩個治療階段,每個階段時間為6周,治療組(22例)在常規(guī)血液透析治療基礎上予以耳穴壓丸法干預,對照組(22例)予常規(guī)血液透析治療,第一階段結(jié)束后經(jīng)過4周洗脫期,兩組進行交叉,開始第二階段治療。并于治療前、第一階段治療后、洗脫期末及第二階段治療后對兩組患者進行漢密爾頓焦慮量表(HAMA)評分,以評分減分率作為療效評價標準,并同時觀察患者治療前后的Kt/V、Hb、Alb、Ca×P等指標,分析是否與HAMA評分變化具有相關(guān)性。結(jié)果治療組治療后的HAMA評分與治療前比較明顯減少,差異有統(tǒng)計學意義(t=0.575,P0.01),對照組治療前后HAMA評分差異無統(tǒng)計學意義(t=0.770,P0.05);兩組患者治療前后的HAMA評分與Kt/V相關(guān)性無統(tǒng)計學意義(P0.05),與Hb、Alb成負相關(guān),即Hb、Alb數(shù)值升高,HAMA評分減少,相關(guān)性均有統(tǒng)計學意義(P0.05),與Ca×P成正相關(guān),即Ca×P數(shù)值升高,HAMA評分增多,相關(guān)性有統(tǒng)計學意義(P0.05)。治療組的總有效率為88.6%。結(jié)論耳穴壓丸法能在一定程度上改善MHD患者焦慮狀態(tài),且HAMA評分變化與Hb、Alb及Ca×P數(shù)值存在相關(guān)性。
[Abstract]:Objective to observe the effect of auricular acupoint pressing pill on anxiety in patients with maintenance hemodialysis (MHD), and to explore the correlation between anxiety score and urea clearance index (Kt/V), serum albumin (Ca 脳 P) product of hemoglobin (Hb), albumin (Ca 脳 P) before and after intervention. Methods A total of 44 patients undergoing MHD in dialysis room of Dongzhimen Hospital from March to October 2016 were randomly divided into two groups. The treatment group (22 cases) were treated with auricular acupoint pressing pills on the basis of routine hemodialysis treatment, while the control group (22 cases) were treated with routine hemodialysis. After 4 weeks of elution at the end of the first stage, the two groups were intersected to begin the second stage of treatment. Before and after the first stage of treatment, the patients in the two groups were evaluated with Hamilton anxiety scale (HAMA) at the end of elution period and after the second stage of treatment. The score reduction rate was taken as the criterion for evaluating the curative effect, and the Kt/V,Hb,Alb,Ca 脳 P indexes before and after treatment were also observed. Analysis of whether there is a correlation between the HAMA score changes. Results the HAMA score of the treatment group was significantly decreased after treatment. There was no significant difference in HAMA score between the two groups before and after treatment (P 0.05), but there was no significant correlation between HAMA score and Kt/V before and after treatment (P0.05), but there was a negative correlation between HAMA score and Hb,Alb, that is, the increase of Hb,Alb value decreased Hama score. The correlation was statistically significant (P0.05). There was a positive correlation with Ca 脳 P, that is, the Ca 脳 P increased and Hama score increased, and the correlation was statistically significant (P0.05). The total effective rate of the treatment group was 88. 6%. Conclusion the auricular acupoint pressing pill method can improve the anxiety state of MHD patients to some extent, and the change of HAMA score is correlated with Hb,Alb and Ca 脳 P values.
【作者單位】： 北京中醫(yī)藥大學東直門醫(yī)院透析室;
【基金】：北京中醫(yī)藥大學校級自主選題項目(2013-ZYLC-003)
【分類號】：R692.5

【相似文獻】

相關(guān)期刊論文 前10條

1 尹春玲;朱寶燕;;耳穴壓丸法在失眠中的療效[J];中國民族民間醫(yī)藥;2013年12期

2 向麗;耳穴壓丸法治療失眠35例[J];云南中醫(yī)中藥雜志;1995年04期

3 葛錫鵬;耳穴壓丸法治療頸椎病性眩暈癥200例[J];中醫(yī)外治雜志;2000年06期

4 崔慧玲,寇惠英;耳穴壓丸法治療慢性蕁麻疹20例分析[J];濱州醫(yī)學院學報;2004年02期

5 龍文君;;耳穴壓丸法治療高血壓病[J];上海針灸雜志;1988年03期

6 趙振和;;耳穴壓丸法治療頭痛[J];醫(yī)學理論與實踐;1989年04期

7 夏薇;耳穴壓丸法治療落枕30例體會[J];交通醫(yī)學;1996年01期

8 白蘭地，，王慧明，白一清;中藥加耳穴壓丸法治療痤瘡60例[J];中國民間療法;1996年06期

9 林明;;耳穴壓丸法及其應用[J];中國學校衛(wèi)生;1991年01期

10 張樟標;耳穴壓丸法治療痔瘡86例臨床分析[J];浙江中西醫(yī)結(jié)合雜志;1995年03期

相關(guān)會議論文 前2條

1 姜云武;湯曉云;陳文慧;曹慧芬;黃文;管遵信;;耳穴壓丸法改善衰老癥狀的臨床研究[A];西南片區(qū)針灸學術(shù)研討會論文匯編[C];2004年

2 李世忠;劉志雄;;耳穴壓丸法治療失眠100例療效觀察[A];全國針灸臨床適宜技術(shù)推廣研討會暨甘肅省針灸學會2013年學術(shù)年會論文集[C];2013年

相關(guān)重要報紙文章 前1條

1 丹桂平;耳穴壓丸法配合藥物治療子宮肌癌[N];農(nóng)村醫(yī)藥報（漢）;2007年

相關(guān)碩士學位論文 前2條

1 付洋;耳穴壓丸法在全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛的臨床療效觀察[D];福建中醫(yī)藥大學;2016年

2 董念文;耳穴壓丸法在治療輕中度支氣管哮喘上提高臨床療效的評價[D];成都中醫(yī)藥大學;2013年

本文編號：2220168