不同灸疗方案对血液透析患者营养不良的影响

发布时间：2018-05-27 02:17

本文选题：辨证 + 灸法　；参考：《中华中医药杂志》2017年05期

【摘要】：目的:比较不同灸疗方案对血液透析患者营养不良的影响。方法:采用前瞻性、多中心、随机、对照设计,187例营养不良的血液透析患者采用中央随机系统分为调理脾胃组95例、辨证施灸组46例,对照组46例,3组均给予西医常规治疗方法,调理脾胃组在常规治疗基础上加用"调理脾胃灸法",辨证施灸组在常规治疗基础上加用"辨证施灸方案",4周1个疗程,观察3个疗程。观察记录3组患者实验室指标、人体测量学指标及主观综合营养评估法(SGA)评分,比较不同灸疗方案对血透患者营养不良的影响。结果:在实验室指标方面,3组比较,无显著差异。在人体测量学指标方面,调理脾胃组和辨证施灸组治疗后体质量指数(BMI)、肱三头肌皮褶厚度(TSF),体脂百分比含量明显高于本组治疗前(P0.05),辨证施灸组治疗前后差值均高于调理脾胃组;在SGA评估中,调理脾胃组和辨证施灸组治疗后SGA评分高于治疗前(P0.05),治疗后3组SGA评分比较,差异有统计学意义(P0.05)且组间差值辨证施灸组调理脾胃组对照组。且依据SGA评分判定3组有效率,差异有统计学意义(P0.05)。结论:辨证施灸方案在改善血透患者营养状况方面优于调理脾胃灸法,中医个体化灸疗方案为血透患者营养状况的改善提供简便、有效的中医治疗手段。
[Abstract]:Objective: to compare the effect of different moxibustion therapy on malnutrition in hemodialysis patients. Methods: 187 hemodialysis patients with malnutrition in a prospective, multicenter, randomized, controlled design were randomly divided into two groups: spleen and stomach conditioning group (n = 95) and moxibustion group (n = 46). Three courses of treatment were observed. The laboratory indexes, anthropometric indexes and subjective comprehensive nutrition assessment (SGA) scores were observed and recorded in three groups of patients, and the effects of different moxibustion treatment schemes on malnutrition in hemodialysis patients were compared. Results: there was no significant difference in laboratory indexes among the three groups. In terms of anthropometric indexes, the body mass index (BMI), the thickness of triceps skinfold and the percentage of body fat in the treatment group were significantly higher than those before and after treatment in the spleen and stomach conditioning group and moxibustion group, and the difference before and after treatment in the moxibustion group was higher than that in the regulating spleen and stomach group. In the evaluation of SGA, the SGA score of regulating spleen and stomach group and moxibustion group after treatment was higher than that of P0.05 before treatment, and the difference of SGA score between the three groups after treatment was statistically significant (P0.05). According to the SGA score, the effective rate of the three groups was determined, and the difference was statistically significant (P 0.05). Conclusion: moxibustion based on syndrome differentiation is superior to moxibustion in regulating spleen and stomach in improving nutritional status of hemodialysis patients. Individualized moxibustion of TCM can provide simple and effective Chinese medicine treatment for improving nutritional status of hemodialysis patients.
【作者单位】：中国中医科学院望京医院;中国医科大学航空总医院;北京中医药大学东直门医院;北京市昌平区中西医结合医院;北京市房山区中医医院;
【基金】：北京市中医药科技项目(No.JJ2013-64) 中国中医科学院基本科研业务费自主选题项目(No.ZZ070863)~~
【分类号】：R459.5

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