耳穴压丸法对维持性血液透析患者焦虑状态的影响

发布时间：2018-09-03 13:57

【摘要】：目的观察耳穴压丸法对维持性血液透析(MHD)患者焦虑状态的影响,并同时探讨患者干预前后焦虑评分变化与尿素清除指数(Kt/V)、血红蛋白(Hb)、血清白蛋白(Alb)、钙磷乘积(Ca×P)等指标的相关性。方法选择2016年3~10月在东直门医院透析室进行MHD的患者共44例,随机分为两组,采用交叉试验设计,分为两个治疗阶段,每个阶段时间为6周,治疗组(22例)在常规血液透析治疗基础上予以耳穴压丸法干预,对照组(22例)予常规血液透析治疗,第一阶段结束后经过4周洗脱期,两组进行交叉,开始第二阶段治疗。并于治疗前、第一阶段治疗后、洗脱期末及第二阶段治疗后对两组患者进行汉密尔顿焦虑量表(HAMA)评分,以评分减分率作为疗效评价标准,并同时观察患者治疗前后的Kt/V、Hb、Alb、Ca×P等指标,分析是否与HAMA评分变化具有相关性。结果治疗组治疗后的HAMA评分与治疗前比较明显减少,差异有统计学意义(t=0.575,P0.01),对照组治疗前后HAMA评分差异无统计学意义(t=0.770,P0.05);两组患者治疗前后的HAMA评分与Kt/V相关性无统计学意义(P0.05),与Hb、Alb成负相关,即Hb、Alb数值升高,HAMA评分减少,相关性均有统计学意义(P0.05),与Ca×P成正相关,即Ca×P数值升高,HAMA评分增多,相关性有统计学意义(P0.05)。治疗组的总有效率为88.6%。结论耳穴压丸法能在一定程度上改善MHD患者焦虑状态,且HAMA评分变化与Hb、Alb及Ca×P数值存在相关性。
[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.
【作者单位】：北京中医药大学东直门医院透析室;
【基金】：北京中医药大学校级自主选题项目(2013-ZYLC-003)
【分类号】：R692.5

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