梳刮经络刺激联合认知康复训练在维持性腹膜透析伴认知障碍患者中的应用

Application of Combing and Scraping Meridians Stimulation Combined with Cognitive Rehabilitation Training in Maintenance Peritoneal Dialysis Patients with Cognitive Impairment

目的探讨梳刮经络刺激联合认知康复训练在维持性腹膜透析患者认知功能障碍中的应用价值。方法选取2021年1月—2022年12月该院收治的80例维持性腹膜透析患者为研究对象,所有病例均确认存在不同程度的认知障碍表现。采用随机数字表法将其分为对照组与观察组,各40例。对照组应用常规认知康复训练,观察组在对照组基础上应用梳刮经络刺激,比较两组的认知评分、负面情绪评分、生活质量及不良事件。结果干预2个月后,观察组改良认知评估量表评分为(83.05±3.22)分,高于对照组的(73.97±3.18)分,差异有统计学意义(P<0.05)。观察组健康相关生活质量量表评分高于对照组,医院焦虑抑郁量表评分低于对照组,组间差异有统计学意义(P<0.05)。两组不良事件发生率比较,差异无统计学意义(P<0.05)。结论对腹膜透析期间发生的认知障碍,除认知康复训练措施外,增用梳刮经络刺激,有助于改善认知功能,消除其负面情绪,并改善患者的生活质量。

Objective To explore the application value of combing and scraping meridians stimulation combined with cognitive rehabilitation training in cognitive dysfunction of maintenance peritoneal dialysis patients.Methods A total of 80 patients with maintenance peritoneal dialysis admitted to this hospital from January 2021 to December 2022 were selected as the research objects.All cases were confirmed to have different degrees of cognitive impairment.All of the patients were divided into a control group and an observation group with the method of random number table,40 cases in each group.The control group was given routine cognitive rehabilitation training,and the observation group applied combing and scraping meridians stimulation on the basis of the control group.The cognitive score,negative emotion score,quality of life and adverse events were compared between the two groups.Results After 2 months of intervention,the score of Addenbrooke's Cognitive Examination-Revised Scale in the observation group was(83.05±3.22)points,which was higher than(73.97±3.18)points in the control group,and the difference was statistically significant(P<0.05).The score of Health-Related Quality of Life Scale in the observation group was higher than that in the control group,and the score of Hospital Anxiety and Depression Scale was lower than that in the control group,and the differences between the two groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P<0.05).Conclusion In addition to cognitive rehabilitation training,the use of combing and scraping meridians stimulation can help to improve cognitive function,eliminate negative emotions,and improve the quality of life of patients with cognitive impairment during peritoneal dialysis.