下肢穴位按摩改善终末期肾病患者睡眠质量42例临床研究

Lower Extremity Point Massage for Improving Quality of Sleep in Patients with End-Stage Renal Disease:A Clinical Study of 42 Cases

目的研究下肢穴位按摩对终末期肾病患者睡眠质量的影响。方法将82例伴有睡眠紊乱的终末期肾病住院患者随机分为观察组42例及对照组40例。观察组采用下肢穴位按摩，每日1次，每次按摩20～30分钟；对照组每晚睡前半小时口服舒乐安定片1mg，总疗程均为4周。同时采用睡眠状况自评量表（SRSS）测评两组治疗前后睡眠状况，并记录治疗前后不良主诉发生率。结果两组在SRSS的睡眠不足、主观睡眠质量、入睡困难、噩梦夜惊、失眠后反应等因子评分，SRSS总评分及不良主诉发生率方面差异有显著性意义（P＜0．05），观察组睡眠质量和不良主诉改善情况明显优于对照组。结论下肢穴位按摩能有效改善终末期肾病患者睡眠质量。

Objective To study the therapeutic effect of lower extremity point massage for improving quality of sleep in patients with end-stage renal disease （ESRD）. Methods Eighty-two cases of ESRD with sleep disorders were randomly divided into observation group （n = 42） and control group （n = 40）. The observation group was treated by lower extremity point massage,once a day,and 20 to 30 seconds each time. Patients in control group took lmg of estazolam tablets orally half an hour before sleep. The treatment course lasted for 4 weeks. Self-rating scale of sleep （SRSS） was used to evaluate sleep condition,and complaints of adverse reaction （CAR） were rhcorded before and after treatment. Results There were significant differences in factor scores of SRSS （insufficient sleep,subjective sleep quality,difficulty of falling asleep, nightmare and post-insomnia reactions） ,total score of SRSS and improving rate of CAR between the two groups （P〈0.05）. The treatment group was superior to the control group in quality of sleeP and improvement of CAR. Conclusion Lower extremity point massage can improve quality of sleep of patients with ESRD obviously.