抚触对改善尿毒症血液透析患者“不宁腿综合征”的临床研究

Clinical effectiveness of touching on uremic hemodialysis patients with restless leg syndrome

目的:探讨抚触对尿毒症血液透析患者"不宁腿综合征"(RLS)患者的临床疗效,为开辟改善RLS的临床症状,有效地控制RLS的发生与发展,提高其睡眠、生活质量提供临床依据。方法选择2013年1月-2014年12月在该院肾内科住院治疗患者120例R LS患者随机分成治疗组和对照组。其中治疗组50例,在RLS常规护理基础上给予持续抚触;对照组70例为常规R LS护理。抚触干预6个月后观察患者自觉症状是否明显好转或消失;肌电图神经传导速度是否增加;能否改善RLS的睡眠时间及睡眠中周期性动作,提高患者睡眠质量。结果坚持抚触护理6个月后两组病例的临床症状的变化,护理前有肢体麻木、感觉异常、肢体疼痛症状,抚触后有显著好转(P<0.05);抚触前后运动神经及感觉神经传导速度变化分别有改善,两组差异有统计学意义(P<0.05);两组PSQI量表总分值相比较,差异有统计学意义(P<0.05)。结论运用抚触能缓解尿毒症血液透析患者"不宁腿综合征"的临床症状,改善患者睡眠质量,有助于提高患者的生活质量。

【Objective】 To explore clinical effectiveness of the touching on uremic hemodialysis patients with restless leg syndrome（RLS）, so as to provide clinical ground for improving symptom of RSL, controlling occurrence and development, and enhancing sleeping and living quality. 【Methods】 Totally 120 patients with RLS, treated in Department of Nephrology in our hospital from Jan. 2013 to Dec. 2014, were randomly divided into treatment group and control group. Among them, 50 patients in the treatment group were given continuous touch based on routine RLS care, while 70 patients in the control group were given conventional RLS nursing.Six months after, the changes in the subjective symptoms, nerve conduction velocity, sleep quality, periodic movements and time of sleep of the patients with RLS were observed. 【Results】 The symptoms of numbness,paresthesia and limb pain reduced significantly after nursing（P 0.05）; conduction velocity of motor and sensory nerve significantly improved, and there were significant differences between the two groups（P 0.05）.The difference in the total score of PSQI between the two groups was statistically significant（P 0.05）.【Conclusions】 Touch can significantly reduce clinical symptoms and improve sleeping quality of hemodialysis patients with restless leg syndrome, and is worthy of clinical promotion.