应用生物电阻技术评价灸疗对血透患者营养不良的干预作用

Evaluation on the Intervention Effects of the Moxibustion on Malnutrition in Hemodialysis Patients by Bioelectrical Impedance Analysis

目的:通过生物电阻抗技术评价灸疗对血液透析患者营养不良的干预作用。方法:将64例血液透析营养不良患者随机分为对照组32例和观察组32例,2组均采用西医常规治疗,观察组在此基础上加用足三里、三阴交两穴灸疗。比较2组治疗前后主观综合性营养评估法(SGA)积分、体内脂肪、体内水分(TBW)、细胞内水分(ICW)、细胞外水分(ECW)、细胞外水分与细胞内水分比值(E/I)、细胞外水分与体内水分比值(E/T)、肌肉、内脏脂肪、基础代谢率,进行营养状况评价。结果:SGA评分结果:治疗前,观察组与对照组SGA评分比较差异无统计学意义(P>0.05),治疗后2组之间比较差异有统计学意义(P<0.05)。生物电阻抗指标结果:对照组治疗前后比较:体内脂肪、TBW、肌肉、ICW、ECW、E/I、E/T等指标,治疗前后差异有统计学意义(P<0.05);内脏脂肪治疗前后差异无统计学意义(P>0.05);其中体内脂肪含量、ECW、E/I、E/T治疗后较治疗前升高,ICW、TBW和肌肉含量较治疗前降低。观察组治疗前后比较:体内脂肪、内脏脂肪、ICW、ECW、E/I、E/T、基础代谢率等治疗,治疗前后差异有统计学意义(P<0.05);TBW、肌肉等指标,治疗前后差异无统计学意义(P>0.05)。结论:灸疗可以改善血透患者营养不良状况,其中以延缓进行性肌肉消耗、增加内脏脂肪含量、提高基础代谢率等方面尤为显著。

Objective： To evaluate the intervention effects of hemodialysis patients with malnutrition by moxibustion through bioelectrical impedance analysis（ BIA）. Methods： A total of 64 cases of hemodialysis patients with malnutrition were randomly divided into control group（ 32 cases） and observation group（ 32 cases）. Both groups were treated by routine western medicine,and the observation group was added moxibustion at acupoints ST36 and SP6. The subjective global assessment（ SGA）,body fat,total body water（ TBW）,intracellular water（ ICW）,extracellular water（ ECW）,ECW to ICW ratio（ E/I）,ECW to TBW ratio（ E/T）,muscle,visceral fat,basal metabolic rate were compared,and the nutritional status were evaluated. Results： The SGA score results： before treatment,the differences between observation group and control group in SGA score were not statistically significant（ P 0. 05）,and the differences were statistically significant（ P 0. 05） after treatment. Bioelectrical impedance index results：the comparison of control group before and after treatment： the differences in body fat,TBW,muscle,ICW,ECW,E/I,E/T before and after treatment were statistically significant（ P 0. 05）; The differences of visceral fat were not statistically significant before and after treatment（ P 0. 05）; The body fat content,ECW,E/I,E/T were higher after treatment than before treatment.ICW,TBW and muscle content were lower than before treatment. Observation group before and after treatment comparison： body fat and visceral fat,ICW,ECW,E/I,E/T,basal metabolic rate were statistically significant difference（ P 0. 05） before and after treatment; TBW and muscles were not statistically significant before and after treatment（ P 0. 05）. Conclusion： Moxibustion can improve malnutrition in hemodialysis patients,which can significantly slow progressive muscle wasting,increasing visceral fat content,and increase the basal metabolic rate.