拔罐法治疗腹膜透析导管功能障碍的疗效观察

目的探讨拔罐法治疗腹膜透析导管障碍的有效性.方法腹膜透析患者导管障碍82例次,分传统法组43例次,拔罐法组39例次,传统法采用灌肠、肝素封管或尿激酶封管,生理盐水冲管、踮脚蹬地等方法.拔罐法应用拔罐在腹部石门、气海等穴位处拔罐,留罐,并沿腹部经脉走罐,保持牵引配合做踮脚蹬地动作;比较两组总有效率、导管复位率、再次手术率.结果传统法组总有效率55.8%,导管复位率42.9%;拔罐法组总有效率79.5%,导管复位率75%;拔罐法组显著高于传统法组,差异有统计学意义(P<0.05);再次手术率拔罐组(15.4%)显著低于传统法组(32.6%).结论拔罐法治疗腹膜透析置管引流障碍是有效的,优于传统法,值得临床推广.

Objective To study the availability of cupping method therapy on patients with peritoneal dialysis cathete hinde.Methods The 82 patients with peritoneal dialysis cathete hinde were divided into two groups at random,one was conventional method group(n=43),another was cupping method group(«=39);the patients in the conventional method group received enema,heparin or urine kinase sealing cathete,saline washing cathete,tiptoe and thrasting against the ground the patients in cupping method group(«=39)received cupping on shimin and qihai acupoint,moving cupping on Ren channel and stomach channel of Foot-Yangming,keeping cup towing and accompanying tiptoe and thrusting against the ground.Evaluation of curative effect included heal,effective and invabd.The two groups of total efficiency,catheter reduction rate,and reoperation rate were statistical analysed.Results The total efficiency rates in conventional method group and cupping method group were 55.8%,79%(P<0.05).The catheter reduction rates in conventional method group and cupping method group were 42.9%,75%(P<0.05).The reoperation rates in conventional method group and cupping method group were 32.6%,15.4%(P<0.05).Conclusion The availability of the cupping method to the patients with peritoneal dialysis cathete hinde is better than that of the conventional method.The method is worth popularizing.