耳穴压豆联合常规中医护理对维持性血液透析下肢痉挛患者的效果观察

Effect of auricular points plaster therapy combined with conventional Chinese medicine nursing on lower limb spasticity of patients undergoing maintenance hemodialysis

目的探讨维持性血液透析下肢痉挛患者采用耳穴压豆联合常规中医护理的效果。方法40例进行维持性血液透析治疗的患者,按照随机数字表法分为对照组和观察组,每组20例。对照组行常规中医护理,观察组行常规中医护理联合耳穴压豆。比较两组患者护理第1、2、3个月的下肢痉挛发生情况,护理前后世界卫生组织生存质量测定量表简表(WHOQOL-BREF)、健康调查简表(SF-36)评分。结果观察组护理第1、2、3个月的下肢痉挛发生率分别为13.7%、12.0%、10.7%,均明显低于对照组的20.6%、18.7%、17.6%,差异具有统计学意义(P<0.05)。护理后,两组患者WHOQOL-BREF、SF-36评分均显著高于本组治疗前,且观察组患者的WHOQOL-BREF评分(61.82±4.27)分、SF-36评分(90.35±9.06)分均明显高于对照组的(53.64±3.72)、(61.38±6.03)分,WHOQOL-BREF评分差值(11.18±1.39)分、SF-36评分差值(33.97±3.71)分均高于对照组的(3.48±0.61)、(6.02±1.34)分,差异具有统计学意义(P<0.05)。结论采用耳穴压豆联合常规中医护理可以明显减少血液透析下肢痉挛的发生率,提高患者生存质量,值得临床推广应用。

Objective To discuss the effect of auricular points plaster therapy combined with conventional Chinese medicine nursing on lower limb spasticity of patients undergoing maintenance hemodialysis.Methods A total of 40 patients undergoing maintenance hemodialysis were divided into the control group and the observation group according to a random numerical table,with 20 cases in each group.The control group underwent conventional Chinese medicine nursing,and the observation group underwent conventional Chinese medicine nursing in combination with auricular points plaster therapy.Both groups were compared in terms of occurrence of lower limb spasticity in the first 1,2,and 3 months of nursing,and the World Health Organization quality of life-brief version(WHOQOL-BREF)and 36-item short-form health survey(SF-36)scores before and after nursing.Results The incidence of lower limb spasticity in the observation group in the first 1,2,and 3 months of nursing were 13.7%,12.0%,and 10.7%,which were significantly lower than 20.6%,18.7%,and 17.6%in the control group,and the difference was statistically significant(P<0.05).After nursing,the WHOQOL-BREF and SF-36 scores of the two groups were significantly higher than those of this group before treatment;the WHOQOL—BREF score(61.82±4.27)points and SF—36 score(90.35±9.06)points of the observation group were significantly higher than(53.64±3.72)and(61.38±6.03)points of the control group;the WHOQOL-BREF score difference(11.18±1.39)points and SF-36 score difference(33.97±3.71)points before and after treatment of the observation group were higher than(3.48±0.61)and(6.02±1.34)points of the control group;all the differences were statistically significant(P<0.05).Conclusion Auricular points plaster therapy in combination with conventional Chinese medicine nursing can significantly reduce the incidence of lower limb spasticity during hemodialysis and improve the quality of life of patients,which is worthy of clinical promotion and application.