灸疗对维持性血液透析患者生存质量的影响

目的：探讨灸疗对终末期肾病（ESRD）维持性血液透析（HD）患者生存质量的影响。方法：将71例维持性血液透析患者采用分层随机的方法分为2组，采用KDQOL-SFTM对全部的维持性血液透析患者进行生存质量评分。对照组采用西医常规治疗方法，即规律血液透析和药物治疗；观察组采用西医常规治疗方法加灸疗，选穴为足三里、关元、三阴交。统计分析灸疗前后维持性血液透析患者生存质量的变化。结果：治疗后2组在3个领域（医护人员的支持、情绪角色、一般健康）评分对比，差异有显著性意义（P〈0．05）；2组在治疗前后自身生存质量评分分别对比显示，对照组共有7个领域（情绪角色、躯体不适、社交质量等）治疗前后有显著改善（P〈0．05），观察组除该7个领域外，尚有4个领域（躯体角色、情感健康、活力、工作状况）治疗前后有显著改善（P〈0．05）。结论：①灸疗对维持性血液透析患者生存质量中的体力、情绪具有改善作用；②评价维持性血液透析患者的生存质量还应考虑社会、气候及地理环境等因素的影响。

Effect of moxibustion on quality of life in hemodialysis patients

OBJECTIVE: To probe the effect of moxihustion on the quality of life in the end-stage renal failure patients in hemodialysis. METHODS: Seventy-one hemodialysis patients were randomly divided into 2 groups, and the quality of life of all the patients was evaluated with the Kidney Disease Quality of Life Short Form (KDQOL-SF). The Control group were treated with routine comprehensive therapy (including hemodialysis and medication), and the observation group with the routine comprehensive therapy and moxibustion at Zusanli (ST 36), Guanyuan (CV 4), Sanyinjiao (SP 6). Changes of the quality of life in the patients before and after hemodialysis were recorded and analyzed. RESULTS: After treatment there were significant differences between the two groups in DSF, RE and GH (P<0.05), and 7 fields including RE, BP, QSI and others significantly improved in the both groups (P<0.05). Additionally, the 4 fields including RP, EB, VT and WS significantly improved in the observation group (P<0.05). CONCLUSION: Moxibustion can improve physical strength and mood in the quality of life of the hemodialysis patients; to evaluate the quality of life of hemodialysis patients should consider effects of society, climate and geographical condition and other factors.