超短波联合认知行为干预对尿毒症不安腿综合征的疗效

目的:观察超短波配合认知行为疗法治疗尿毒症不安腿综合征(RLS)的疗效。方法:将尿毒症并发RLS患者30例,随机分为观察组和对照组各15例。2组患者均给予常规血液透析治疗,观察者在此基础上予以超短波配合认知行为治疗,对照组在此基础上予以左旋多巴口服治疗。治疗前后分别采用不安腿综合征量表(RLSRS)及匹兹堡睡眠质量指数(PSQI)评分表评估两种治疗方法的疗效差异。结果:治疗1个月后,2组患者RLSRS评分均较治疗前降低(P0.05),且观察组下降幅度更大于对照组(P0.05);2组患者PSQI各因子评分及总评分均较治疗前下降(P0.05),其中观察组患者PSQI评分中睡眠质量、睡眠效率、日间功能障碍等项目及总评分下降幅度均大于对照组(P0.05),其余项目比较差异无统计学意义。结论:超短波配合认知行为疗法可以有效缓解尿毒症RLS患者的临床不适症状,且在改善患者睡眠质量、睡眠效率及日间功能障碍等方面较单纯口服左旋多巴药物明显,值得在临床上进一步研究及推广。

Effectiveness of ultrashort wave combined with cognitive-behavioral intervention in treating restless legs syndrome caused by uremia

Objective:To observe the clinical efficacy of ultrashort wave combined with cognitive behavior therapy in treating restless legs syndrome caused by uremia. Methods: Thirty patients with restless legs syndrome caused by uremia were randomly divided into rehabilitation group and medical group (n=15 each). Rehabilitation group was given ultrashort wave combined with cognitive-behavior therapy on the basis of regular hemodialysis. Medical group was treated with L-Dopa on the basis of regular hemodialysis. Each group was treated for one month. The Restless Leg Syndrome Rating Scale (RLSRS) and the Pittsburgh Sleep Quality Index (PSQI) were selected to evaluate the therapeutic effects of two groups after treatment for one month. Results: RLSRS scores in each group were significantly reduced after treatment as compared with those before treatment (both P<0.05). The decline of scores in the rehabilitation group was more obviously than in the medical group (P<0.05). The PSQI score of rehabilitation group in sleep quality, sleep efficiency, daily dysfuntion and total score was significantly lower than that in medical group after treatment (P<0.05). Conclusion:Ultrashort wave combined with cognitive-behavior therapy had a better effect than L-Dopa only in relieving the symptoms and improving the sleep quality of patients with restless legs syndrome. This method deserved to be recommended as a good solution of restless legs syndrome therapy.