CAJ | 학술논문

目的：探讨肾寐足浴汤足浴联合耳穴贴压疗法对慢性肾病（CKD）合并失眠患者的干预作用。方法选择肾病科患者176例，随机分为对照组、治疗组各88例。对照组实施肾寐足浴汤足浴疗法，治疗组在对照组的基础上加用耳穴贴压疗法进行干预治疗。应用匹兹堡睡眠质量指数（PSQI）量表作为评定睡眠的量化指标，观察比较和评价分析两组患者失眠症的治疗效果。结果两组治疗后睡眠改善治疗组优于对照组（P＜0.01）；治疗组治疗前后PSQI评分比较差异有统计学意义（P＜0.01）。结论肾寐足浴汤足浴联合耳穴贴压法治疗CKD合并失眠的疗效优于单独肾寐足浴汤足浴疗法。
목적：탐토신매족욕탕족욕연합이혈첩압요법대만성신병（CKD）합병실면환자적간예작용。방법선택신병과환자176례，수궤분위대조조、치료조각88례。대조조실시신매족욕탕족욕요법，치료조재대조조적기출상가용이혈첩압요법진행간예치료。응용필자보수면질량지수（PSQI）량표작위평정수면적양화지표，관찰비교화평개분석량조환자실면증적치료효과。결과량조치료후수면개선치료조우우대조조（P＜0.01）；치료조치료전후PSQI평분비교차이유통계학의의（P＜0.01）。결론신매족욕탕족욕연합이혈첩압법치료CKD합병실면적료효우우단독신매족욕탕족욕요법。
Objective To know about the clinical effect of foot-bathing with Shen-mei decoction combined with auricular plaster therapy in treating insomnia of whom with CKD.Methods choose 176 CKD patients from the department of nephropathy and the nephropathy clinic,and randomly and evenly divide them into the control group and the treatment group.Foot-bathing was manipulated for the control group,and auricular plaster therapy was combined with foot-bathing for the treatment group.The results of PSQI is used as the quantitive index in sleeping evaluation to compare and analyze the effect of the two groups.No tranquilizers were involved during the treatment.Results after the treatment,the sleeping improvemnent of the treat-ment group is greater than the control group(P<0.01).The results of PSQI after the treatment of the two groups differs statisti-cally significantly.The results of PSQI of before and after the treatment of the treament group are statistically significant different (P<0.01),and which of the control group are not(P>0.05).Conclusion the effect of the treatment group is better than the other for the combination,and it effetively better the sleeping condition and the life quality of the insomniac with CKD.