CAJ | 학술논문

目的：观察灸法对血液透析中低血压的治疗作用。方法：将71例维持性血液透析患者随机分为治疗组（37例）和对照组（34例），两组均采用西医常规治疗方法；治疗组采用纸管贴穴灸疗器艾灸足三里、三阴交（两穴左右交替选用）及关元。比较两组透析相关低血压发生率、症状性低血压发生情况，进行疗效评价。结果：治疗期第3个疗程，治疗组低血压发生率低于对照组（P＜0.05），该差异持续至随访期第2个月；治疗期和随访期治疗组症状性低血压发生率均低于对照组，差异具有统计学意义（ P＜0.05）。结论：灸疗可以预防血液透析中低血压的发生，起效缓慢，但作用持久，同时可以增强患者在血液透析过程中的耐受性，减少症状性低血压的发生。
목적：관찰구법대혈액투석중저혈압적치료작용。방법：장71례유지성혈액투석환자수궤분위치료조（37례）화대조조（34례），량조균채용서의상규치료방법；치료조채용지관첩혈구료기애구족삼리、삼음교（량혈좌우교체선용）급관원。비교량조투석상관저혈압발생솔、증상성저혈압발생정황，진행료효평개。결과：치료기제3개료정，치료조저혈압발생솔저우대조조（P＜0.05），해차이지속지수방기제2개월；치료기화수방기치료조증상성저혈압발생솔균저우대조조，차이구유통계학의의（ P＜0.05）。결론：구료가이예방혈액투석중저혈압적발생，기효완만，단작용지구，동시가이증강환자재혈액투석과정중적내수성，감소증상성저혈압적발생。
Objective: To observe the clinical efficacy of moxibustion in the treatment of hemodialysis hypotension .Methods:Seventy one maintenance hemodialysis patients were randomly divided into a treatment group (n=37) and a control group (n=34), and routine western medicines were used in both groups .Besides, moxibustion was given at acupoints of Z úsānlǐ, Sānyīnjiāoand Guānyuán with a paper-tube-moxibustion equipment in the treatment group .The hypotension incidence relevant to dialysis , symptomatic hypotension , and curative effect of the two groups were compared and evaluated .Results: On the 3rd period of treatment course , the incidence of low blood pressure of the treatment group was lower than that of the control group (P<0.05), and the differences continued until 2 months after follow-up;the incidence of symptomatic hypotension of the treatment group was lower than the control group in follow -up and treat-ment period, and the difference was statistically significant (P<0.05).Conclusion:The moxibustion could prevent the occurrence of the blood dialysis hypotension with slow but long-lasting effect.At the same time, it could enhance patients ’ tolerance in the process of hemodialysis , so as to reduce the occurrence of symptomatic hypotension .