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The Intervention Affects Of Auricular Plaster Therapy On Sleep Disturbance In Maintenance Hemodialysis Patient

Posted on:2011-09-24Degree:MasterType:Thesis
Country:ChinaCandidate:M ZhouFull Text:PDF
GTID:2144360305963205Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
BackgroundAlong with the hemodialysis technology's improvement and does the patient survival time's extension, how improve the hemodialysis patient's quality of life to become the hot spot of present research. The sleep is one important physiological phenomenon, the good sleep to maintains the normal physiological activity, maintains the physical and moral integrity has the influential role. The overseas research discovery, the sleep disorder is very common in the hemodialysis patient, the formation rate may reach as high as 60-80%. Some further research demonstrated that the sleep disorder will be affects the hemodialysis patient health related quality of life (HRQOL) and a long-term survival percentage important attribute, the sleep disorder will also cause the cardiovascular event's formation rate to increase, and improve ESRD patient's sleep quality, promote the patient quality of life directly.The sleep quality to the dialysis patient's influence also will bring to the kidney branch doctor's attention more and more.ObjectiveThis topic through observes auricular plaster therapy to take sleeps soundly the medicine law (maintenance hemodialysis, MHD) to merge the sleep disorder patient clinical curative effect to the chronic kidney function failure maintenance hemodialysis, treats after two groups patient symptom and PSQI grading change, thus compares two therapies to maintain the hemodialysis concurrent losing sleep patient's sleep improvement situation. Through this topic can further confirm that auricular plaster therapy to be able to improve the maintenance blood to pass patient's sleep disorder, thus achieves improves patient's quality of life, expands its clinical indication, benefits in the general patient's goal, simultaneously also founds the new way for the traditional Chinese medicine therapy in the maintenance hemodialysis patient complication's treatment aspect.MethodsThe choice maintenance hemodialysis merge sleep disorder's patient altogether 60 examples, in the strict basis, the doctor practicing western medicine diagnose the standard to integrate the case, will integrate the case divides into the treatment group and control group each 30 examples stochastically, two groups of aspects and so on ages, sex, dialysis age do not have statistics difference, the control group take extend the happy stable treatment, the treatment group good acupuncture point on the ear paste press the law treatment, before the treatment, next the PSQI grading questionnaire survey and record two groups around the treatment symptom, the symptom and so on, provides the basis for the objective evaluation curative effect and the security. Before the treatment must understand in detail the patient primary affection situation and uses the medicine, and does record patient's name, the sex, the age, the dialysis age, the primary affection, the Chinese medicine dialectical minute and so on ordinary circumstances, whether there is the treatment stage must momentarily record each group of untoward effects (auricle whether to damage, infection and so on) and each kind complication which and so on secure produces as a result of disease itself reason the targets, and by mainly treats above doctor to the untoward effect event whether related to make the appraisal with this treatment and process properly decided whether this patient does continue to participate in the research.ResultTreatment group:Cures 13 examples (43.3), shows results 10 examples (33.3), the effective 4 examples (13.3), the invalid 3 examples (10.0), the total effectiveness reaches 89.9%; Control group:Cures 5 examples (16.7), shows results 7 examples (23.3), the effective 10 examples (33.3), the invalid 8 examples (26.7), the total effectiveness reaches 73.3%, two groups of effectiveness after statistics processing, P< 0.05, demonstrated that two groups of curative effects have statistics significance, prompts the treatment group curative effect to surpass the control group, moreover the treatment group during improvement losing sleep symptom's, other follows the symptom also to be improved varying degree, explained that his/her cerebral cortex is excited and the inhibitory process tends to be coordinated from the disorder; But pharmacological treatment group, although takes medicine loses sleep in the evening namely can obtain the alleviation, but often also brought the dependence, to become addicted to or other side reactions and so on nerve, energetic aspect harm and skin blood flushes, nettle rash.ConclusionAuricular plaster therapy to treat the MHD patient to merge the sleep disorder curative effect to surpass the pure western medicine treatment group...
Keywords/Search Tags:Maintenance hemodialysis, Sleep disorder, Auricular plaster therapy, Syndrome differentiation and types
PDF Full Text Request
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