世界中医药

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。

English Summary:

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 Zúsānlǐ, 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 treatment 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.

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