■慢性肾病患者,作为一种常见的疾病,通常需要实施血液透析。肌肉痉挛是影响其生活质量的最致残的并发症之一。
■我们的目的是研究与对照组相比,针灸作为治疗透析患者疼痛严重程度和小腿痉挛频率的安全替代方法的疗效。
■将50名符合资格标准的小腿痉挛透析患者随机分为两组。A组接受常规管理,包括镇痛剂消耗,伸展运动,和九次针灸课程,包括穴位BL57、GV26、CV4、CV6、LV3、KI1、LU7、LU9和GB34。B组除了遵循指定的常规管理外,还在主要穴位以外的其他部位接受假针灸疗法。使用视觉模拟量表(VAS)测量疼痛严重程度,并且在基线和治疗完成后1个月评估每日小腿痉挛的频率.
■两组治疗结束后1个月,VAS评分和小腿痉挛频率均有改善。然而,A组改善显著(p<0.001),B组无统计学意义(p>0.05)。两组在减轻疼痛和小腿痉挛的频率方面也存在显着差异,与对照组相比,显示针刺的疗效(p<0.0001)。
■针刺可以减少透析患者的疼痛和小腿痉挛的频率。
UNASSIGNED: Patients with chronic kidney disease, as a common disorder, usually necessitate the implementation of hemodialysis. Muscle cramps are one of the most disabling complications affecting their quality of life.
UNASSIGNED: We aimed to investigate the efficacy of acupuncture as a safe alternative to the management of pain severity and frequency of calf cramps in dialysis patients compared to a control group.
UNASSIGNED: Fifty dialysis patients experiencing calf cramps who met the eligibility criteria were randomly allocated to two groups. Group A received routine management, including analgesic consumption, stretching exercises, and nine acupuncture sessions, including acupoints BL57, GV26, CV4, CV6, LV3, KI 1, LU7, LU9, and GB34. Group B underwent sham acupuncture therapy at locations other than the primary acupoints in addition to following the specified routine management. The pain severity was measured using the visual analog scale (VAS), and the daily frequency of calf cramps was evaluated at baseline and one month after treatment completion.
UNASSIGNED: VAS scores and the frequency of calf cramps were improved one month after treatment completion in both groups. However, the improvement was significant in group A (p < 0.001), while it was not statistically significant in group B (p > 0.05). There was also a significant difference between both groups regarding reducing pain and the frequency of calf cramps, which showed the efficacy of acupuncture compared to the control group (p < 0.0001).
UNASSIGNED: Acupuncture can decrease pain and frequency of calf cramps in dialysis patients.