| Domestic and international studies showed that the increasing incidence of chronic kidney disease has become a worldwide medical and public health issue. At present, the most effective way for the end-stage renal failure patients is renal replacement therapy, in which hemodialysis is most commonly used. As the development of economy and the reform of the medical system in China, increasing number of patients are able to accept this treatment. As the development of hemodialysis technologies, the survival period of these patients have been significantly prolonged. However, the problems in the physical, psychological, social function and other aspects of these patients have become increasingly obvious, and their qualities of life are causing widespread concern.Hypotension is one of the most common acute complications in hemodialysis, with an occurrence of 20 40%. It would bring pains to patients and disturb the process of hemodialysis, which would influence the qualities of life and even endanger the lives of the patients. Although the technologies in hemodialysis have improved greatly in recent years, the incidence of dialysis hypotension has not been decreased.Moxibustion is one of the traditional Chinese medical and health care methods, which has a lot of effects to keep your body fit. It is considered to be a critical condition according to the symptoms of dialysis hypotension. Numerous studies have confirmed that moxibustion is effective to prevent and cure hypotension and shock. To comply with environmental requirements, we adopted a smoke-free moxibustion in our study. At present, it has not been reported that moxibustion is used to reduce the incidence of dialysis hypotension and improve the quality of life of dialysis.1. ObjectiveWe make a study to observe the effects of moxibustion on the prevention of dialysis hypotension and its influence on the qualities of life of patients with chronic renal failure.2. Methods2.1 clinical patients: 71 cases were collected from Wangjing Hospital. Diabetes and age were used as stratified factors to randomize all the patients into two groups. The treatment group (37 cases) and the control group (34 cases).2.2 Treatment methods: The control group receives routine comprehensive therapy only, meanwhile the treatment group receives routine comprehensive therapy and moxibustion. Smoke-free moxibustion was used in our research and Zusanli, Sanyinjiao and Guanyuan were selected as the points to carry out moxibustion. A treatment of 3 periods, namely 12 weeks was carried out, followed up for 3 months observation.2.3 Observation indices: (1) Blood pressure: The standard established on this research were used as the criterion to evaluate the degree of hypotension. (2) Quality of life: The quality of life for kidney disease KDQOL-SFTM 1.3 was used to evaluate the quality of life. The form includes 20 aspects, both general health related aspects and kidney dialysis related aspects. 3 times of investigations were carried out. The same researcher was assigned to investigate the same patients during different periods, and the survey should not be carried out when the patients are hurt during the process of dialysis, to ensure the accuracy of the investigation. (3) other indicators: Hb, TP, ALB, URR and Kt/V.2.4 Statistical methods: SPSS (13.0) was used for statistical analysis. P<0.05 was considered to be statistically significant, P<0.01 considered to be of a very significant statistical significance.3 Results3.1 The research data demonstrates that the grouping method adopted in this research is an ideal grouping method.The clinical patients compose of 33 male patients (46.48%) and 38 female patients (53.52%), in which 32 cases (45.07%) <60-year-old and 39 cases (54.92%)≥60-year-old. The average age was 57.92±13.33, and the average age of dialysis was 48.83±39.64 months. Scores for age, gender, dialysis age, quality of life and Hb, TP, ALB, URR, Kt / V were analyzed, result in P>0.05.3.2 The moxibustion has the characteristic that the effect of it is very slow and the function can last for a long time. The moxibustion will not only reduce the occurrence of the dialysis hypotension, but also enhance the tolerance of the patients and reduce the occurrence of the symptom hypotension.According to the clinical manifestations of hemodialysis hypotension, it is a kind of extremely urgent clinical synthesis drafts which should be treated immediately. Moxibustion is a feasible and effective method.4,280 cases including 2,061 cases of the treatment period and 2,219 cases of follow-up period were investigated in our research. In the 3rd period of treatment, the incidence of hemodialysis hypotension in treatment group were significantly lower than the control group, with P<0.05. The incidence of hypotension in the treatment group was lower than the control group, with P<0.05. And the two groups had a statistical difference in the treatment period and follow-up period of symptoms' and asymptomatic' hemodialysis hypotension, with P<0.05.3.3 The moxibustion may improve the quality of life of hemodialysis patients. The study suggested that the moxibustion can improve the healthy condition of the patients, stable mood and strengthen the vitality.According to the traditional Chinese medical theories, it is extremely reasonable to adopt moxibustion to improve the quality of life in our research.The study shows that the treatment group has 16 scores higher than the control group, three of which were statistically significant (P<0.05), namely emotional role, general health and dialysis staff encouragement. The study also shows that in the end of the follow up period the treatment group has 16 areas higher than the control group, two of which were statistically significant (P<0.05), namely social function and vitality. 8 areas of quality of life in the treatment group before and after the treatment and follow-up period result in P<0.05.5 areas of the control group before and after the treatment and follow-up period result in P<0.05.4. ConclusionMoxibustion is an important part of the traditional Chinese medicine, which has the characteristics of easy, convenience, effective and cheap. The smoke-free moxibustion has good compliance and was environment friendly. The preliminary research demonstrates that moxibustion is effective in the prevention of hemodialysis hypotension and improve the quality of life in some areas for the end-stage renal failure patients, thus provide a solid foundation for further research in related fields.
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