| ObjectiveObservation of the Auricular on hemodialysis patients with clinical symptoms are thirsty, seeking improvement in hemodialysis patients with symptoms of thirst to improve their quality of life. Methods1. all wins a total of 50 cases, cases are the 2010.01-2010.03-in the first row of the city of Wuhan hemodialysis patients, all with thirsty symptoms.50 patients follow the random method is divided into two groups (Auricular acupuncture in the treatment group, chewing gum control group), each of 25 cases, two groups of patients with gender, age, disease, syndrome, etc., the clinical data with statistical analysis, differential no statistically (P＞0.05),. For 4 weeks for a course, observation of two course of treatment.2. treatment methods and indicators2.1 treatment method2.1.1 antivomit treatment:the main point:thirsty point, mouth, snacks, God door, spleen, endocrine, renal. Points:Yang and Yin with adrenal; plus the external ear point; yin to adrenal, external ear points; clip wet with Subcortical, large intestine; clip heat plus external nose, lungs; clip stasis and heart and liver. Ask patients daily to press on 4-5 times (3-4 hours), each of the points each time you press time, about 30 seconds, first by physicians on card determine reinforcing, demonstration to grasp. Each time you take a two-sided ear,3 to 5 days to replace the blanket plaster, 4-week course for 1,2 courses.2.1.2 chewing gum:chewing gum daily 3ˉ5 times, or whenever there is a thirst when, each 1 grain, lightly chewing≥10 minutes. While on mission, charging patients for treatment during the adoption of a healthy lifestyle and drinking habits, etc.2.2 index2.2.1 collection meet the requirements of the case, the records of the General information in dialysis patients:name, gender, age, duration, primary disease and differentiation.2.2.2 observation of two groups of patients before treatment, treatment for 4 weeks and the treatment of 8 weeks of thirsty questionnaire, resting salivary flow rates, average relative value interdialytic weight increase, and so thirsty with indexes.2.2.3 collection before treatment and treatment of 8 weeks of laboratory testing of indicators:hemoglobin (HGB), serum albumin (ALB), parathyroid hormone (PTH), renal function (Cr, BUN, TC02), blood sodium (Na), potassium (K), blood calcium (Ca), serum phosphorus (P), etc.2.2.4 observation before treatment and therapy for 8 weeks after the predialysis mean arterial pressure and the distribution of all types of traditional Chinese medicine.Results1. the Auricular for 4 weeks,8 weeks before the treatment of dry strength ratings than are very sharply declined, for 8 weeks than for 4 weeks of mouth dry strength ratings dropped more dramatically; and ear treatment group and a control group of chewing gum and ear treatment group compared to outperform chewing gum control group, the ear treatment can better improve hemodialysis patients with symptoms of thirsty, and no side effects on the human body, low-cost, no dependency, pain, user-friendly and convenient (ear treatment time and dialysis time consistent, without increasing the treatment round-trip time), safety and reduce the chance of infection and bleeding, easy for patients, patient compliance is high, it is worth in clinical work in the promotion and application.2. the Auricular for 4 weeks,8 weeks and before treatment resting salivary flow rate compared to the differences are very significant statistical significance, the difference between the two treatment compared to a resting salivary flow rate differences are statistically, while chewing gum control group patients in the treatment of the difference between the two treatment compared to a resting salivary flow rate differences no statistically, ear treatment group and a control group of chewing gum and ear treatment group compared to outperform chewing gum control group, description of chewing gum can increase resting salivary flow rate, but the long-term effects of the poor. There is a related test proved that the chewing gum can help promote saliva secretion, relieve thirst, mouth dry. But unlike the Auricular treatment compared to ear treatment more durable.3. the treatment of ear treatment group and two a course of treatment, and treatment compared to the average before interdialytic weight increase relative values are dropped; but two treatment compared to average between interdialytic weight increase relative differences no statistically, while chewing gum control group patients after treatment and treatment compared to the average before interdialytic weight increase relative values only on a downward trend, no statistical significance. This shows that the average ear after thirty interdialytic weight increase relative to the treatment of a noticeable decline, but after long-term effect is not evident. Consider the reasons, it may be because the thirsty just evoked drinking behavior, causing the interdialytic weight increase of one of the reasons, while other factors such as environment, psychology, diet, etc can also affect the amount of drinking water and interdialytic weight increase.4. two groups of patients before and after treatment with blood biochemical parameters, predialysis mean arterial pressure differences no statistically, Auricular on patients of biochemical parameters, predialysis mean arterial pressure to improve non-obvious, clinical treatment of thirsty ear uplink while still need other appropriate support for the treatment of disease.ConclusionHemodialysis patients with ESRD maintained a life, but through the liquid intake has strict control. Long-term hemodialysis patients with severe symptoms of thirst, thirst sensation of existence is causing interdialytic weight gain too much important. Auricular therapy is effective in relieving the symptoms of dialysis patients was one of the methods, and 8 weeks therapy increases over time, but its mitigation mechanism are thirsty would need further discussion. |
