An Intervention Study Of Auricular Application Pressure Combined Acupuncture As One Of The Overall Treatment Of Maintenance Hemodialysis Patients With Yang Deficiency Water Wet Thirsty

Objective:This study regards the auricular application pressure combined acupuncture as one of the overall treatment of hemodialysis patients with thirst disease, so as to improve the symptoms of hemodialysis patients with thirst, control the dialysis interphase weight gain, consequently, further reduce the cardiovascular complications, improve patients'quality of life.Method:This study will be divided into two steps, the prophase using a cross-sectional survey method, choose the regular patients with maintenance hemodialysis who accord with the western medicine diagnostic standards, made the TCM syndromes questionnaires of hemodialysis patients with thirst disease, through the questionnaire survey, we collect clinical data such as MHD thirsty patient general conditions, dialysis age, primary disease and syndrome of TCM, the final analysis it is concluded that patients with MHD thirsty main evidence type distribution.Late in the investigation of,we choose the MHD patients with thirst type has the most widely distributed Yang deficiency water wet as the research object.Participants included 45 patients and should be divided into three groups (control group; simple auricular points treatment group; system which combined acupuncture treatment group, each group of 15 people).We give the control group conventional treatment; on the basis of conventional treatment,the treatment groups should be respectively to auricular application and system which combined acupuncture treatment for 8 weeks.The main acupuncture point is according to the points chosen principle and the thirsty pathogenesis of Chinese and western Therapeutic effect index is based on rating scale to assess degree of thirst and at the same time monitoring the weight gain between dialysis period?Kt/V?serum sodium concentration?blood pressure etc. Comparing the indexes'changes before and after treatment. At the same time explore the correlation of thirsty to weight gain between dialysis period?KT/V value?mean arterial pressure before dialysis?serum sodium concentration before dialysis etc.Result:1.122 cases of patients with maintenance hemodialysis with thirst disease of TCM syndrome type with Yang deficiency water wet are most (24.59%). qi deficiency and blood stasis of the spleen was the second;in the excess syndrome,wet was majority(40.98%),the second was blood-stasis-.damp-heat syndrome; most patients are still deficiency in origin and excess in superficiality and interminglerd deficiency and excess.simple is virtual, a total of 17 (13.93%)2.Maintenanee hemodialysis patients'gende?age?maintain dialysis time?he original onset?the degree of thirsty was not statistically significant with the distribution of syndromes.(P>0.05).3.Thirsty degree score of treatment group was decreased significantly after 4 and 8 weeks,which compared with before treatment (P<0.01),and Thirsty degree score of treatment group was decreased significantly after 8 weeks compared with 4 weeks (P<0.01).4.The average weight gain relative treatment between dialysis period was also decreased significantly after 4 and 8 weeks compared with before treatment (P< 0.01),and decreased significantly after 8 weeks compared with 4 weeks (P< 0.01).5.3 groups patients' Kt/V value and serum sodium concentration were no statistically significant difference before treatment respectively compared with 4 and 8 weeks,4 weeks compared with 8 weeks (P> 0.05).6.Thirsty rate and the average weight gain between dialysis period were positively correlated (P<0.01).7.Thirsty degree scores compared with KT/V value?serum sodium concentration?mean arterial pressure the patient's age and, which were no significant correlation (P> 0.05).Conclusion:1.The main characteristics of pathogenesis in patients with maintenance hemodialysis thirsty,were still deficency in origin and excess in superficiality and intermingled deficiency and excess.TCM syndrome type with Yang deficiency water wet is the most common;Evil in empirical, dampness, blood stasis and damp and hot water are the most common.2.The TCM syndrome types of patients with maintenance hemodialysis thirsty, patients'age, gender, maintaining dialysis age, primary disease and syndrome type distribution has no obvious relevance.3.Auricular point-pressing combine acupuncture can obviously improve the symptoms of patients with maintenance hemodialysis thirst, its effect is better than that of pure auricular application pressure, the difference was statistically significant (p<0.05).4.Auricular point-pressing combine acupuncture can control weight gain between dialysis period.5.Auricular point-pressing combine acupuncture can improve patients' thirsty and control weight gain between dialysis period which were increased with the increase of course, in other words the longer the course of treatment the better the results is.