[目的]探讨穴位按摩对维持性血液透析病人睡眠质量以及疲乏的影响 。[方法]选取2017年5月至2017年10月在广东省中医院大德路总院透析科规律行维持性血液透析并符合纳入标准的患者60例。随机分为对照组及治疗组,对照组30例,给予常规治疗,透析结束后卧床休息15min,自行恢复。观察组30例,在对照组基础上,选取双侧足三里、三阴交、太溪、涌泉、内关(内瘘对侧上肢)穴位,进行穴位按摩。共治疗4周。观察两组每次治疗前后简单疲乏量表(BFI)评分,修订版Piper疲乏量表(Revised Piper FatigueScale , RPFS)及匹茨堡睡眠质量评分(Pittsburgh Sleep Quality Index,PSQI)评分变化情况。[结果]治疗前两组研究对象RPFS评分量表各维度评分、RPFS总分及PSQI评分进行对比，两组差异无统计学意义（P>0.05）；治疗后两组间RPFS评分量表各维度评分、RPFS总分、每次BFI评分平均值及PSQI评分组间对比，差异均有统计学意义（P<0.05）；治疗前后观察组RPFS评分量表各维度评分、RPFS总分、PSQI评分比较，差异均有统计学意义（P<0.05）；治疗前后对照组RPFS评分量表各维度评分、RPFS总分差异有统计学意义，PSQI评分差异无统计学意义（P>0.05）。[结论]穴位按摩可以有效改善维持性血液透析患者的疲乏症状，同时缓解睡眠障碍。
ABSTRACT Objective: To explore the effect of acupoint massage on sleep quality and fatigue of maintenance hemodialysis patients. Methods: From May 2017 to October 2017, 60 patients with maintenance hemodialysis who met the inclusion criteria were enrolled in the dialysis department of the general hospital. They were randomly divided into control group and treatment group. 30 cases in control group were given routine treatment. After dialysis, they were rested in bed for 15 minutes and recovered by themselves. On the basis of the control group, 30 patients in the observation group were given acupoint massage at Zusanli, Sanyinjiao, Taixi, Yongquan and Neiguan (the opposite upper limb of internal fistula). The treatment lasted for 4 weeks. The changes of BFI score, Revised Piper Fatigue Scale (RPFS) and Pittsburgh Sleep Quality Index (PSQI) were observed before and after each treatment.Result: There was no significant difference in RPFS score, total RPFS score and PSQI score between the two groups before and after treatment (P > 0.05). There were significant differences in RPFS score, total RPFS score, average BFI score and PSQI score between the two groups after treatment (P < 0.05). There were significant differences in each dimension score, total RPFS score and PSQI score (P < 0.05); there were significant differences in each dimension score and total RPFS score of the control group before and after treatment, and there was no significant difference in PSQI score (P > 0.05). Conclusion: Acupoint massage can effectively improve the fatigue symptoms of maintenance hemodialysis patients and alleviate sleep disorders.