[1]江欣 王亿平.中药足浴法联合吡贝地尔治疗透析患者不宁腿综合征临床研究[J].陕西中医药大学学报,2022,(04):095-100.[doi:10.13424/j.cnki.jsctcm.2022.04.021]
 JIANG Xin WANG Yiping.Clinical study of Treatment of Uremic Restless Legs Syndrome in Dialysis Patients with Chinese Medicine Foot Bath Combined with Piribedil[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(04):095-100.[doi:10.13424/j.cnki.jsctcm.2022.04.021]
点击复制

中药足浴法联合吡贝地尔治疗透析患者不宁腿综合征临床研究
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2022年04期
页码:
095-100
栏目:
论著
出版日期:
2022-07-20

文章信息/Info

Title:
Clinical study of Treatment of Uremic Restless Legs Syndrome in Dialysis Patients with Chinese Medicine Foot Bath Combined with Piribedil
文章编号:
2096-1340(2022)04-0095-06
作者:
江欣1 王亿平2
1.安徽中医药大学,安徽 合肥 230038;
2.安徽中医药大学第一附属医院,安徽 合肥 230031
Author(s):
JIANG Xin1 WANG Yiping2
1.Anhui University of Traditional Chinese Medicine,Hefei 230038,China;
2.The First Affiliated Hospital of Anhui University of Traditional Chinese medicine,Hefei 230031,China
关键词:
关键词:中药足浴不宁腿综合征吡贝地尔透析睡眠质量
Keywords:
Key words:Chinese medicine foot bathRestless legs syndromePiribedilDialysisSleep quality
分类号:
R459.5
DOI:
10.13424/j.cnki.jsctcm.2022.04.021
文献标志码:
A
摘要:
摘 要:目的 观察中药足浴法联合吡贝地尔治疗透析患者不宁腿综合征(uremic restless legs syndrome,uRLS)的临床疗效。方法 选取60例透析患者伴不宁腿综合征(包括血液透析和腹膜透析),随机将其分成治疗组(30例)与对照组(30例)。对照组予吡贝地尔50 mg睡前口服,治疗组在对照组的基础上同时进行中药足浴,疗程为4周。比较两组患者国际不宁腿综合征自评量表(IRLSSG)评分、匹兹堡睡眠质量指数(PSQI)评分及临床疗效,观察治疗期间药物的不良反应及血生化相关指标。结果 治疗组的总有效率为86.67%(26/30),对照组为60.00%(18/30),比较两组的有效率,差异显著(P<0.05);与治疗前相比,治疗组和对照组IRLSSG、PSQI均降低(P<0.05),且治疗组较对照组降低更显著;两组血钙(Ca)、血磷(P)、甲状旁腺激素(iPTH)治疗前后无明显变化,两组间进行比较,差异不明显(P>0.05);并对两组的不良反应发生率进行比较,差异无意义(P>005)。结论 中药足浴法联合吡贝地尔治疗透析患者伴不宁腿综合征的疗效较显著,可以明显缓解临床症状,改善睡眠质量。
Abstract:
Abstract:Objective To observe the clinical efficacy of Chinese medicine foot bath combined with piribedil in the treatment of uremic restless legs syndrome (u-RLS) in dialysis patients. Methods 60 dialysis patients with restless legs syndrome (including hemodialysis and peritoneal dialysis) were randomly divided into treatment group (30 cases) and control group (30 cases). The control group was given piribedil 50 mg orally before going to bed,while the treatment group was given traditional Chinese medicine foot bath on the basis of the control group for 4 weeks. The scores of international restless legs syndrome self rating scale (IRLSSG),Pittsburgh sleep quality index (PSQI) and clinical efficacy were compared between the two groups. The adverse reactions of drugs and related blood biochemical indexes were observed during the treatment. Results The total effective rate was 86.67% (26/30) in the treatment group and 60.00% (18/30) in the control group. There was significant difference between the two groups (P<0.05);Compared with that before treatment,IRLSSG and PSQI in the treatment group and the control group decreased (P<0.05),and the decrease in the treatment group was more significant than that in the control group;There were no significant changes in serum calcium (Ca),serum phosphorus (P) and parathyroid hormone (iPTH) in the two groups before and after treatment. There was no significant difference between the two groups (P>0.05);There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Traditional Chinese medicine foot bath combined with piribedil has a significant effect on dialysis patients with restless legs syndrome,which can significantly alleviate clinical symptoms and improve sleep quality. Abstract:Objective To observe the clinical efficacy of Chinese medicine foot bath combined with piribedil in the treatment of uremic restless legs syndrome (uRLS) in dialysis patients. Methods 60 dialysis patients with restless legs syndrome (including hemodialysis and peritoneal dialysis) were randomly divided into treatment group (30 cases) and control group (30 cases). The control group was given piribedil 50 mg orally before going to bed,while the treatment group was given traditional Chinese medicine foot bath on the basis of the control group for 4 weeks. The scores of international restless legs syndrome self rating scale (IRLSSG),Pittsburgh sleep quality index (PSQI) and clinical efficacy were compared between the two groups. The adverse reactions of drugs and related blood biochemical indexes were observed during the treatment. Results The total effective rate was 86.67% (26/30) in the treatment group and 60.00% (18/30) in the control group. There was significant difference between the two groups (P<0.05);Compared with that before treatment,IRLSSG and PSQI in the treatment group and the control group decreased (P<0.05),and the decrease in the treatment group was more significant than that in the control group;There were no significant changes in serum calcium (Ca),serum phosphorus (P) and parathyroid hormone (iPTH) in the two groups before and after treatment. There was no significant difference between the two groups (P>0.05);There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Traditional Chinese medicine foot bath combined with piribedil has a significant effect on dialysis patients with restless legs syndrome,which can significantly alleviate clinical symptoms and improve sleep quality. Abstract:Objective To observe the clinical efficacy of Chinese medicine foot bath combined with piribedil in the treatment of uremic restless legs syndrome (uRLS) in dialysis patients. Methods 60 dialysis patients with restless legs syndrome (including hemodialysis and peritoneal dialysis) were randomly divided into treatment group (30 cases) and control group (30 cases). The control group was given piribedil 50 mg orally before going to bed,while the treatment group was given traditional Chinese medicine foot bath on the basis of the control group for 4 weeks. The scores of international restless legs syndrome self rating scale (IRLSSG),Pittsburgh sleep quality index (PSQI) and clinical efficacy were compared between the two groups. The adverse reactions of drugs and related blood biochemical indexes were observed during the treatment. Results The total effective rate was 86.67% (26/30) in the treatment group and 60.00% (18/30) in the control group. There was significant difference between the two groups (P<0.05);Compared with that before treatment,IRLSSG and PSQI in the treatment group and the control group decreased (P<0.05),and the decrease in the treatment group was more significant than that in the control group;There were no significant changes in serum calcium (Ca),serum phosphorus (P) and parathyroid hormone (iPTH) in the two groups before and after treatment. There was no significant difference between the two groups (P>0.05);There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Traditional Chinese medicine foot bath combined with piribedil has a significant effect on dialysis patients with restless legs syndrome,which can significantly alleviate clinical symptoms and improve sleep quality.

参考文献/References:

[1]AritakeOkada S,Nakao T,Komada Y,et al.Prevalence and clinical characteristics of restless legs syndrome in chronic kidney disease patients[J].Sleep Medicine,2011,12(10):1031-1033.
[2]Lin XW,Zhang JF,Qiu MY,et al.Restless legs syndrome in end stage renal disease patients undergoing hemodialysis[J].BMC Neurology,2019,19(1):47.
[3]Salman SM.Restless legs syndrome in patients on hemodialysis[J].Saudi J Kidney Dis Transpl,2011,22(2):368-372.
[4]于晓丽,林建雄,易春燕,等.维持性腹膜透析患者不宁腿综合征患病率及危险因素分析[J].中华肾脏病杂志,2018,34(10):721-726.
[5]王玉平.提高对不宁腿综合征规范诊断与治疗的认识[J].中国现代神经疾病杂志,2017,17(9):629-632.
[6]Allen RP,Picchietti DL,GarciaBorreguero D,et al.Restless legs syndrome/WillisEkbom disease diagnostic criteria:updated International Restless Legs Syndrome Study Group(IRLSSG)consensus criteriahistory,rationale,description,and significance[J].Sleep Medicine,2014,15(8):860-873.
[7]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:163-168,233-237,295-298.
[8]Buysse DJ,Reynolds CF 3rd,Monk TH,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Research,1989,28(2):193-213.
[9]Brand S,Lehtinen A,Hatzinger M,et al.Comparison of sleep EEG profiles of patients suffering from restless legs syndrome,restless legs syndrome and depressive symptoms,and major depressive disorders[J].Neuropsychobiology,2010,61(1):41-48.
[10]Brand S,Beck J,Hatzinger M,et al.Unfavorable polysomnographic sleep patterns predict poor sleep and poor psychological functioning 3 years later in patients with restless legs syndrome[J].Neuropsychobiology,2011,63(2):92-102.
[11]Molnar MZ,Lu JL,KalantarZadeh K,et al.Association of incident restless legs syndrome with outcomes in a large cohort of US veterans[J].Journal of Sleep Research,2016,25(1):47-56.
[12]陈宗英,谢席胜.尿毒症不宁腿综合征研究现状[J].中国中西医结合肾病杂志,2016,17(12):1126-1128.
[13]Silva MA,Duarte GS,Camara R,et al.Placebo and nocebo responses in restless legs syndrome:a systematic review and metaanalysis[J].Neurology,2017,88(23):2216-2224.
[14]刘红,唐向东.不宁腿综合征的研究进展[J].临床神经病学杂志,2013,26(1):76-78.
[15]赵红如,乐卫东.多巴胺与不安腿综合征[J].中国新药与临床杂志,2006,25(3):211-215.
[16]王秀川,朱卫国.慢性肾脏病患者不宁腿综合征研究进展[J].中国血液净化,2018,17(1):54-56.
[17]董婕,李崧,乐卫东.多巴胺受体激动剂治疗神经精神疾病的研究进展[J].中国新药与临床杂志,2016,35(2):90-97.
[18]朱亚瑾,曹吴冰.吴茱萸穴位敷贴治疗透析患者不宁腿综合征的疗效观察[J].中国中西医结合肾病杂志,2020,21(5):449-450.
[19]赵非一,燕海霞,许红.针药并用治疗不宁腿综合征临床研究进展[J].中华中医药学刊,2016,34(5):1091-1094.
[20]Mohammadi MM,Raygani AAV,Ghobadi A,et al.Effect of nearinfrared light therapy based on acupoints on the severity of restless legs syndrome in patients undergoing hemodialysis:a singleblind,randomized controlled trial[J].Clinical Medicine & Research,2018,16(1/2):1-8.
[21]李伟霞,唐于平,王欢,等.药对研究(Ⅶ):当归川芎药对[J].中国中药杂志,2013,38(24):4220-4226.
[22]周宜,邓蓝冰,周游宇,等.基于网络药理学的乳香没药药对药效机制研究[J].世界科学技术中医药现代化,2020,22(7):2338-2347.
[23]王玺,张智勇,仇萍,等.青风藤、青藤碱及其相关制剂的研究进展[J].中国药学杂志,2021,56(2):85-93.

相似文献/References:

[1]孙文竹 高娜娜 任渊 郝建梅.郝建梅主任治疗肝硬化合并不宁腿综合征经验探讨[J].陕西中医药大学学报,2021,44(04):049.[doi:10.13424/j.cnki.jsctcm.2021.04.011]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81673931);安徽中医药领军人才项目[中医药发展秘(2018)23号]
更新日期/Last Update: 2022-07-25