|
|
中医特色疗法治疗维持性血液透析合并不宁腿综合征的研究进展
|
Abstract:
不宁腿综合征是终末期肾病患者常见的神经系统并发症，主要表现为双侧膝关节以下肢体难以形容的感觉异常，如蚁走、针刺、烧灼或瘙痒样感觉，夜间休息时出现或加重，活动患肢后症状可减轻。不宁腿综合征严重影响维持性血液透析患者的生活质量。本病病程迁延，治疗难度大，成为当前社会面临的严重健康问题。近年来运用艾灸、针刺、推拿按摩、中药外治法等多种中医特色疗法治疗维持性血液透析合并不宁腿综合征均取得良好疗效，降低了不良反应，推动临床治疗发展。
Restless legs syndrome is a common neurological complication in patients with end-stage renal disease. It is mainly characterized by indescribable paresthesia in the limbs below the knee joint, such as formication, acupuncture, burning or itchy sensation, which occurs or worsens during night rest and can be alleviated after moving the affected limbs. Restless legs syndrome seriously affects the quality of life of maintenance hemodialysis patients. The course of the disease is prolonged, the treatment is difficult, and it has become a serious health problem facing society. In recent years, the use of moxibustion, acupuncture, massage, traditional Chinese medicine external treatment of maintenance hemodialysis combined with restless legs syndrome has achieved good curative effect, reducing adverse reactions and promoting the development of clinical treatment.
| [1] | Nepal, R., Sapkota, K., Paudel, M., et al. (2021) Clinical Profile of End Stage Renal Disease Patients Undergoing Hemodialysis in Chitwan, Nepal. Journal of Nepal Health Research Council, 19, 467-473. |
| [2] | Li, P.K., Lui, S.L., Ng, J.K., Cai, G.Y., Chan, C.T., Chen, H.C., et al. (2017) Addressing the Burden of Dialysis around the World: A Summary of the Roundtable Discussion on Dialysis Economics at the First International Congress of Chinese Nephrologists 2015. Nephrology, 22, 3-8. https://doi.org/10.1111/nep.13143 |
| [3] | Earley, C.J., Allen, R.P. and Hening, W. (2011) Restless Legs Syndrome and Periodic Leg Movements in Sleep. Handbook of Clinical Neurology, 99, 913-948. https://doi.org/10.1016/b978-0-444-52007-4.00015-1 |
| [4] | Guo, S., Huang, J., Jiang, H., Han, C., Li, J., Xu, X., et al. (2017) Restless Legs Syndrome: From Pathophysiology to Clinical Diagnosis and Management. Frontiers in Aging Neuroscience, 9, Article 171. https://doi.org/10.3389/fnagi.2017.00171 |
| [5] | Yang, Y., Ye, H., He, Q., Zhang, X., Yu, B., Yang, J., et al. (2019) Association between Predialysis Hypermagnesaemia and Morbidity of Uraemic Restless Legs Syndrome in Maintenance Haemodialysis Patients: A Retrospective Observational Study in Zhejiang, China. BMJ Open, 9, e027970. https://doi.org/10.1136/bmjopen-2018-027970 |
| [6] | Brzuszek, A., Hazara, A.M. and Bhandari, S. (2022) The Prevalence and Potential Aetiological Factors Associated with Restless Legs Syndrome in Patients with Chronic Kidney Disease: A Cross-Sectional Study. International Urology and Nephrology, 54, 2599-2607. https://doi.org/10.1007/s11255-022-03166-9 |
| [7] | Behrens van Tonder, C., Joubert, G. and Moodley, A. (2023) Restless Legs Syndrome in Chronic Renal Failure Patients on Dialysis. African Health Sciences, 23, 764-777. https://doi.org/10.4314/ahs.v23i3.88 |
| [8] | 兰聪颖, 冯志瑀. 从虚风寒湿瘀论维持性血液透析患者伴不宁腿综合征[J]. 环球中医药, 2019, 12(9): 1388-1390. |
| [9] | 于成, 李雪君, 李佳静, 等. 基于卫气运行理论探讨不宁腿综合征病因病机[J]. 内蒙古中医药, 2022, 41(2): 154-155. |
| [10] | 韩晓悦, 宋立公. 从“脾肝肾”探讨不宁腿综合征病因病机[J]. 世界最新医学信息文摘, 2019, 19(50): 249, 252. |
| [11] | 钟学文. 张士芳治疗不安腿综合征辨治经验[J]. 环球中医药, 2016, 9(2): 201-203. |
| [12] | 胡莹莹, 吕静. 结合肾络理论从“补、清、消”法论治慢性肾脏病[J]. 辽宁中医杂志, 2021, 48(10): 41-44. |
| [13] | 李凯庆, 夏雪, 蔡宏波, 等. 国医大师孙申田“形气神一体观”指导下经颅重复针刺刺激疗法的临床应用经验[J]. 湖南中医药大学学报, 2024, 44(9): 1557-1562. |
| [14] | 尚艳杰, 金永冠, 田絜天. 头针结合恢刺治疗不宁腿综合征的临床观察[J]. 中国民间疗法, 2022, 30(21): 44-46. |
| [15] | 杨文佳, 赵娜, 于心同, 等. 《内经》“关刺”联合“合谷刺”治疗不宁腿综合征疗效观察[J]. 上海针灸杂志, 2024, 43(1): 47-52. |
| [16] | 潘赐明, 方会, 任雪, 等. 期门穴点刺放血治疗杂病验案3则[J]. 江苏中医药, 2024, 56(10): 48-51. |
| [17] | 王竟成, 苏国宏, 王征, 等. 基于“肝主筋, 心藏神”理论针药并用治疗不宁腿综合征验案1例[J]. 基层中医药, 2023, 2(8): 96-100. |
| [18] | 李红敏, 郭军会, 陈元武, 等. 围刺法联合加味芍药甘草汤治疗不宁腿综合征疗效及对患者睡眠周期性肢体运动指数和25-羟基维生素D的影响[J]. 陕西中医, 2023, 44(1): 119-123. |
| [19] | 魏一云, 白慧梅. 调肝舒筋针法配合当归芍药汤治疗不宁腿综合征15例[J]. 实用中医药杂志, 2024, 40(2): 235-237. |
| [20] | 樊赛君, 俞琪, 张悦. 普瑞巴林联合针灸治疗维持性血液透析不宁腿综合征疗效分析[J]. 药品评价, 2022, 19(21): 1328-1331. |
| [21] | 林龙凤, 张志标, 王海烨. 普瑞巴林联合针灸治疗维持性血液透析患者不宁腿综合征的临床疗效[J]. 深圳中西医结合杂志, 2023, 33(19): 37-39. |
| [22] | 徐慧娟, 王涤非, 邵苏珍, 等. 针刺穴位联合加巴喷丁对MHD患者不宁腿综合征的疗效研究[J]. 微量元素与健康研究, 2024, 41(4): 37-39. |
| [23] | 吴爱纯, 吴磊, 李红波. 气压疗法联合艾灸治疗血液透析患者不宁腿综合征的疗效观察[J]. 中华物理医学与康复杂志, 2021, 43(10): 924-926. |
| [24] | 徐新伟, 潘光辉, 林琳, 等. 艾灸辅助治疗并发不宁腿综合征的血液透析患者的临床效果[J]. 广西医学, 2021, 43(3): 337-340, 345. |
| [25] | 罗翔. 普拉克索联合艾灸辅助治疗并发不宁腿综合征血透患者的临床疗效研究[J]. 实用中西医结合临床, 2022, 22(18): 60-62, 78. |
| [26] | Mao, S., Shen, H., Huang, S. and Zhang, A. (2014) Restless Legs Syndrome in Dialysis Patients: A Meta-Analysis. Sleep Medicine, 15, 1532-1538. https://doi.org/10.1016/j.sleep.2014.07.017 |
| [27] | 王和平, 苏慧玲, 沙阳. 指针点穴疗法对维持性血液透析患者不宁腿综合征及睡眠质量的影响[J]. 生命科学仪器, 2024, 22(4): 62-64. |
| [28] | 华明, 李娜. 中医推拿踩跷法治疗不宁腿综合征疗效观察[J]. 按摩与康复医学, 2020, 11(17): 29-30. |
| [29] | 耿志英, 于晓美, 张文慧, 等. 穴位按摩在缓解血液透析病人合并不宁腿综合征的临床疗效研究[J]. 护理研究, 2012, 26(30): 2838-2839. |
| [30] | 张小曼. 穴位按摩在血液透析患者不宁腿综合征中的应用[J]. 中国城乡企业卫生, 2020, 35(12): 122-124. |
| [31] | 饶凯华, 黄春华, 饶旺福, 等. 中药热奄包联合普拉克索片治疗原发性不宁腿综合征28例临床观察[J]. 中国民族民间医药, 2023, 32(19): 81-84. |
| [32] | 王芹, 邱萍, 丁冬梅, 等. 集束化护理联合中药热奄包在血透患者伴发不宁腿综合征中的应用[J]. 实用中西医结合临床, 2024, 24(5): 112-115. |
| [33] | 吕梦甜, 何紫阳, 李罗德, 等. 中药泡脚方辅治不宁腿综合征寒湿瘀阻型疗效观察[J]. 实用中医药杂志, 2023, 39(9): 1769-1772. |
| [34] | 林龙凤, 张志标, 王海烨. 通络泄浊方外洗治疗维持性血液透析继发不宁腿综合征患者的临床疗效[J]. 深圳中西医结合杂志, 2023, 33(22): 48-50. |
| [35] | 王玉琳, 李微, 阮振旭, 等. 针刺配合耳穴贴压治疗不安腿综合征睡眠障碍疗效观察[J]. 上海针灸杂志, 2018, 37(4): 422-425. |
