Effect of modified acupoint application on fatigue symptoms in maintenance hemodialysis patients

ZHOU Songfei; MENG Xin; FENG Shuo; HOU Yali; FANG Lyugui; WANG Jianfei; LUO Yunting; LIU Supo; WANG Yuyang

doi:10.16025/j.1674-1307.2025.06.008

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Effect of modified acupoint application on fatigue symptoms in maintenance hemodialysis patients

更新时间：2025-08-04

- Effect of modified acupoint application on fatigue symptoms in maintenance hemodialysis patients
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 6, Pages: 712-716(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院南区护理部，北京 102600
  2.中国中医科学院广安门医院护理部，北京 100053
  3.中国中医科学院广安门医院南区科教处，北京 102600
  4.中国中医科学院广安门医院南区血液透析中心，北京 102600
  5.中国中医科学院广安门医院南区肾病科，北京 102600
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.06.008
  CLC：
- Received：27 April 2024，
  
  Published：25 June 2025
- 稿件说明：
移动端阅览
周松飞，孟昕，冯硕，等.改良穴位贴敷对维持性血液透析患者疲乏症状的影响［J］.北京中医药，2025，44（6）：712-716.

ZHOU Songfei,MENG Xin,FENG Shuo,et al.Effect of modified acupoint application on fatigue symptoms in maintenance hemodialysis patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):712-716.
周松飞，孟昕，冯硕，等.改良穴位贴敷对维持性血液透析患者疲乏症状的影响［J］.北京中医药，2025，44（6）：712-716. DOI： 10.16025/j.1674-1307.2025.06.008.

ZHOU Songfei,MENG Xin,FENG Shuo,et al.Effect of modified acupoint application on fatigue symptoms in maintenance hemodialysis patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):712-716. DOI： 10.16025/j.1674-1307.2025.06.008.

摘要

目的

探讨改良穴位贴敷对维持性血液透析（MHD）患者疲乏症状的影响。

方法

选取2022年3月—2022年9月在中国中医科学院广安门医院南区血液透析中心诊治的、有疲乏症状的MHD患者86例，采用随机数字表法分为观察组和对照组，各43例。对照组接受常规治疗和中西医护理，观察组在对照组基础上接受改良穴位贴敷干预，共干预12周。对比2组干预前后慢性病治疗功能评估-疲乏量表（FACIT）评分、简易健康状况调查问卷（MOS SF-36）评分［生活质量躯体成分评分（PCS）、生活质量心理成分评分（MCS）］，记录研究过程中患者发生的不良事件。

结果

于12、16、24周，观察组FACIT评分高于对照组（

0.01）。于12、20、24周，观察组PCS高于对照组（

0.05，

0.01），2组MCS比较差异无统计学意义（

0.05）。2组均未发生严重药物性过敏、烫伤等不良事件。观察组中有1例在贴敷结束时局部皮肤有轻微发红伴瘙痒，去除贴敷约半小时自行缓解。

结论

改良穴位贴敷可明显改善MHD患者疲乏症状，提高患者生活质量。

Abstract

Objective

To investigate the effect of modified acupoint application on fatigue symptoms in patients undergoing maintenance hemodialysis （MHD）.

Methods

A total of 86 MHD patients with fatigue symptoms who were treated at the Hemodialysis Center of Guang'anmen Hospital South Campus， China Academy of Chinese Medical Sciences， from March to September 2022 were selected and randomly divided into an observation group and a control group by random number table method， with 43 cases in each group. The control group received routine treatment and integrated Chinese and Western nursing care， while the observation group received additional modified acupoint application therapy on top of the same routine treatment. The intervention lasted for 12 weeks. The Functional Assessment of Chronic Illness Therapy-Fatigue （FACIT-Fatigue） Scale and the Medical Outcomes Study 36-Item Short Form Survey （MOS SF-36）， including the Physical Component Summary （PCS） and Mental Component Summary （MCS） scores， were used to evaluate outcomes before and after the intervention. Adverse events during the study were also recorded.

Results

At weeks 12， 16， and 24， the FACIT-Fatigue scores in the observation group were significantly higher than those in the control group （

0.01）. At weeks 12， 20， and 24， PCS scores in the observation group were significantly higher than those in the control group（

0.05，

0.01）， while no statistically significant difference was found in MCS scores between the two groups （

0.05）. No serious adverse events such as drug-induced allergic reactions or burns occurred in ei

ther group. One case in the observation group experienced mild localized redness and itching at the end of the application， which resolved spontaneously within about 30 minutes after removal.

Conclusion

Modified acupoint application can significantly alleviate fatigue symptoms in MHD patients and improve their quality of life.

关键词

Keywords

references

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