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中文摘要：
目的观察耳穴压丸法对维持性血液透析（MHD）患者焦虑状态的影响,并同时探讨患者干预前后焦虑评分变化与尿素清除指数（Kt/V）、血红蛋白（Hb）、血清白蛋白（Alb）、钙磷乘积（Ca×P）等指标的相关性。方法选择2016年3～10月在东直门医院透析室进行MHD的患者共44例,随机分为两组,采用交叉试验设计,分为两个治疗阶段,每个阶段时间为6周,治疗组（22例）在常规血液透析治疗基础上予以耳穴压丸法干预,对照组（22例）予常规血液透析治疗,第一阶段结束后经过4周洗脱期,两组进行交叉,开始第二阶段治疗。并于治疗前、第一阶段治疗后、洗脱期末及第二阶段治疗后对两组患者进行汉密尔顿焦虑量表（HAMA）评分,以评分减分率作为疗效评价标准,并同时观察患者治疗前后的Kt/V、Hb、Alb、Ca×P等指标,分析是否与HAMA评分变化具有相关性。结果治疗组治疗后的HAMA评分与治疗前比较明显减少,差异有统计学意义（t=0.575,P〈0.01）,对照组治疗前后HAMA评分差异无统计学意义（t=0.770,P〉0.05）;两组患者治疗前后的HAMA评分与Kt/V相关性无统计学意义（P〉0.05）,与Hb、Alb成负相关,即Hb、Alb数值升高,HAMA评分减少,相关性均有统计学意义（P〈0.05）,与Ca×P成正相关,即Ca×P数值升高,HAMA评分增多,相关性有统计学意义（P〈0.05）。治疗组的总有效率为88.6%。结论耳穴压丸法能在一定程度上改善MHD患者焦虑状态,且HAMA评分变化与Hb、Alb及Ca×P数值存在相关性。
英文摘要：
Objective To observe the effect of pill pressing on ear point on the anxiety of patients receiving maintenance hemodialysis（MHD）,and to explore the correlations between the changes of anxiety scores before and after the intervention and urea clearance index（Kt/V）,hemoglobin（Hb）,serum albumin（Alb）,calcium,phosphorus product（Ca ×P）and other indicators.Methods A total of 44 patients who were given MHD in the dialysis room in Dongzhimen Hosptial from March to October 2016 were selected.They were randomly divided into two groups.Cross-test design was applied,and the treatment was divided into two stages.Each stage lasted for 6 weeks.The treatment group（22 cases） was given pill pressing on ear point on the basis of conventional hemodialysis treatment,and the control group（n=22） was given conventional hemodialysis treatment.At the end of the first stage,after 4 weeks of elution,the two groups were crossed and the second stage of treatment was started.The Hamilton Anxiety Scale（HAMA） was scored for both groups before the treatment and after the first stage of treatment,at the end of the elution period and after the second stage of treatment.The rate of reduction of score was taken as the evaluation criterion of efficacy,and the indices of Kt/V,Hb,Alb,Ca×P before and after treatment were observed at the same time.Whether they were correlated with the changes of HAMA score was analyzed.Results The score of HAMA in the treatment group were significantly decreased after treatment,and the difference was statistically significant（t =0.575,P〈0.01）.There was no significant difference in HAMA score in the control group before and after treatment（t=0.770,P〉0.05）;there was no statistically significant correlation between HAMA score and Kt/V before and after treatment in both groups（P 〉0.05）.It was negatively correlated with Hb and Alb,namely when Hb and Alb were increased,HAMA score was decreased.The correlations were all statistically significant（P〈0.05）.It was positively c
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