首页|加巴喷丁联合运动训练在维持性血液透析合并不宁腿综合征患者中的应用

加巴喷丁联合运动训练在维持性血液透析合并不宁腿综合征患者中的应用

扫码查看
目的:探讨加巴喷丁联合运动训练治疗维持性血液透析(MHD)合并不宁腿综合征(RLS)的临床效果.方法:选取 2022 年 1-10 月萍乡市人民医院收治的 80 例MHD合并RLS患者作为研究对象,按照封闭信封法随机分为常规组(n=40)与联合组(n=40).常规组患者于每日睡前服用加巴喷丁,联合组在常规组基础上联合运动训练,两组均持续治疗 3 个月.比较两组临床疗效,评估两组病情严重程度[国际不安腿综合征研究组(IRLSSG)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、失眠情况[阿森斯失眠量表(AIS)]、疼痛情况[视觉模拟评分法(VAS)]及生活质量[健康调查量表 12(SF-12)].结果:联合组整体疗效和总有效率均明显优于常规组(P<0.05),且联合组治疗 3 个月后SF-12 评分高于常规组(P<0.05);治疗 1、2、3 个月后,两组IRLSSG、PSQI、AIS、VAS评分较治疗前均有显著降低,且联合组均低于常规组(P<0.05).结论:采取加巴喷丁联合运动训练治疗MHD合并RLS患者可取得良好临床效果,患者失眠状况明显好转,睡眠质量得以明显改善,生活质量明显提高.
Application of Gabapentin Combined with Exercise Training in Patients with Maintenance Hemodialysis Complicated with Restless Legs Syndrome
Objective:To investigate the clinical effect of Gabapentin combined with exercise training on patients with maintenance hemodialysis(MHD)complicated with restless legs syndrome(RLS).Method:A total of 80 patients with MHD complicated with RLS admitted to Pingxiang People's Hospital from January to October 2022 were selected as the study objects,and randomly divided into the conventional group(n=40)and the combined group(n=40)according to the closed envelope method.Patients in the conventional group were given Gabapentin before going to bed every day,and the combined group was combined with exercise training on the basis of the conventional group.Both groups were treated for 3 months.The clinical efficacy of the two groups was compared,and the disease severity[International Restless Legs Syndrome Study Group(IRLSSG)score]and sleep quality[Pittsburgh sleep quality index(PSQI)],insomnia[Athens insomnia scale(AIS)],pain[visual analogue scale(VAS)]and quality of life[short form 12(SF-12)]were evaluated in the two groups.Result:The overall efficacy and total effective rate of the combined group were significantly better than those of the conventional group(P<0.05),and the SF-12 score of the combined group after 3 months of treatment was higher than that of the conventinal group(P<0.05).After 1,2 and 3 months of treatment,the scores of IRLSSG,PSQI,AIS and VAS in two groups were significantly lower than those before treatment,and those in the combined group were all lower than those in the conventional group(P<0.05).Conclusion:Gabapentin combined exercise training in the treatment of patients with MHD complicated with RLS can achieve good clinical results,the insomnia of patients is significantly improved,the sleep quality is significantly improved,and the quality of life is significantly improved.

GabapentinMaintenance hemodialysisRestless legs syndromeExercise training

刘风、邱明涛、廖雯

展开 >

萍乡市人民医院肾病科 江西 萍乡 337000

加巴喷丁 维持性血液透析 不宁腿综合征 运动训练

江西省卫生健康委科技项目

202212179

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(10)
  • 24