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目的:观察超短波配合认知行为疗法治疗尿毒症不安腿综合征(RLS)的疗效。方法:将尿毒症并发RLS患者30例,随机分为观察组和对照组各15例。2组患者均给予常规血液透析治疗,观察者在此基础上予以超短波配合认知行为治疗,对照组在此基础上予以左旋多巴口服治疗。治疗前后分别采用不安腿综合征量表(RLSRS)及匹兹堡睡眠质量指数(PSQI)评分表评估两种治疗方法的疗效差异。结果:治疗1个月后,2组患者RLSRS评分均较治疗前降低(P<0.05),且观察组下降幅度更大于对照组(P<0.05);2组患者PSQI各因子评分及总评分均较治疗前下降(P<0.05),其中观察组患者PSQI评分中睡眠质量、睡眠效率、日间功能障碍等项目及总评分下降幅度均大于对照组(P<0.05),其余项目比较差异无统计学意义。结论:超短波配合认知行为疗法可以有效缓解尿毒症RLS患者的临床不适症状,且在改善患者睡眠质量、睡眠效率及日间功能障碍等方面较单纯口服左旋多巴药物明显,值得在临床上进一步研究及推广。
Objective: To observe the curative effect of ultrashort wave combined with cognitive behavioral therapy on urethral restless legs syndrome (RLS). Methods: 30 patients with uremia complicated with RLS were randomly divided into observation group and control group, 15 cases each. Two groups of patients were given conventional hemodialysis treatment, observers on the basis of this to be combined with cognitive behavioral short-wave therapy, the control group on the basis of this levodopa oral treatment. Before and after treatment, respectively, using the Restless Leg Syndrome Scale (RLSRS) and the Pittsburgh Sleep Quality Index (PSQI) score to evaluate the efficacy of the two treatment methods. Results: After 1 month of treatment, the RLSRS scores of the two groups were significantly lower than those before treatment (P <0.05), and the decrease of the observation group was more than that of the control group (P <0.05). The PSQI scores and the total scores (P <0.05). The items such as sleep quality, sleep efficiency, daytime dysfunction and the total score of PSQI scores in the observation group decreased more than those in the control group (P <0.05), and there was no statistical difference in other items Significance of learning. Conclusion: The combination of ultrashort wave and cognitive behavioral therapy can effectively relieve the clinical symptoms of RLS patients with uremia and is more clinically effective in improving sleep quality, sleep efficiency and daytime dysfunction than simple oral levodopa drugs Research and promotion.