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按摩和局部紫花油对血液透析患者瘙痒和皮肤干燥严重程度的影响:一项随机对照试验。

The effect of massage and topical violet oil on the severity of pruritus and dry skin in hemodialysis patients: A randomized controlled trial.

机构信息

Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Pharmaceutical Sciences in Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Complement Ther Med. 2019 Aug;45:248-253. doi: 10.1016/j.ctim.2019.06.015. Epub 2019 Jun 27.

Abstract

BACKGROUND

Pruritus is one of the common problems in hemodialysis patients that involves more than 45% of Iranian patients. Its exact pathogenesis is unclear. Meanwhile, violet is an old plant with anti-scratching effects, which is extensively used to treat diseases in the Persian medicine. This study aimed to evaluate the effect of massaging the body with and without violet oil in the treatment of uremic pruritus.

METHODS

In this study 57 hemodialysis patients who had uremic pruritus were categorized randomly into two groups. The treatment involved massage with and without topical 5 ml violet oil for 7 min during six sessions (two weeks) on the healthy hand which did not have fistula pruritus score questionnaire were completed before and after the intervention.

RESULTS

There was no difference between the two groups before the intervention; however, after the intervention, a significant difference was observed within each group and between the groups in terms of skin dryness score, severity, location, and frequency of pruritus, which were recovered significantly in both groups.

CONCLUSION

The results of this study indicated that massage with violet oil is more effective than massage alone and is recommended as a complementary treatment for patients with uremic pruritis.

摘要

背景

瘙痒是血液透析患者常见的问题之一,超过 45%的伊朗患者存在该问题。但其确切的发病机制尚不清楚。同时,紫罗兰是一种具有止痒作用的古老植物,在波斯医学中被广泛用于治疗疾病。本研究旨在评估在治疗尿毒症瘙痒中使用和不使用紫罗兰油进行全身按摩的效果。

方法

本研究将 57 名患有尿毒症瘙痒的血液透析患者随机分为两组。治疗方法包括在健康手上使用和不使用 5ml 紫罗兰油进行 7 分钟的按摩,共 6 次(两周)。在干预前后,使用瘙痒严重程度评分问卷评估两组患者的瘙痒评分。

结果

干预前两组之间没有差异;然而,干预后,每组内以及组间的皮肤干燥评分、瘙痒严重程度、位置和频率均有显著差异,两组的瘙痒均显著缓解。

结论

本研究结果表明,使用紫罗兰油按摩比单纯按摩更有效,建议将其作为尿毒症瘙痒患者的辅助治疗方法。

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