Yang Li-Yu, Lee Bih-O, Lee Kai-Ni, Chen Chien-An
College of Nursing, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Nephrology, Tainan Sinlau Hospital, Tainan 701002, Taiwan.
Healthcare (Basel). 2022 Mar 9;10(3):498. doi: 10.3390/healthcare10030498.
Xerostomia plays a major role in higher interdialytic weight gain (IDWG), which causes cardiovascular complications in patients who undergo hemodialysis. However, few studies have determined a method to manage xerostomia. This study determines the effect of transcutaneous electrical acupoint stimulation (TEAS) on hemodialysis patients with xerostomia and the percentage of IDWG. The study was a single-blind and quasi-experimental study. There are 75 participants: 37 in the TEAS group and 38 in the contrast group. The TEAS group used 250 µs and 50 Hz and the contrast group used 50 µs and 2 Hz three times a week for 3 weeks to stimulate ST 6 and TE17 acupoints. The salivary flow rates, dry mouth, and %IDWG were determined before, during and one week after the program. Compared with the contrast group, the TEAS group showed a significantly improved salivary flow rate (mL/min) (F (2, 123) = 15.28, p < 0.0001), and patients recovered their normal salivary flow rate. However, the results show that both groups showed significant improvement in dry mouth after treatment. The TEAS group demonstrated no effect in terms of %IDWG, as expected. The results show that a TEAS program is an effective means of symptom management for xerostomia patients who undergo hemodialysis. A TEAS program can be used to manage symptoms for xerostomia patients who undergo hemodialysis.
口干症在透析间期体重增加（IDWG）中起主要作用，这会导致接受血液透析的患者出现心血管并发症。然而，很少有研究确定管理口干症的方法。本研究确定经皮穴位电刺激（TEAS）对患有口干症的血液透析患者的影响以及IDWG的百分比。该研究是一项单盲准实验研究。共有75名参与者：TEAS组37名，对照组38名。TEAS组使用250微秒和50赫兹，对照组使用50微秒和2赫兹，每周三次，共3周，以刺激颊车穴（ST 6）和手少阳三焦经的翳风穴（TE17）。在该项目实施前、实施期间和实施后一周测定唾液流速、口干情况和IDWG百分比。与对照组相比，TEAS组的唾液流速（毫升/分钟）显著改善（F（2, 123）= 15.28，p < 0.0001），患者恢复了正常唾液流速。然而，结果显示两组在治疗后口干情况均有显著改善。正如预期的那样，TEAS组在IDWG百分比方面没有效果。结果表明，TEAS方案是管理接受血液透析的口干症患者症状的有效手段。TEAS方案可用于管理接受血液透析的口干症患者的症状。
