title: [Improvement of survival quality of the patients with hemodialysis treated with moxibustion for regulating spleen and stomach functions: multi-central randomized controlled study].
abstract: OBJECTIVE
  To discuss the impacts of moxibustion for regulating spleen and stomach function on the survival quality of the patients of end stage renal disease (ESRD) with maintenance hemodialysis (MHD).
  
  
  METHODS
  One hundred and nine cases of uremia with MHD from 3 hemodialysis centers were randomized into an observation group (58 cases) and a control group (51 cases). The regular hemodialysis and conventional medication were used in the two groups. In the observation group, on the basis of the common treatment, moxibustion was applied to Zusanli (ST 36) and Sanyinjiao (SP 6), 2-3 times a day, the treatment of 4 weeks made one session. Totally, 3 sessions were required and the follow-up lasted for 3 months. KDQOL-SF (kidney disease quality of life short form,KDQOL-SFTM 1. 3) was adopted for the questionnaire investigation on survival quality before treatment, after treatment and at the end of follow-up separately in the two groups.
  
  
  RESULTS
  After treatment, the survival quality scores in terms of physical functioning (83.62+/-13.27 vs 79.32+/- 22. 17), general health (58. 88+/- 20.24 vs 48.82+/-20.89) and vitality (77.07+/-15.56 vs 70. 59+/-22.61) in the observation group were higher than those in the control group (all P<0. 05). In comparison before and after treatment in the same group, the survival quality scores in terms of physical functioning, general health, vitality and symptoms/problems were all improved in the observation group (all P<0. 05). At the end of follow-up, the survival quality scores in terms of physical functioning, general health, mental health, social functioning, vitality, effects of kidney disease and cognitive function were higher in the observation group as compared with those in the control group (all P<0. 05). In comparison of the results at the end of follow-up with those before treatment, the survival quality scores in terms of vitality, symptoms/problems and cognitive function in the observation group were improved (all P< 0. 05). The differences were not significant in all of the 19 fields of survival quality evaluation before and after treatment, and after follow-up in the control group (all P>0. 05).
  
  
  CONCLUSIONS
  Moxibustion for regulating spleen and stomach function improves the survival quality of the patients with hemodialysis in terms of physical functioning, general health and vitality, which benefits the psychological condition of the patients, resulting in the improvements of the survival quality in the fields of mental health, social functioning, effects of kidney disease and cognitive function.
authors.forename: Shao-Hua
authors.initials: SH
authors.lastname: Wang
authors.forename: Mo-Yan
authors.initials: MY
authors.lastname: Qiu
authors.forename: Ai-Hua
authors.initials: AH
authors.lastname: Cheng
authors.forename: Nan
authors.initials: N
authors.lastname: Li
authors.forename: Yan-Ming
authors.initials: YM
authors.lastname: Xie
authors.forename: Jian-Rong
authors.initials: JR
authors.lastname: Hao
authors.forename: Qi-Meng
authors.initials: QM
authors.lastname: Zhang
authors.forename: Jie
authors.initials: J
authors.lastname: Luan
authors.forename: Peng
authors.initials: P
authors.lastname: Liu
authors.forename: Er-Ping
authors.initials: EP
authors.lastname: Yan
authors.forename: Jin-Chen
authors.initials: JC
authors.lastname: Fu
authors.forename: Zong-Yang
authors.initials: ZY
authors.lastname: Yu
authors.forename: Li
authors.initials: L
authors.lastname: Zhu
authors.forename: Peng
authors.initials: P
authors.lastname: Tian
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009071:Moxibustion; D011788:Quality of Life; D006435:Renal Dialysis; D013154:Spleen / Q000503:physiopathology*; D013270:Stomach / Q000503:physiopathology*