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Intradialytic hypotension: Is intradialytic acupuncture a complementary option? A case report
Hsuan-Kuang Jung1, Jung-Nien Lai2, Jaung-Geng Lin3
1School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; Division of Nephrology, Department of Internal Medicine, Taipei City Hospital Yangming Branch, Taipei, Taiwan.
Background:
Intradialytic hypotension (IDH) is a common complication during hemodialysis (HD) and is positively associated with either poor quality of life or mortality. The present case report described the effect of intradialytic acupuncture (IA) in decreasing the occurrence of IDH.
Methods:
A 70-year-old female with diabetic nephropathy had been receiving regular dialysis twice weekly since end-stage renal disease was diagnosed. She had several episodes of intradialytic systolic blood pressure (iSBP) drop accompanied with severe complications within one month. In the 10 dialysis sessions prior to IA intervention, the case patient experienced two episodes of nadir iSBP < 90 mmHg, seven episodes of iSBP drop ≥ 20 mmHg, among which two episodes occurred with symptoms; and three episodes of iSBP drop required nursing intervention.
Interventions:
Dialysis sessions proceeded as usual with the patient receiving five sessions of 30-min IA as an add-on therapy starting from the second hour of dialysis.
Results:
In the 10 sessions with IA administered alternately, she experienced one episode of nadir iSBP < 90 mmHg and three episodes of iSBP drop ≥ 20 mmHg, among which two episodes occurred with symptoms. Occurrence of IDH reduced and no IDH necessitating nursing intervention occurred during IA-HD sessions.
Conclusions:
The administration of IA showed potential effect in decreasing the occurrence of IDH.
