摘要
目的探究耳穴压豆联合穴位按摩在2型糖尿病伴失眠患者中的应用效果.方法选取2021年6月—2022年6月我院收治的82例2型糖尿病伴失眠患者,按照随机数字表法分为两组,各41组.两组均接受常规降糖治疗,对照组在此基础上口服艾司唑仑片治疗,观察组在对照组基础上加用耳穴压豆联合穴位按摩治疗.比较两组治疗前后的血糖水平和睡眠质量.结果治疗前,两组餐后2 h血糖(2 h PG)、空腹血糖(FPG)、糖化血红蛋白(HbAlc)水平比较,组间差异无统计学意义(P>0.05);治疗14 d后,观察组2 h PG水平(8.12±1.21)mmol/L、FPG水平(5.76±0.36)mmol/L、HbAlc水平(5.63±1.14)%均低于对照组的(9.87±1.31)mmol/L、(6.43±0.41)mmol/L、(7.04±1.21)%,组间差异有统计学意义(P<0.05).治疗前,两组匹兹堡睡眠质量指数量表(PSQI)中入睡时间、催眠药物、睡眠质量、睡眠效率、睡眠障碍、日间功能障碍、睡眠时间评分和总分对比,组间差异无统计学意义(P>0.05);治疗14 d后,观察组PSQI中入睡时间评分(1.12±0.23)分、催眠药物评分(1.15±0.27)分、睡眠质量评分(0.93±0.15)分、睡眠效率评分(0.84±0.13)分、睡眠障碍评分(0.84±0.11)分、日间功能障碍评分(0.79±0.12)分、睡眠时间评分(0.65±0.08)分、总分(6.35±0.96)分均低于对照组的(1.84±0.35)分、(1.87±0.32)分、(1.65±0.21)分、(1.54±0.22)分、(1.59±0.26)分、(1.47±0.25)分、(1.32±0.18)分、(11.28±1.96)分,组间差异有统计学意义(P<0.05).结论2型糖尿病伴失眠患者采用耳穴压豆联合穴位按摩治疗,能够有效改善血糖水平,提高睡眠质量.
Objective To explore the application effect of ear acupoint pressing beans combined with acupoint massage in type 2 diabetes patients with insomnia.Methods 82 type 2 diabetes patients with insomnia admitted to our hospital from June 2021 to June 2022 were selected and divided into two groups according to the random number table method,with 41 groups in each group.Both groups were treated with routine hypoglycemic therapy,while the control group was treated with oral estazolam tablets on this basis,while the observation group was treated with ear acupoint pressing beans combined with acupoint massage on the basis of the control group.The blood glucose level and sleep quality of the two groups were compared before and after treatment.Results Before treatment,there were no significant differences in the levels of 2 h blood glucose(2 h PG),fasting plasma glucose(FPG)and glycosylated hemoglobin(HbAlc)between the two groups(P>0.05);after 14 days of treatment,the 2 h PG level(8.12±1.21)mmol/L,FPG level(5.76±0.36)mmol/L,HbAlc level(5.63±1.14)%in the observation group were lower than(9.87±1.31)mmol/L,(6.43±0.41)mmol/L and(7.04±1.21)%in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no statistically significant differences between the two groups in terms of sleep time,hypnotic drugs,sleep quality,sleep efficiency,sleep disorder,daytime dysfunction,sleep time scores and total score of Pittsburgh sleep quality index(PSQI)(P>0.05);after 14 days of treatment,the sleep time score(1.12±0.23)points,hypnotic drugs score(1.15±0.27)points,sleep quality score(0.93±0.15)points,sleep efficiency score(0.84±0.13)points,sleep disorder score(0.84±0.11)points,daytime dysfunction score(0.79±0.12)points,sleep time score(0.65±0.08)points and the total score(6.35±0.96)points of PSQI in the observation group were lower than(1.84±0.35)points,(1.87±0.32)points,(1.65±0.21)points,(1.54±0.22)points,(1.59±0.26)points,(1.47±0.25)points,(1.32±0.18)points an
作者
雷颖
朱敏
孙艳
LEI Ying;ZHU Min;SUN Yan(Department of Rheumatology,Wuxi Hospital of Traditional Chinese Medicine,Jiangsu Province,Wuxi Jiangsu,214000,China)
出处
《反射疗法与康复医学》
2023年第3期15-18,共4页
Reflexology And Rehabilitation Medicine
关键词
2型糖尿病
失眠症
耳穴压豆
穴位按摩
血糖水平
睡眠质量
Type 2 diabetes
Insomnia
Ear acupoint pressing bean
Acupoint massage
Blood glucose level
Sleep quality
