摘要
目的探讨耳穴埋豆对2型糖尿病合并睡眠障碍患者睡眠质量的改善作用及睡眠质量改善后对2型糖尿病患者糖代谢的作用。方法选择2021年1月至6月2型糖尿病患者100例为对象,随机数字表法分为2组,各50例。对照组实施口服西药的常规治疗方式,观察组在其基础上进行耳穴埋豆。比较2组患者治疗前与治疗8周后睡眠质量情况、心理状态以及糖代谢指标。结果2组治疗后8周睡眠质量得到明显改善;观察组治疗8周匹兹堡睡眠质量指数和睡眠障碍量表低于对照组(P<0.05);2组治疗8周后心理状态得到明显改善;观察组治疗8周后汉密尔顿抑郁量表评分与汉密尔焦虑量表评分低于对照组(P<0.05)。治疗8周后观察组空腹血糖、体质指数、空腹胰岛素、糖化血红蛋白明显低于对照组(P<0.05)。观察组血浆总胆固醇、胰岛素抗体明显低于对照组(P<0.05);治疗8周后观察组天冬氨酸转氨酶、尿素氮、空腹C肽、血浆皮质醇明显低于对照组(P<0.05)。观察组动态血糖明显低于对照组(P<0.05)。结论耳穴埋豆用于2型糖尿病患者中能改善患者睡眠质量,降低患者心理波动及心理状态,有助于降低患者血糖及肝肾功能,能降低患者空腹C肽、血浆皮质醇水平。
Objective To explore the effect of burying beans in ear points on the improvement of sleep quality in patients with type 2 diabetes and the promotion of glucose metabolism after the improvement of sleep quality.Methods A total of 100 patients with type 2 diabetes and sleep disorders from January 2021 to June 2021 were selected as subjects,and divide them into two groups by random number table,with 50 cases in each group.The patients in control group were given the conventional treatment of oral western medicine,and the ones in observation group were embedding beans in ear points on the basis of control group.The sleep quality,mental state and glucose metabolism indexes of the two groups before treatment and 8 weeks after treatment were compared.Results The sleep quality of the two groups was significantly improved after 8 weeks′treatment.The Pittsburgh sleep quality index and sleep dysfunction rating scale of the observation group were lower than those of the control group after 8 weeks′treatment(P<0.05).The psychological status of the two groups was significantly improved after 8 weeks′treatment,and Hamilton depression scale score and Hamilton anxiety scale in observation group were lower than the control group(P<0.05).After 8 weeks′treatment,fasting blood glucose,BMI,fasting insulin(FINS)and glycosylated hemoglobin A_(1)c in the observation group were significantly lower than those in the control group(P<0.05).Plasma total cholesterol and insulin antibodies in the observation group were significantly low than those in the control group(P<0.05).Aspartate amino transferase,blood urea nitrogen,fasting C-peptide,and plasma cortisol in the observation group were significantly lower than those in the control group after 8 weeks of treatment(P<0.05).The dynamic blood glucose level of the observation group was significantly low than that of the control group(P<0.05).Conclusion The use of bean-embedding in ear acupoints can improve the sleep quality of patients with type 2 diabetes,reduce the patient′s psychological fluctuation and mental state,help reduce the patient′s blood sugar and liver and kidney function,and reduce the fasting C-peptide and plasma cortisol levels.
作者
沈芝琴
赵海音
Shen Zhiqin;Zhao Haiyin(Department of Tradtional Chinese Medicine,Gumei Community Health Service Center,Shanghai201102,China)
出处
《山西医药杂志》
CAS
2022年第7期727-730,共4页
Shanxi Medical Journal
基金
上海市中西医结合学会课题(2020-62)
上海市闵行区名老中医工作室建设项目(mhmlzy06)。
关键词
糖尿病
2型
睡眠质量
耳穴埋豆
Diabetes,type 2
Sleep quality
Ear point burial
