中医芳香疗法联合耳穴压豆治疗老年2型糖尿病合并失眠的临床观察

Clinical observation of traditional Chinese medicine aromatherapy combined with auricular point pressing beans in treatment of elderly type 2 diabetes patients with insomnia

中文关键词: 老年  2型糖尿病  失眠  芳香疗法  耳穴压豆

英文关键词: elderly  type 2 diabetes  insomnia  aromatherapy  auricular point pressing bean

中文摘要:

      目的 研究中医芳香疗法联合耳穴压豆疗法治疗老年2 型糖尿病合并失眠的疗效和安全性.方法 选取2 型糖尿病合并失眠的老年患者120 例,随机分为试验组(n =60)和对照组(n =60).2 组均给予低糖饮食、口服降糖药物或注射胰岛素.在此基础上,试验组予中医芳香药物枕及耳穴压豆治疗,对照组予艾司唑仑片,治疗周期为 4 周,治疗结束后随访2 个月.比较治疗前后2 组的匹兹堡睡眠量表评分(PSQI)、生存质量测定量表简表(WHOQOL-BREF)和血糖变化.结果 试验组总有效率明显高于对照组(P＜0.05);治疗后,与对照组相比,试验组的血糖控制水平显著降低、PSQI评分、WHOQOL-BREF评分显著改善(P均＜0.05);试验组的复发率显著低于对照组,差异有统计学意义(P＜0.05).结论 中医芳香疗法联合耳穴压豆可有效改善老年2 型糖尿病失眠患者的睡眠质量,降低失眠的复发率,提高患者的生存质量,改善血糖控制水平,具有一定的临床应用价值.

英文摘要:

      Objective To explore the efficacy and safety of traditional Chinese medicine(TCM)aromatherapy com-bined with auricular point pressing beans in the treatment of elderly type 2 diabetic patients with insomnia.Methods A total of 120 elderly patients with type 2 diabetes complicated with insomnia were randomly divided experimental group(n =60)and control group(n =60).Both groups were treated with low-sugar diet,oral hypoglycemic drugs or insulin injections.On the ba-sis of above,the experimental group was treated with TCM aromatic herb pillow and auricular point pressing beans,while the control group was treated with estazolam tablets.The course of treatment was 4 weeks and the follow-up was 2 months after the treatment.The scores of Pittsburgh Sleep Quality Index(PSQI),Short Form of Quality of Life Scale(WHOQOL-BREF)and blood glucose were compared between the two groups before and after treatment.Results The total effective rate of the exper-imental group was significantly higher than that of the control group(P＜0.05).After treatment,compared with the control group,the blood glucose control level of the experimental group was significantly lower,and the PSQI score and WHOQOL-BREF score were significantly improved(P＜0.05).The recurrence rate of the experimental group was significantly lower than that of the control group,and the differences were statistically significant(P＜0.05).Conclusion TCM aromatherapy combined with auricular point pressing beans can effectively improve the sleep quality of elderly type 2 diabetes patients with in-somnia,reduce the recurrence rate of insomnia,improve their quality of life,and improve the level of blood sugar control,which has certain clinical application value.