穴位贴敷辅助治疗2型糖尿病的效果与护理

Medical observation and nursing of adjuvant treatment of the type 2 diabetes with the method of ＂acupoint paste＂

目的观察“盛世临红外保健化糖贴Ⅰ型-化糖贴”穴位贴敷辅助治疗2型糖尿病的临床效果，探讨护理人员在治疗中的作用。方法将133例2型糖尿病患者随机分为治疗组（采用化糖贴贴敷）和对照组（采用空白贴贴敷），观察两组患者糖尿病临床症状，空腹、餐后2h血糖、糖化血红蛋白等变化。结果治疗12周后，治疗组症状积分、空腹血糖、餐后2h血糖均显著下降，且下降幅度大于对照组；治疗前后两组糖化血红蛋白的差异无统计学意义；治疗组总有效率达72．1％，高于对照组的54．7％，差异有统计学意义。结论“盛世临红外保健化糖贴Ⅰ型-化糖贴”穴位贴敷外治途径独特，操作简单，依从性好，在原有治疗方案不变的基础上可以辅助2型糖尿病患者降低血糖、改善部分临床症状，护理人员在治疗过程中起到了关键性作用。

Objective To observe the clinical effects of acupoint use of ＂Sheng Shi Lin Infrared Health Conservation Series Ointment First Type （Sugar Conversion Ointment or Paste）＂ in the application of adjuvant treatment to the patients with type Ⅱ diabetes, and explore the role of the nursing persons in the treatment. Methods 133 cases of patients suffered with the type Ⅱdiabetes were randomly divided into two groups： treatment group （treated with sugar conversion paste） and blank control group （not treated with the paste, but used with a blank patch ）. The changes on the clinical symptoms of diabete, fasting and postprandial blood glucose after 2 hours later a meal, glycosylated hemoglobin before and after the test, and etc. , were observed for both groups. Results The symptom score, fasting and postprandial blood glucose at 2 hours later of the treatment group decreased significantly and the rate of decline is greater than that of the blank control group. There was not a statistically significant difference of glycosylated hemoglobin before and after the test between the two groups. The total effective rate of the treatment group was 72.13%, higher than that of the blank control group, i.e. , 54.7%, which was a statistically significant difference. Conclusions The means of applying ＂ Sheng Shi Lin Infrared Health Conservation Series Ointment First Type＂ in the adjuvant treatment of the type Ⅱ diabetes is unique for its acupoint application and out-treatment route, simple for its use, and has a good compliance. On the basis of not changing the original treatment program, it can assist the typeⅡdiabetes patients to reduce blood sugar, and improve some of the clinical symptoms. The nursing persons play a key role in the treatment process.