脾胰耳穴磁珠贴压法对2型糖尿病伴失眠患者的影响

Clinical research of auricular magnetized bead plaster of spleen and pancreas auris-points in type 2 diabetes patients with insomnia

目的观察脾胰耳穴磁珠贴压对2型糖尿病伴失眠患者的影响。方法选取2型糖尿病并伴有失眠患者99例，中途流失9例，最终收集病例数为90例，按照进入研究的先后顺序随机分为五点耳穴组（选取脾、胰、神门、心和神经衰弱点5个耳穴点，每日按压4次，每次每穴按压3rain）、三点耳穴组（选取神门、心和神经衰弱点3个耳穴点，每日按压4次，每次每穴按压3min）和对照组（不给予耳穴磁珠贴压），各30例。疗程为1个月。治疗期间检测每周固定一天的空腹血糖（FPG），记录匹茨堡睡眠质量指数量表（PSQI），并观察试验前后各组睡眠中医症状量化表积分变化。结果干预后，五点耳穴组主观睡眠质量因子得分低于三点耳穴组和对照组[1（1，2）分比1（1，2）、2（2，2）分，P〈0．05]；五点耳穴组口苦咽干得分低于三点耳穴组和对照组[1（0，1）分比1（0，1）、1（1，2）分，P〈0．05]；五点耳穴组FPG值低于三点耳穴组和对照组[（6．1±1．0）mmol／L比（7．0±1．4）、（7．3±1．8）mmol／L，P〈0．05]。结论脾胰耳穴磁珠贴压可辅助改善2型糖尿病伴失眠患者的主观睡眠质量、口苦咽干症状和FPG，为改善2型糖尿病伴失眠患者的睡眠质量和控制FPG提供了一种新疗法。

Objective To observe the effects of auricular magnetized bead plaster of spleen and pancreas auris-points on sleep quality and quality of life and fasting blood glucose of type 2 diabetes patients with insomnia. Methods All 99 type 2 diabetic patients with insomnia were recruited in this clinical trail. Nine patients were exi- ted the experiment. At last ninety enrolled patients were randomly divided into five auris-points group and three au- ris-points group and control group. Five auris-points group＇s patients were stimulated auris-points by adhibitting and pressing manipulation with spleen and pancreas and shenmen and heart and neurasthenic auris-points （4 times each point 1 day about 3 min）. Three auris-points group＇s patients were stimulated auris-points by adhibitting and press- ing manipulation with shenmen and heart and neurasthenic auris-points（4 times each point 1 day about 3 min）. The control group was not adhibitted on the auris-points. The period of treatment was 1 month, the index of pinsburgh sleep quality index） and sleep traditional Chinese medicine symptoms scale were evaluated before and after interven- tion. Results The score of subjective sleep quality in five attris-points group decreased was lower than three auris- points group and control group [ 1 （1,2） scores vs 1 （ 1,2）, 2 （2, 2） scores, P 〈 0.05 ] ; the score of dry throat with a bitter taste in five auris-points group was lower than three auris-points group and control group[ 1 （0, 1 ） scores vsl （0, 1 ）, 1 （1,2） scores, P 〈 0.05 ] ; fasting plasma glucose in the five auris-points group was lower than three au- ris-points group and control group [ （ 6. 1 ~ 1.0 ） mmol/L vs （ 7.0 ＋ 1.4）, （7.3 ＋ 1.8 ） mmol/L, P 〈 0.05 ]. Conclusions Spleen and pancreas auris-points can improve subjective sleep quality of type 2 diabetes patients with insomnia; spleen and pancreas auris-points can improve dry throat with of type 2 diabetes patients with insomnia. Spleen and pancreas auris-points can effectively decrease fasting plasma glucose of type 2 diabetes patients with in- somnia.