耳穴压豆联合西药治疗2型糖尿病伴抑郁随机平行对照研究

Randomized Parallel Controlled Study on Auricular Plaster Therapy Combined with Western Medicine in the Treatment of Type 2 Diabetes Mellitus With Depression

[目的]观察耳穴压豆联合西药治疗2型糖尿病伴抑郁疗效。[方法]使用随机平行对照方法,将64例住院患者按病志号抽签方法简单随机分两组,基础治疗＋降糖。对照组32例氟哌噻吨美利曲辛,10.5mg/次,早、午2次。治疗组32例耳穴压豆,神门、心、肝、内分泌、肾（王不留行籽胶布块）,用适当力度按压,每耳穴1~2min/次,至耳部发热、酸、胀、微痛为宜,以患者能耐受为度,平补平泻,重按为泻,轻按为补,中等力度为平补平泻,每日早晨、中午、晚睡前各揉1次,每次贴1耳,双耳交替贴压,每周更换2次;西药治疗同对照组。连续治疗4周为1疗程。观测临床症状、汉密尔顿抑郁量表（HAMD）、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈2例,显效11例,有效17例,无效2例,总有效率93.75%。对照组痊愈1例,显效8例,有效15例,无效8例,总有效率75.00%。治疗组疗效优于对照组（P〈0.05）。HAMD评分两组均有明显降低（P〈0.05）,治疗组降低优于对照组（P〈0.05）。[结论]耳穴压豆联合西药治疗2型糖尿病伴抑郁,疗效满意,无严重不良反应,值得推广。

[Objective]Observation of auricular plaster therapy combined with western medicine in the treatment of depression with type 2 diabetes efficacy.Observe the efficacy of auricular plaster therapy combined with western medicine in the treatment of type 2 diabetes with depression.[Method]Using of the random parallel control method,we divided 64 cases of hospitalized patients into two simple and randomly groups by the method of darwing the case record number,the groups were treated by basic treatment and conventional Western medicine.The control group of 32 cases dose Flupentixol and melitracen of 10.5mg in the morning and in the evening.32 cases of the treatment group were treated ear pressure beans,and the acupoints were god door,heart,liver,kidne y,endocrine.Normal skin disinfection of auricular acupoint,the corresponding position with adhesive tape block Vaccaria seed,with appropriate strength press,1~2min/ times per ear to ear,heating,acid,bulging,slight pain is appropriate,to patients can tolerance,reinforcing reducing,heavy as diarrhea,lightly according to fill so,in the intensity of reinforcing reducing,the daily morning,noon,night before going to bed each knead 1 times,each posted 1 ears,two ears alternatively pressing,the replacement of 2 times a week;Western medicine treatment of the treatment group is the same with the control group.The treatment is continuous to 4 weeks for 1 courses.Observate the clinical symptoms,the Hamilton Depression Scale（HAMD）,adverse reaction.They were treated in 3 courses to determine efficacy.[Results]the treatment group has 2 cases cured,11 cases markedly effective,17 cases effective,2 cases invalid,the total efficiency is 93.75%.The control group has 1 cases cured,8 cases markedly effective,15 cases effective,8 cases invalid,the total efficiency is 75%.The efficacy of the treatment group was better than that of the control group（P〈0.05）.HAMD scores of two groups were obviously decreased（P〈0.05）,the treatment group decreased than the control group（P〈0.05）.[Conclusion]The curative effect of auricular plaster therapy combined with western medicine in the treatment of depression with type 2 diabetes is satisfied,no serious adverse reaction,and worth promoting.