耳穴埋籽配合五行音乐对气阴两虚型糖尿病患者不寐症状改善研究

Research on improving insomnia symptoms of diabetes patients with Qi-Yin deficiency type by embedding seeds in ear points and five elements

目的探讨和评价耳穴埋籽配合五行音乐疗法对存在严重睡眠障碍的气阴两虚型2型糖尿病患者失眠症状的改善效果。方法选取2019年1月至2021年5月本院内分泌科收治的伴失眠症的64例气阴两虚型2型糖尿病患者,随机分为两组,每组32例。其中接受降糖治疗及益气养阴药膳的32例患者设为对照组,观察组在对照组基础上接受耳穴埋籽配合五行音乐疗法。干预8周,对比两组干预前后的中医症状积分、血糖水平(空腹血糖GLU、餐后2h血糖2hPBG)、焦虑抑郁情绪评分(SAS/SDS)、匹兹堡睡眠质量(PSQI)总分。结果干预前,两组患者中医症状积分、GLU/2hPBG、SAS/SDS评分及PSQI比较,均无明显差异(P>0.05);干预后,观察组中医症状评分、GLU/2hPBG值及SAS/SDS评分均明显低于对照组(P<0.05);观察组PSQI总分明显低于对照组(P<0.05),差异有统计学意义。结论存在严重睡眠障碍的气阴两虚型2型糖尿病患者在口服益气养阴中药基础上联合耳穴埋籽及五行音乐疗法中医护理干预,可明显提高患者睡眠质量,中医症状及血糖控制水平得到明显改善。

Objective:To explore and evaluate the effect of auricular point burying seed combined with five elements music therapy on the improvement of insomnia symptoms in patients with type 2 diabetes mellitus of Qi and Yin deficiency with severe sleep disorders.Methods:A total of 64 patients with type 2 diabetes with insomnia who were admitted to the department of endocrinology in our hospital between January 2019 and May 2021 were randomly divided into two groups with 32 cases in each group.Among them,32 patients who received hypoglycemic therapy and a medicated diet for nourishing qi and nourishing yin were set as the control group,and the observation group received auricular point-embedded seed combined with five elements music therapy on the basis of the control group.After 8 weeks of intervention,the TCM symptom scores,blood sugar levels(fasting blood glucose GLU,2h blood glucose 2hPBG after meal),anxiety and depression score(SAS/SDS),and Pittsburgh sleep quality(PSQI)total scores were compared between the two groups before and after the intervention.Results:Before the intervention,there was no significant difference in TCM symptom score,GLU/2hPBG,SAS/SDS score and PSQI between the two groups of patients(P>0.05);after intervention,the TCM symptom score,GLU/2hPBG value and SAS/SDS scores of the observation group were significantly lower than those of the control group(P<0.05);the total PSQI score of the observation group was significantly lower than that of the control group(P<0.05),and the difference was statistically significant.Conclusions:Type 2 diabetes with severe sleep disorders with deficiency of both qi and yin can significantly improve the sleep quality of patients and the level of TCM symptoms and blood sugar control by taking orally supplementing qi and nourishing yin Chinese medicine combined with ear acupoint seed burying and five element music therapy.