耳穴压豆联合穴位敷贴对2型糖尿病患者血糖水平及睡眠质量的影响

Effect of auricular acupoint pressure combined with acupoint application on blood glucose level and sleep quality in patients with type 2 diabetes mellitus

目的探讨耳穴压豆联合穴位敷贴对2型糖尿病(T2DM)患者血糖水平及睡眠质量的影响。方法择取2020年3月至2022年3月医院收治的77例T2DM患者,依单盲法将其分成试验组(38例)和对照组(39例)。两组均行常规护理,于此基础上对照组予耳穴压豆干预,试验组在对照组基础上合用穴位敷贴干预。对比两组血糖水平[空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)]、睡眠质量[匹茨堡睡眠质量指数(PSQI)]及生活质量[健康状况调查简表(SF-36)]。结果干预后,两组FPG、2hPG、HbAlc水平均明显下降,且较对照组,试验组上述血糖水平更低,差异有统计学意义(P<0.05)。干预后,两组PSQI评分均明显降低,且较对照组,试验组PSQI评分更低,差异有统计学意义(P<0.05)。干预后,两组SF-36评分均明显增高,且较对照组,试验组SF-36评分更高,差异有统计学意义(P<0.05)。结论耳穴压豆联合穴位敷贴可有效改善T2DM患者睡眠质量,调控其血糖水平,提升生活质量。

Objective To investigate the effect of auricular acupoint pressure combined with acupoint application on blood glucose level and sleep quality in patients with type 2 diabetes mellitus(T2 DM).Methods 77 T2 DM patients admitted to the hospital from March 2020 to March 2022 were selected and divided into experimental group(38 cases)and control group(39 cases)according to the single blind method.Both groups received routine nursing.On this basis,the control group was given auricular acupoint pressing intervention,and the experimental group was combined with acupoint application intervention on the basis of the control group.Blood glucose level[fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbAlc)],sleep quality[Pittsburgh sleep Quality index(PSQI)]and quality of life(SF-36)were compared between the two groups.Results After intervention,the levels of FPG,2 hPG and HbAlc in the two groups were significantly decreased,and the above blood glucose levels in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the PSQI scores of the two groups were significantly decreased,and the PSQI scores of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the SF-36 scores of the two groups were significantly increased,and the SF-36 scores of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Auricular acupoint pressure combined with acupoint application can effectively improve sleep quality,regulate blood glucose level and improve quality of life in T2 DM patients.