中药贴敷疗法治疗糖尿病合并失眠的临床疗效观察

Clinical Observation of Chinese Medicine Sticking Therapy in Treating Diabetes Complicated with Insomnia

目的:分析中药贴敷疗法治疗糖尿病(DM)合并失眠的临床疗效。方法:选取2021年1月至2021年12月福建省漳州市中医院收治的糖尿病合并失眠患者90例作为研究对象,随机分为对照组和观察组,每组45例。对照组采用达格列净+盐酸二甲双胍+右佐匹克隆片治疗,观察组在对照组治疗的基础上增加中药贴敷疗法治疗,比较2组患者治疗前后血糖(FPG、2 h PG)水平、糖化血红蛋白(HbA1c)水平、匹兹堡睡眠质量指数(PSQI)评分以及临床疗效。结果:治疗4周后,观察组患者FPG、2 h PG、HbA1c水平、PSQI评分均低于对照组,观察组临床总有效率为91.11%,对照组临床总有效率为77.78%,2组比较差异均有统计学意义(均P<0.05)。结论:针对糖尿病合并失眠患者,在常规治疗的基础上联合中药贴敷疗法,可更好地改善其睡眠质量。

Objective:To analyze the clinical efficacy of traditional Chinese medicine sticking therapy for patients with diabetes mellitus(DM)combined with insomnia.Methods:A total of 90 patients with diabetes mellitus combined with insomnia were randomly divided into control group(dapagliflozin+metformin hydrochloride+eszopiclone tablets)and observation group(therapy in control group+traditional Chinese medicine sticking therapy).Compare the blood glucose(fasting plasma glucose and 2-hour postprandial blood glucose,FPG and 2 h PG)level,glycosylated hemoglobin(HbA1c)level,Pittsburgh Sleep Quality Index(PSQI)score and clinical efficacy of the two groups before and after treatment.Results:After 4 weeks of treatment,the FPG,2 h PG,HbA1c levels and PSQI scores of the patients in the observation group were lower than those in the control group.The total clinical effective rate of the observation group was 91.11%,and the total clinical effective rate of the control group was 77.78%.The differences between the two groups were statistically significant(P s<0.05).Conclusion:For DM patients with insomnia,basic therapy combined with traditional Chinese medicine sticking therapy can significantly improve the sleep quality of patients.