基于子午流注学说的耳穴压豆及艾灸应用于老年糖尿病失眠患者的效果

Effect of auricular point pressure bean and moxibustion on elderly patients with diabetes and insomnia based on meridian flow theory

目的分析老年糖尿病失眠患者应用基于子午流注学说的耳穴压豆及艾灸的效果及对不良情绪、单胺神经递质水平的影响。方法选取2021年3月至2022年6月期间开封市中医院收治的96例老年糖尿病失眠患者作为研究对象,以抽签的方法将其分组。两组均给予常规治疗,对照组48例给予子午流注学说下的耳穴压豆,研究组48例增加子午流注学说下的艾灸。对比两组患者睡眠质量、焦虑抑郁情绪、单胺神经递质水平。结果干预后,研究组睡眠质量(1.23±0.35)分、睡眠效率(0.68±0.23)分、睡眠障碍(1.01±0.29)分、睡眠时间(1.28±0.41)分、入睡时间(1.19±0.28)分、日间功能(5.23±0.88)分,均低于对照组(1.78±0.41)分、(1.17±0.29)分、(1.65±0.39)分、(2.25±1.43)分、(1.58±0.37)分、(6.09±0.91)分(P<0.001);干预后,研究组焦虑自评量表(SAS)评分(42.45±5.69)分、抑郁自评量表(SDS)评分(42.15±5.86)分,均低于对照组(48.44±5.12)分、(47.79±5.29)分(P<0.001);干预后,研究组去甲肾上腺素(NE)水平(83.91±10.35)μg/L、5-羟色胺(5-HT)水平(0.61±0.09)ng/mL,均高于对照组的(57.56±8.97)μg/L、(0.53±0.07)ng/mL(P<0.001)。结论基于子午流注学说的耳穴压豆及艾灸应用于老年糖尿病失眠患者效果显著,可有效提高其睡眠质量,改善焦虑抑郁情绪及单胺神经递质水平。

Objective To analyze the effect of auricular acupoint bean pressing and moxibustion on adverse mood and the level of monoamine neurotransmitter in elderly patients with diabetes and insomnia based on the theory of meridian flow injection.Methods A total of 96 elderly patients with diabetes and insomnia admitted to Kaifeng Hospital of Traditional Chinese Medicine from March 2021 to June 2022 were selected as research objects and divided into groups by drawing lots.The two groups were given conventional treatment,48 cases in the control group were given auricular point pressure bean under the meridian flow theory,and 48 cases in the study group were added moxibustion under the meridian flow theory.Sleep quality,anxiety and depression,and monoamine neurotransmitter levels were compared between the two groups.Results After intervention,sleep quality(1.23±0.35)points,sleep efficienc(0.68±0.23)points,sleep disorder(1.01±0.29)points,sleep time(1.28±0.41)points,and falling-asleep time(1.19±0.28)points,daytime function(5.23±0.88)points of the study group were lower than those of the control group(1.78±0.41)points(1.17±0.29)points,(1.65±0.39)points,(2.25±1.43)points,(1.58±0.37)points and(6.09±0.91)points(P<0.001).After intervention,the scores of the self-rating anxiety scale(SAS)and self-rating depression Scale(SDS)of the study group(42.45±5.69)and(42.15±5.86)were lower than those of the control group(48.44±5.12)and(47.79±5.29),P<0.001.After intervention,norepinephrine(NE)level in the study group was(83.91±10.35)μg/L,5-hydroxytryptamine(5-HT)level was(0.61±0.09)ng/mL,which were higher than those in the control group(57.56±8.97)μg/L,(0.53±0.07)ng/mL(P<0.001).Conclusion Auricular acupoint pressure and moxibustion based on the meridian flow theory have significant effects on elderly patients with diabetes and insomnia,which can effectively improve their sleep quality,anxiety,depression and the level of monoamine neurotransmitter.