中医芳香疗法联合耳穴压豆治疗老年2型糖尿病合并失眠的临床观察

Clinical observation of traditional Chinese medicine aromatherapy combined with auricular point pressing beans in treatment of elderly type 2 diabetes patients with insomnia

目的研究中医芳香疗法联合耳穴压豆疗法治疗老年2型糖尿病合并失眠的疗效和安全性。方法选取2型糖尿病合并失眠的老年患者120例,随机分为试验组(n=60)和对照组(n=60)。2组均给予低糖饮食、口服降糖药物或注射胰岛素。在此基础上,试验组予中医芳香药物枕及耳穴压豆治疗,对照组予艾司唑仑片,治疗周期为4周,治疗结束后随访2个月。比较治疗前后2组的匹兹堡睡眠量表评分(PSQI)、生存质量测定量表简表(WHOQOL-BREF)和血糖变化。结果试验组总有效率明显高于对照组(P<0.05);治疗后,与对照组相比,试验组的血糖控制水平显著降低、PSQI评分、WHOQOL-BREF评分显著改善(P均<0.05);试验组的复发率显著低于对照组,差异有统计学意义(P<0.05)。结论中医芳香疗法联合耳穴压豆可有效改善老年2型糖尿病失眠患者的睡眠质量,降低失眠的复发率,提高患者的生存质量,改善血糖控制水平,具有一定的临床应用价值。

Objective To explore the efficacy and safety of traditional Chinese medicine(TCM)aromatherapy combined with auricular point pressing beans in the treatment of elderly type 2 diabetic patients with insomnia.Methods A total of 120 elderly patients with type 2 diabetes complicated with insomnia were randomly divided experimental group(n=60)and control group(n=60).Both groups were treated with low-sugar diet,oral hypoglycemic drugs or insulin injections.On the basis of above,the experimental group was treated with TCM aromatic herb pillow and auricular point pressing beans,while the control group was treated with estazolam tablets.The course of treatment was 4 weeks and the follow-up was 2 months after the treatment.The scores of Pittsburgh Sleep Quality Index(PSQI),Short Form of Quality of Life Scale(WHOQOL-BREF)and blood glucose were compared between the two groups before and after treatment.Results The total effective rate of the experimental group was significantly higher than that of the control group(P<0.05).After treatment,compared with the control group,the blood glucose control level of the experimental group was significantly lower,and the PSQI score and WHOQOL-BREF score were significantly improved(P<0.05).The recurrence rate of the experimental group was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion TCM aromatherapy combined with auricular point pressing beans can effectively improve the sleep quality of elderly type 2 diabetes patients with insomnia,reduce the recurrence rate of insomnia,improve their quality of life,and improve the level of blood sugar control,which has certain clinical application value.