耳穴压豆联合穴位按摩对糖尿病伴失眠患者的影响

Effect of Auricular Acupressure Combined with Point Massage on Patients with Diabetes Mellitus with Insomnia

目的:分析耳穴压豆联合穴位按摩对糖尿病伴失眠患者的影响。方法:回顾性分析2022年7月—2023年7月本院收治的86例糖尿病伴失眠患者的临床资料。根据干预方法的不同将其分为穴位按摩组(n=43)和联合组(n=43)。穴位按摩组给予穴位按摩,联合组在穴位按摩组基础上给予耳穴压豆。比较两组临床疗效,干预前后负性情绪、睡眠质量、中医症候积分、不良反应。结果:联合组总有效率(97.67%)高于穴位按摩组(76.74%),差异有统计学意义(P<0.05)。干预后,联合组心烦不寐、心悸多梦、咽干口燥、潮热盗汗、五心烦热评分均低于穴位按摩组,差异有统计学意义(P<0.05)。干预后,两组匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分均降低,联合组PSQI评分低于穴位按摩组,差异有统计学意义(P<0.05)。干预后,联合组汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分均低于穴位按摩组,差异有统计学意义(P<0.05)。结论:耳穴压豆联合穴位按摩干预糖尿病伴失眠效果显著,在改善睡眠质量等方面具有重要价值。

Objective:To analyze the effect of auricular acupressure combined with point massage on patients with diabetes mellitus with insomnia.Method:The data of 86 patients with diabetes and insomnia admitted to the First Affiliated Hospital of Xiamen University from July 2022 to July 2023 were retrospectively analyzed.They were divided into point massage group(n=43)and combined group(n=43)according to different intervention methods.Acupoint massage group was given acupoint massage,combined group was given auricular acupressure treatment on the basis of acupoint massage group.The clinical efficacy,negative emotion,sleep quality,traditional Chinese medicine symptom score before and after intervention and adverse reactions were compared between two groups.Result:The total effective rate of the combined group(97.67%)was higher than that of the acupoint message group(76.74%),the differences were statistically significant(P<0.05).After intervention,the scores of upset insomnia,palpitation and dreaminess,dry throat and mouth,hot flush and night sweats,five upset heat in the combined group were lower than those in the acupoint message group,the differences were statistically significant(P<0.05).After intervention,Pittsburgh sleep quality index(PSQI)scores in both groups decreased,and the scores of PSQI in the combined group were lower than those in the point massage group,the differences were statistically significant(P<0.05).After intervention,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in the combined group were lower than those in the acupoint message group,and the differences were statistically significant(P<0.05).Conclusion:Auricular acupressure combined with acupoint massage is effective in the treatment of diabetes mellitus with insomnia,and has important value in improving sleep quality.