中药沐足联合穴位贴敷对消渴病伴不寐患者睡眠质量的影响分析

Analysis of the Effect of Chinese Herbal Foot Bath Combined with Acupressure on Sleep Quality in Patients with Achalasia with Sleeplessness

目的评价中药沐足联合穴位贴敷对消渴病伴不寐患者睡眠质量的影响。方法选取消渴病伴不寐患者120例。患者随机分为中药沐足联合穴位贴敷治疗组联合组(n=60)与对照组(n=60)。对照组采用常规西医治疗,联合组同时给予中药沐足联合穴位贴敷治疗。比较治疗前后两组血糖指标、匹兹堡睡眠质量指数、中医证候积分。比较两组临床疗效和不良反应发病率。结果联合组治疗后空腹血糖(t=4.743,P<0.001)、2h餐后血糖(t=6.734,P<0.001)较对照组同期值显著降低。联合组治疗后匹兹堡睡眠质量指数较对照组同期值显著降低(t=4.717,P<0.001)。联合组总有效率较对照组显著提高[93.3%(56/60)vs.80.0%(48/60),χ^(2)=4.615,P=0.032]。联合组治疗后中医证候积分较对照组同期值显著降低(t=0.120,P<0.001)。联合组不良反应发病率较对照组显著降低[6.7%(4/60)vs.55.0%(33/60),χ^(2)=32.862,P<0.001]。结论糖尿病伴发不寐患者在常规西医治疗同时给予中药沐足联合穴位贴敷治疗后,血糖、睡眠质量、中医证候积分显著改善,临床疗效显著提高,不良反应发病率显著降低。

Objective To evaluate the effect of Chinese medicine foot bathing combined with acupressure on the sleep quality of patients with hypersomnia.Methods 120 patients with achromatopsia with insomnia were selected.Patients were randomly divided into the herbal foot bath combined with acupressure treatment group(combined group,n=60)and the control group(n=60).The control group was treated with conventional Western medicine,while the combined group was treated with traditional Chinese medicine foot massage combined with acupoint application.The blood glucose index,Pittsburgh Sleep Quality Index,and TCM evidence score were compared between the two groups before and after treatment.The clinical efficacy and incidence of adverse reactions were compared between the two groups.Results Fasting blood glucose(t=4.743,P<0.001)and 2h postprandial blood glucose(t=6.734,P<0.001)were significantly lower in the combined group after treatment compared with the values in the control group during the same period.The Pittsburgh Sleep Quality Index was significantly lower in the combined group compared to the control group(t=4.717,P<0.001).The overall effective rate was significantly higher in the combined group compared to the control group[93.3%(56/60)vs.80.0%(48/60),χ^(2)=4.615,P=0.032].The TCM evidence score was significantly lower in the combined group after treatment compared to the control group during the same period(t=0.120,P<0.001).The incidence of adverse reactions was significantly lower in the combined group compared to the control group[6.7%(4/60)vs.55.0%(33/60),χ^(2)=32.862,P<0.001].Conclusion Patients with diabetes mellitus with insomnia showed significant improvement in blood glucose,sleep quality and TCM evidence score,significantly improved clinical efficacy and significantly reduced incidence of adverse effects after conventional Western medical treatment with the combination of Chinese herbal foot bath and acupressure.