艾灸联合耳穴贴压对糖尿病便秘患者的干预效果

Effect of moxibustion therapy combined with auricular point sticking in treating diabetic constipation

目的观察艾灸联合耳穴贴压治疗糖尿病便秘的效果。方法将60例糖尿病便秘患者按照随机数字表法分为对照组(n=30)和研究组(n=30),对照组予常规干预,研究组予艾灸联合耳穴贴压干预,共干预14天。比较2组干预前后便秘症状及疗效评估问卷评分、中文版便秘患者生存质量自评量表(PAC-QOL)评分及空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA_(1)c)水平变化,并比较2组临床疗效。结果研究组总有效率96.67%(29/30),对照组总有效率63.33%(19/30),研究组总有效率高于对照组(P<0.05)。2组治疗后便秘症状及疗效评估问卷中各条目评分均较本组治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05)。2组治疗后FPG、2 hPG、HbA_(1)c水平均较本组治疗前降低(P<0.05),且研究组均低于对照组(P<0.05)。2组治疗后PAC-QOL中各条目评分和总分均较本组治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05)。结论艾灸联合耳穴贴压可有效改善糖尿病便秘患者便秘症状,下调血糖水平,提高生活质量。

Objective To explore the effect of moxibustion therapy combined with auricular point sticking in treating diabetic constipation.Methods Sixty patients with diabetic constipation were recruited in this study,and they were assigned in a 1∶1 ratio to conventional intervention(control group)or moxibustion therapy plus auricular point sticking(study group)by a random number table for 14 days.Before and after intervention,the constipation symptoms and curative effect evaluation questionnaire scores,the Chinese version of Patient Assessment of Constipation-Quality of Life(PAC-QOL)scores,the levels of fasting plasma glucose(FPG),2-h postprandial blood glucose(2 hPG),and glycosylated hemoglobin(HbA_(1)c)were compared between the two groups,and the clinical efficacy was assessed between the two groups.Results The total effective rate of the study group was obviously higher than that of the control group(96.67%[29/30]vs 63.33%[19/30],P<0.05).The questionnaire scores of constipation symptoms and curative effect evaluation in the both groups were significantly lower than those before treatment(P<0.05),with significant inter-group differences(P<0.05).The levels of FPG,2 hPG,and HbA_(1)c in the both group were significantly lower than those before treatment(P<0.05),the decreases were more common in the study group compared to the control group(P<0.05).The dimension score and total score of PAC-QOL in the both group were significantly lower than those before treatment(P<0.05),which in the study group were significantly lower than those of the control group(P<0.05).Conclusion The combination of moxibustion therapy and auricular point sticking in treating diabetic constipation can effectively improve constipation symptoms,down-regulate the blood glucose level,and improve the quality of life.