中药沐足联合耳穴压豆治疗2型糖尿病伴失眠患者的疗效观察
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摘要
目的:观察中药沐足联合耳穴压豆治疗2型糖尿病伴失眠患者的临床疗效。方法:将80例糖尿病伴失眠患者随机分为实验组和对照组,各组40例。对照组采取口服艾司唑仑片助眠治疗,实验组在对照组的基础上给予中药沐足和耳穴压豆治疗,治疗周期为10 d。比较两组治疗前后的匹兹堡睡眠质量指数量表(PSQI)评分、临床疗效和护理满意度。结果:治疗前,两组患者PSQI评分相比差异无统计学意义(P> 0.05);治疗后,两组患者PSQI评分均较前下降,且实验组评分低于对照组,差异具有统计学意义(P <0.05)。实验组患者总体有效率、护理满意度均优于对照组,两组相比差异具有统计学意义(P <0.05)。结论:中药沐足联合耳穴压豆可以改善2型糖尿病患者睡眠质量,提高临床疗效。
Objective: To observe the clinical effects of TCM medicine foot bathing plus ear point pressing beans on type 2 diabetes mellitus and insomnia. Methods: 80 patients with type 2 diabetes mellitus and insomnia were randomly divided into the experimental group and the control group, 40 cases in each. The control group was treated with eszolam tablet orally. The experimental group was treated by TCM medicine foot bathing plus ear point pressing beans. The treatment period was 10 days. PSQI scores, clinical efficacy and nursing satisfaction were compared between two groups before and after treatment. Results: Before treatment, there was no significant difference in PSQI scores between two groups(P>0.05). After treatment, the PSQI scores in two groups were all lower than before, and the scores in the experimental group were lower than those in the control group, with statistically significant differences(P<0.05). The total effective rate and nursing satisfaction in the experimental group were better than those in the control group, with statistically significant differences(P<0.05). Conclusion: TCM medicine foot bathing plus ear point pressing beans can improve sleep quality and clinical efficacy of type 2 diabetes mellitus patients.
Objective: To observe the clinical effects of TCM medicine foot bathing plus ear point pressing beans on type 2 diabetes mellitus and insomnia. Methods: 80 patients with type 2 diabetes mellitus and insomnia were randomly divided into the experimental group and the control group, 40 cases in each. The control group was treated with eszolam tablet orally. The experimental group was treated by TCM medicine foot bathing plus ear point pressing beans. The treatment period was 10 days. PSQI scores, clinical efficacy and nursing satisfaction were compared between two groups before and after treatment. Results: Before treatment, there was no significant difference in PSQI scores between two groups(P>0.05). After treatment, the PSQI scores in two groups were all lower than before, and the scores in the experimental group were lower than those in the control group, with statistically significant differences(P<0.05). The total effective rate and nursing satisfaction in the experimental group were better than those in the control group, with statistically significant differences(P<0.05). Conclusion: TCM medicine foot bathing plus ear point pressing beans can improve sleep quality and clinical efficacy of type 2 diabetes mellitus patients.
引文
[1]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,30(08):26-89.
[2]中华医学会精神科分会.中华医学会精神科分会精神障碍诊断标准(CCMD-3)[S].济南:山东科学技术出版社,2001:118-119.
[3]American Academy of Sleep Medicine.International Classification of Sleep Disorders(3rd ed.)[M].Darien,IL:American Academy of Sleep Medicine,2014.
[4]Janson C,Lindberg E,Gislason T,et al.Insomnia in men-a-10-year prospective population based study[J].Sleep,2001,24(04):425-430.
[5]王绪朝,王钢柱,孙爱励,等.氟桂利嗪合用噻庚啶治疗糖尿病伴失眠[J].实用糖尿病杂志,2005,1(02):39-40.
[6]Schutte-Rodin S,Broch L,Buysse D,et al.Clinical guideline for the evaluation and management of chronic insomnia in adults[J].J Clin Sleep Med,2008,4(05):487-504.
[7]兰颖,等.古今理论结合谈耳穴治疗失眠的选穴规律[J].时珍国医国药,2015,26(02):426-428.
[8]杨媛媛,王燕,李文文,等.耳穴贴压治疗失眠疗效的Meta分析[J].护理学杂志,2015,30(05):4-8.
[9]陈晓谦.耳穴贴压治疗失眠临床观察[J].中医临床研究,2012,4(02):38-40.
[2]中华医学会精神科分会.中华医学会精神科分会精神障碍诊断标准(CCMD-3)[S].济南:山东科学技术出版社,2001:118-119.
[3]American Academy of Sleep Medicine.International Classification of Sleep Disorders(3rd ed.)[M].Darien,IL:American Academy of Sleep Medicine,2014.
[4]Janson C,Lindberg E,Gislason T,et al.Insomnia in men-a-10-year prospective population based study[J].Sleep,2001,24(04):425-430.
[5]王绪朝,王钢柱,孙爱励,等.氟桂利嗪合用噻庚啶治疗糖尿病伴失眠[J].实用糖尿病杂志,2005,1(02):39-40.
[6]Schutte-Rodin S,Broch L,Buysse D,et al.Clinical guideline for the evaluation and management of chronic insomnia in adults[J].J Clin Sleep Med,2008,4(05):487-504.
[7]兰颖,等.古今理论结合谈耳穴治疗失眠的选穴规律[J].时珍国医国药,2015,26(02):426-428.
[8]杨媛媛,王燕,李文文,等.耳穴贴压治疗失眠疗效的Meta分析[J].护理学杂志,2015,30(05):4-8.
[9]陈晓谦.耳穴贴压治疗失眠临床观察[J].中医临床研究,2012,4(02):38-40.