子午流注择时耳穴压豆改善糖尿病患者睡眠障碍的效果OA
Effect of Meridian Flow Auricular Point Pressing with Beans on Improving Sleep Disorders in Diabetic Patients
目的:观察2型糖尿病患者睡眠障碍治疗中应用子午流注择时耳穴压豆的临床效果.方法:选取2024年5月至2025年5月就诊于江苏省丹阳市中医院内分泌科糖尿病伴睡眠障碍患者88例为研究对象,按照数字表法分为对照组和观察组,每组44例.对照组实施常规西医干预联合耳穴压豆治疗,观察组实施常规西医干预联合子午流注择时耳穴压豆治疗.比较2组患者血糖水平,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量变化,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)比较2组患者干预前后焦虑、抑郁的改善情况,采用多导睡眠监测仪测量睡眠情况,监测时长≥7 h,记录总睡眠时间(TST)、睡眠潜伏期(SL)、非快速眼动睡眠期(NREM)的N1和N3期睡眠时长,比较2组患者不良反应发生率.结果:治疗后,观察组治疗总有效率显著高于对照组,观察组血糖水平显著低于对照组,观察组SDS评分、SAS评分均显著低于对照组,观察组多导睡眠监测结果优于对照组,差异均有统计学意义(均P＜0.05);治疗后,2组患者不良反应发生率比较,差异无统计学意义(P＜0.05).结论:在2型糖尿病伴睡眠障碍患者的治疗中,应用子午流注择时耳穴压豆可促进血糖指标改善,缓解不良情绪,提高睡眠质量,且不会增加不良反应发生风险.
Objective:To observe the clinical effect of meridian flow auricular point pressing with beans on the treatment of sleep disorders in patients with type 2 diabetes mellitus.Methods:A total of 88 patients with type 2 diabetes accompanied by sleep dis-orders who were admitted to the Endocrinology Department of Danyang Hospital of Traditional Chinese Medicine in Jiangsu Prov-ince from May 2024 to May 2025 were selected as the study subjects.They were divided into a control group and an observation group,with 44 cases in each group,using the digit table method.The control group received conventional Western medical inter-vention combined with auricular point pressing with beans,while the observation group received conventional Western medical in-tervention combined with meridian flow auricular point pressing with beans.The blood glucose levels of the two groups were com-pared,and changes in sleep quality were assessed using the Pittsburgh Sleep Quality Index(PSQI).The improvements in anxiety and depression were compared using the Self-Rating Depression Scale(SDS)and the Self-Rating Anxiety Scale(SAS).Sleep con-ditions were measured using polysomnography with a monitoring duration of≥7 hours,recording total sleep time(TST),sleep la-tency(SL),and the durations of N1 and N3 stages in non-rapid eye movement sleep(NREM).The incidence of adverse reactions between the two groups was compared.Results:After treatment,the total effective rate in the observation group was significantly higher than that in the control group,the blood glucose levels in the observation group were significantly lower than those in the control group,and the SDS and SAS scores in the observation group were significantly lower than those in the control group.The polysomnography results in the observation group were superior to those in the control group,with statistically significant differ-ences between the two groups(P＜0.05).After treatment,there was no statistically significant difference in the incidence of ad-verse reactions between the two groups(P＞0.05).Conclusion:In the treatment of patients with type 2 diabetes accompanied by sleep disorders,the application of meridian flow auricular point pressing with beans can improve blood glucose indicators,alleviate negative emotions,enhance sleep quality,and does not increase the risk of adverse reactions.
赵晓媛
江苏省丹阳市中医院,丹阳,212300
医药卫生
子午流注耳穴压豆2型糖尿病睡眠障碍不良反应血糖水平睡眠质量睡眠时间
Meridian flowAuricular point pressing with beansType 2 Diabetessleep disorderAdverse reactionsBlood glu-cose levelsSleep qualitySleep duration
《世界睡眠医学杂志》 2026 (2)
309-312,4
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