Effect of acupressure combined with auricular point pressure on sleep quality of diabetic patients with insomnia
穴位按摩联合耳穴压豆对糖尿病伴失眠患者睡眠质量的影响

摘要

目的 观察分析对糖尿病伴失眠患者实施 穴位按摩联合耳穴压豆治疗的临床效果和应用价值。方法选择院内就诊的60例糖尿病伴失眠患者（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以随机数字为基础分组方式，分为对照、实验两个小组，分别实施常规治疗，穴位按摩联合耳穴压豆治疗。收集分析治疗效果。结果 与对照组（常规治疗）相比，实验组（穴位按摩联合耳穴压豆治疗）血糖水平（空腹血糖/餐后2小时血糖/糖化血红蛋白）更低，睡眠质量评分（睡眠质量/入睡时间/睡眠时间/睡眠效率/睡眠障碍/催眠药物/日间功能障碍）更低，中医症候积分（心烦不寐/心悸多梦/咽干口燥/潮热盗汗/五心烦热）更低，差异具有统计学意义（P<0.05）。结论 穴位按摩联合耳穴压豆治疗可以有效提升对血糖的控制效果，促进糖尿病伴失眠患者症状改善，提升睡眠质量，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of acupoint massage combined with ear point pressure bean treatment in diabetic patients with insomnia.
Methods 60 diabetic patients with insomnia in hospital (sample number: 60 cases; sample inclusion time: May 2023 to May 2024) were selected, and divided into two groups: control and experimental, respectively for conventional treatment, acupoint massage combined with ear point pressing bean treatment. Collect and analyze the treatment effects.
Results Compared with the control group (conventional treatment), the experimental group (acupuncture) had lower blood glucose levels (fasting glucose / 2 hours postprandial glycaemia / glycated hemoglobin), lower sleep quality score (sleep quality / sleep time / sleep time / sleep efficiency / sleep disorder / hypnotic / daytime dysfunction), TCM syndrome points (upset / palpitations, dreams / dry throat / hot sweats / five upset) was lower, the difference was statistically significant (P <0.05).
Conclusion   Acupressure massage combined with ear point pressure bean therapy can effectively improve the control effect of blood sugar, promote the improvement of the symptoms of patients with diabetes and insomnia, and improve the quality of sleep, which has high application value.