Clinical Research Of Auricular Point Magnetic Bead Plaster Of Spleen And Pancreas Auris-points To Type2Diabetes Patients With Insomnia

Objective To observe the effects of auricular magnetized bead therapy of spleen and pancreas auris-points to sleep quality and quality of life and fasting blood glucose of type2diabetes patients with insomnia.In this study,by researching the spleen and pancreas auris-points stick-press therapy,explore one more effective and convenient way to treat insomnia,we try to work on its feasibility and contribute to the auricular therapy research for the motherland.Method99type2diabetic patients with insomnia collected form Fuzhou General Hospital of PLA Nan Jing Military Area Command were recruited in this clinical trail.Nine patients were exited the experiment.At last ninty enrolled patients were randomly divided into five auris-points group and three auris-points group and observation of the control group.Five auris-points group’s patients is stimulating auris-points by adhibitting and pressing manipulation with spleen and pancreas and shenmen and heart and neurasthenic auris-points,press4times each point1day about3min.Three auris-points group’s patients is stimulating auris-points by adhibitting and pressing manipulation with shenmen and heart and neurasthenic auris-points,press4times each point1day about3min.Observation of the control group is not adhibitting on the auris-points.The Period of treatment is1month, The index of PSQI(Pinsburgh Sleep Quality Index) and A-DQOL(Adjusted Diabetes-specific Quality Of Life) and sleep TCM(Traditional Chinese Medicine) symptoms scale were evaluated before and after intervention.Result1. Sleep Quality Comparison among groups:After one months of intervention, the score of subjective sleep quality in the five auris-points group and three auris-points group decreased and the same score in the observation of the control group increased.Five auris-points group has significant difference compared with three auris-points group (P<0.05);Five auris-points group has significant difference compared with the control group (P<0.05);Three auris-points group has significant difference compared with the control group (P<0.05).The time of fall asleep,sleep efficiency and the global sum of PSQI are significantly better in the five auris-points group than in the control group(P<0.05);The time of fall asleep,sleep efficiency and the global sum of PSQI are significantly better in the three auris-points group than in the control group (P<0.05).Comparison within group:After one months of intervention, the global sum of PSQI,subjective sleep quality,the time of fall asleep,bedtime,sleep efficiency,sleep disturbances,hypnotic drug,daytime function were improved significantly in the five auris-points group (P<0.05);the global sum of PSQI,subjective sleep quality,the time of fall asleep,sleep efficiency,sleep disturbances,hypnotic drug,daytime function were improved significantly in the three auris-points group (P<0.05).2. The score of sleep TCM symptomsAfter one months of intervention, the score of dry throat with a bitter taste in the five auris-points group decreased and the same score in the auris-points group and the observation of the control group increased.Five auris-points group has significant difference compared with three auris-points group (P<0.05);Five auris-points group has significant difference compared with the control group (P<0.05);Three auris-points group has significant difference compared with the control group (P<0.05)3.Fasting plasma glucoseComparison among groups:After one months of intervention, fasting plasma glucose in the five auris-points group decreased and the same score in the auris-points group and the observation of the control group unchanged.Five auris-points group has significant difference compared with three auris-points group (P<0.05);Five auris-points group has significant difference compared with the control group (P<0.05);Three auris-points group has no significant difference compared with the control group (P>0.05) Comparison within group:After one months of intervention, fasting plasma glucose were improved significantly in the five auris-points group (P<0.05);fasting plasma glucose were no significant change in the three auris-points group and observation of the control group (P>0.05).4. Quality of lifeAfter one months of intervention,degree of anxiety I,impact,quality of life were improved significantly in the three auris-points group (P<0.05); Three is no significant change in other factors(P>0.05)Conclusion Spleen and pancreas auris-points can improve subjective sleep quality of type2diabetes patients with insomnia;Spleen and pancreas auris-points can improve dry throat with of type2diabetes patients with insomnia;Spleen and pancreas auris-points can effectively decrease fasting plasma glucose of type2diabetes patients with insomnia;Provide a new therapy to improve sleep quality and control of blood glucose in type2diabetes mellitus patients with insomnia.