耳穴埋豆联合中医辨证食疗干预对老年糖尿病患者血糖控制及生活质量的影响  

The influence of dietary intervention on blood glucose control and quality of life in elderly diabetic patients

作　　者：杜明艳 刘贵香 李善丽 Du Mingyan;Liu Guixiang;Li Shanli(Linyi City Hospital of Traditional Chinese Medicine,Linyi,Shandong 276000,China)

机构地区：[1]山东省临沂市中医医院,山东临沂276000

出　　处：《首都食品与医药》2025年第1期129-132,共4页Capital Food Medicine

摘　　要：目的探讨耳穴埋豆联合中医辨证食疗干预对老年糖尿病患者血糖控制及生活质量的影响效果。方法选取2022年3月-2023年10月期间临沂市中医医院接收的162例老年糖尿病患者,遵循随机数表法将其分为常规组(实施常规干预)与联合干预组(在常规干预基础上实施耳穴埋豆联合中医辨证食疗),每组各81例,均持续干预8周。对比两组干预前后饮食管理效果(糖尿病患者饮食管理量表)、血糖指标[空腹血糖(FPG)、餐后2h血糖(2h PG)、糖化血红蛋白(HbA1c)]、脂代谢指标[总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]、生活质量[糖尿病特异性生活质量量表(DSQL)]以及不良反应发生率。结果干预后,两组糖尿病饮食管理量表中知识、信念、行为维度评分、总分及脂代谢指标HDL-C水平均升高(P<0.05),且联合干预组均高于常规组(P<0.05);干预后,两组FPG、2h PG、HbA1c、TC、TG、LDL-C水平,DSQL量表中生理、治疗、心理精神、社会关系维度评分及总分均降低(P<0.05),且联合干预组低于常规组(P<0.05)。结论耳穴埋豆联合中医辨证食疗干预可协助老年糖尿病患者提高饮食管理效果,改善血糖、血脂水平,亦有助于提升生活质量。Objective To study the effect of dietary intervention on blood glucose control and quality of life in elderly diabetic patients.Methods 162 elderly patients with diabetes who were received by Linyi City Hospital of Traditional Chinese Medicine from March 2022 to October 2023 were randomly divided into the conventional group(conventional intervention)and the combined intervention group(ear point bean embedding combined with TCM syndrome differentiation diet based on routine intervention).81 patients each were treated for 8 weeks.Comparing the two groups of diet management effect before and after intervention(diabetic diet management scale),blood glucose index[fasting blood glucose(FPG),2h postprandial blood glucose(2h PG),glycated hemoglobin(HbA1c)],lipid glucose metabolism index[total cholesterol(TC),triacylglycerol(TG),low-density lipoprotein(LDL-C),high-density lipoprotein cholesterol(HDL-C)],quality of life[diabetes-specific quality of life scale(DSQL)],and the incidence of adverse effects.Results After the intervention,knowledge,beliefs,behavioral dimensions,total score and HDL-C levels in the diabetes diet management scale both increased(P<0.05),and the combined intervention group was higher than the conventional group(P<0.05).After the intervention,FPG,2h PG,HbA1c,TC,TG,LDL-C decreased(P<0.05),and the combined intervention group was lower than the conventional group(P<0.05).Conclusion The therapeutic intervention combined with TCM syndrome differentiation can help the elderly diabetic patients to improve the effect of diet management,improve the metabolism of blood glucose and lipid and glucose,and also help to improve the quality of life.

关 键 词：老年糖尿病 耳穴埋豆 中医辨证食疗干预 

分 类 号：R587.1[医药卫生—内分泌]