| ObjectiveApplying the theory of traditional Chinese medicine combined with clinical practical implementation of auricular point magnetotherapy in patients with type2diabetes.To observe the effects of auricular point magnetotherapy on five points glucose spectrum and glucose fluctuation of type2diabetes.In order to find a smooth method of reducing blood glucose and suitable for patients with type2diabetes.MethodWe select80type2diabetes hospitalized in endocrinology during March2013and November2013according to the inclusion criteria and divide the selected patients into test group (40cases) and control group (40cases) in accordance with the random number table method.Finally there are test group (38cases) and control group (36cases) into the statistical analysis.The test group were treated with sticking magnetic bead and primary care and rule treatment,the auricular points,Yi Dan. Endocrine, San Jiao, Spleen,Vagus Point.The control group were only treated with primary care and rule treatment.Then we record and analysis five points glucose spectrum in the day,fasting plasma glucose of variation coefficient(FPG-CV).the standard deviation blood glucose(SDBG), glycosylated hemoglobin (HbAlc), body fat rate, patients with diabetes specific quality of life scale(A-DQOL) and incidence of hypoglycemia of two groups patients.In the same time, we dynamic records patients diet, exercise and drugs during the test and comparison.Result1.baseline comparisonThere were no significant difference between two groups in age,sex,literacy and other baseline data,..P>0.05; two groups of patients before intervention, five points glucose spectrum in the first day.fasting plasma glucose of variation coefficient (FPG-CV),the standard deviation blood glucose(SDBG), glycosylated hemoglobin (HbAlc), body fat rate and patients with diabetes specific quality of life scale(A-DQOL) P>0.05, There was no statistical significance between the two groups at baseline, We could compare them.2.the index of five points glucose spectrumRepeated measures analysis of five points glucose spectrum showed that the main effects of time on five points glucose spectrum were statistical significant (P<0.01).Five points glucose spectrum were significant different with the time without considering intervention. The main effects of intervention on FPG were statistical significant(P<0.05). FPG were significant different with the change of intervention.They were significant interactions between time and intervention on FPG and BPG.The fasting plasma glucose and blood glucose after breakfast of test group were lower than control group at the fourth week after intervention.P<0.05,the difference was statistically significant.At the other points blood glucose comparison,there were no significant difference between two groups.3.blood glucose fluctuation indexCompare with two groups,the fasting plasma glucose of variation coefficient (FPG-CV) and the standard deviation blood glucose(SDBG) were lower in test group than in control group after intervention.P<0.05,the difference was statistically significant.In test group, the fasting plasma glucose of variation coefficient (FPG-CV) and the standard deviation blood glucose(SDBG) were significant difference before and after the intervention,P<0.05.In control group.the above indexes showed a trend of falling.but were no significant difference.4.glycosylated hemoglobin (HbAlc)Compare with two groups,the glycosylated hemoglobin was no significant difference after intervention,P>0.05.In test group and control group.the glycosylated hemoglobin was no significant difference before and after the intervention.5.other indexes comparison Compare with two groups,the body fat rate was no significant difference after intervention,P>0.05.In test group and control group,the body fat rate was no significant difference before and after the intervention.Compare with two groups in patients with diabetes specific quality of life scale(A-DQOL),degree of anxiety II and The total score were improved significantly in test group after intervention(P<0.05).In test group,the degree of anxiety II and influence and total score had significant difference before and after the intervention(P<0.05).Three were no significant change in control group(P>0.05).Compare with two groups,the incidence of hypoglycemia was lower in test group than in control group,PO.Ol.the difference was statistically significant.Conclusion1.Auricular point magnetotherapy could improve the five points glucose spectrum with type2diabetes.especially postprandial blood glucose and blood glucose at bedtime decrease significantly.2.Auricular point magnetotherapy could obviously improve blood glucose fluctuations and had smooth effect of reducing blood glucose,but not obviously improve the effect of HbAlc3.Auricular point magnetotherapy could improve the quality of life and security. |
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