【摘要】 目的：探索耳皮内刺、耳穴贴压结合降糖药物治疗对2型糖尿病患者血糖值的影响。方法：将饮食、运动及生活方式一致且降糖药物治疗方案固定、血糖状态稳定的2型糖尿病患者70例，随机分为耳皮内刺组、耳穴贴压组。于第1日（基线日）、第2日（干预日）、第3日（干预后1日）两组患者早餐后30 min内分别予耳皮内刺、耳穴贴压干预，观察所有患者干预前后餐前（FBG）、餐后2、4 h血糖值（PG2h、PG4h）变化情况。结果：共纳入70例患者，随机分配至耳皮内刺组、耳穴贴压组，每组各35例。2组分别脱落1例，各34例完成试验。耳皮内刺组第2日、第3日PG2h低于第1日（P<0.01），第2日PG2h低于第3日（P<0.01）；第2日PG4h低于第1日（P<0.05）；耳穴贴压组第3日FBG、PG2h低于第2日（P<0.05）。第2日耳皮内刺组PG2h低于耳穴贴压组（P<0.05）。结论：耳皮内刺的主要优势在于即刻降低受试者餐后血糖值，且效应可以持续到干预后1日，而耳穴贴压的主要优势在于降低干预后1日FBG和PG2h。更多还原

【Abstract】 Objective: To explore the reductoin rules of intradermal auricularacupuncture and auricular acupoint pressing on blood glucose in patients with type 2 diabetes based on medicine therapy. Methods: Seventy type 2 diabetes patients with regular lifestyle, including diet and exercise, and fixed hypoglycemic drug therapy were randomly divided into intradermal auricularacupuncture group(group A) and auricular acupoint pressing group(group B). Evaluation time points: 1st day(baseline day), 2nd day(intervention day: group A, group B), 3rd day(1 day after intervention). Patients in group A were treated with intradermal auricularacupuncture. Patients in group B were treated with auricular acupoint pressing. Patients were given an intervention within half an hour after breakfast, and the changes of FBG, PG2h and PG4h were observed. Results: Seventy cases recruited, 35 cases randomly assigned into each group. And 34 cases in each group completed the experiment respectively. For group A, PG2h after the 2nd day and 3rd day was lower than that on the 1st day(P<0.01). and PG2h on the 2nd day was lower than that on the 3rd day after(P<0.01). PG4h on the 2nd day was lower than that on the 1st day(P<0.05). For group B, FBG and PG2h on the 3rd day were lower than that on the 2nd day(P<0.05). On the 2nd day, the PG2h of group A was lower than that of the group B(P<0.05). Conclusion: In terms of hypoglycemic effect, the main advantage of intradermal auricularacupuncture lies in the immediate reduction of postprandial blood glucose, and the effect can last until 1 day after intervention, while the main advantage of auricular acupoint pressing lies in the reduction of fasting blood glucose and 2h postprandial blood glucose after intervention.更多还原