颈源性失眠采取针灸脊柱调理的机制与效果研究

目的研究颈源性失眠患者应用针灸法进行脊柱综合调理对失眠以及颈椎状态的影响。方法以2017年1月—2019年1月确诊的80例颈源性失眠患者为研究对象,随机分为治疗组与对照组各40例。治疗方案:对照组推拿按摩法,治疗组推拿按摩法+针灸法。对比两组患者在治疗4周后在睡眠质量、疼痛状态、颈部残障指数方面的差异以及心理与生活质量各指标差异。结果治疗后两组颈源性失眠患者匹兹堡睡眠质量指数评分(PSIQ)与失眠严重指数量表(ISI)评分与治疗前比较均下降(P<0.05),且治疗组评分低于对照组(P<0.05)。治疗后两组颈源性失眠患者疼痛、僵硬与残障评分与治疗前比较均下降(P<0.05),且治疗组评分低于对照组(P<0.05)。干预后两组的焦虑与抑郁评分均降低,幸福感得分均提高(P<0.05),且治疗组结果优于对照组(P<0.05)。治疗组颈源性失眠患者的临床治疗效果总体优于对照组(P<0.05)。结论针灸脊柱调理能够获得更好地治疗颈源性失眠,提高患者睡眠质量,改善颈部功能状态及生活质量。形神统调是治疗颈源性失眠的重要原则。

Mechanism and effect of acupuncture and moxibustion on treating cervical insomnia

Objective To investigate the comprehensive spine conditioning of acupuncture and moxibustion in treating insomnia and regulating the cervical state in patients with cervical insomnia.Methods A total of 80 patients diagnosed as cervical insomnia from January,2017 to January,2019 were randomly divided into an observation group and a control group,with 40 patients in each group.The control group was treated by massage and the observation group was treated by massage combined with acupuncture and moxibustion.After 4 weeks treatment,the sleep quality,pain state,neck disability index,psychological state and quality of life in both groups were compared.Results After treatment,the scores of Pittsburgh Sleep Quality Index(PSQI)and Insomnia Severity Index(ISI)in the observation group decreased compared with those before treatment,with statistical significance(P<0.05);and the scores in the observation group was lower than in the control group,with statistical significance(P<0.05).After treatment,the scores of pain,stiffness and disability in both groups decreased compared with those before treatment,with statistical significance(P<0.05);the scores in the observation group was lower than in the control group,with statistical significance(P<0.05).After the treatment,the anxiety and depression scores in both groups decreased,and the well-being scores increased,with statistical significance(P<0.05);and the scores in the observation group was higher than in the control group,with statistical significance(P<0.05).The observation group has a better clinical effect than the control group,with statistical significance(P<0.05).Conclusion Spine conditioning of acupuncture and moxibustion can achieve a better therapeutic effect on cervical insomnia,improve sleep quality,cervical function and quality of life.Regulating both body and spirit is a key principle in the treatment of cervical insomnia.