摘要
目的 探讨针灸辅助治疗神经根型颈椎病伴重度睡眠障碍的临床疗效及安全性.方法 选择80例符合入组标准的神经根型颈椎病伴重度睡眠障碍患者,采用随机数字表法分为针灸组（n=40例）和对照组（n=40例）,对照组再给予西药阿普唑仑片治疗,针灸组给予针灸治疗,2周为1个疗程,连续治疗2个疗程,治疗前后采用疼痛视觉模拟评分法（VAS）评估颈椎病主观疼痛,采用匹兹堡睡眠质量指数（PSQI）进行睡眠质量评估,比较两组临床疗效及不良反应发生率.结果 针灸组和对照组治疗后VAS评分分别为（1.08±0.66）分和（2.53±0.75）分,较治疗前明显下降（t=7.175和5.264,均P〈0.01）,针灸组治疗后VAS评分明显低于对照组（t=5.663,P〈0.01）.针灸组和对照组治疗后PSQI总分及各因子（睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能）评分分别为（2.60±0.12）分和（4.24±0.15）分,（0.52±0.20）分和（0.95±0.35）分,（0.42±0.30）分和（0.45±0.28）分,（0.45±0.18）分和（0.72±0.20）分,（0.38±0.18）分和（0.40±0.14）分,（0.43±0.15）分和（0.78±0.30）分,（0.30±0.16）分和（0.94±0.40）分,均较治疗前明显下降（t=14.502和10.265,9.431和7.312,8.873和7.062,7.607和6.313,7.492和6.815,8.263和5.672,8.141和5.515,均P〈0.01）,针灸组治疗后PSQI总分及睡眠质量、睡眠时间、睡眠障碍、日间功能评分均明显低于对照组（t=7.719、4.633、5.141、4.223、5.645,均P〈0.01）.针灸组临床总有效率为97.5%,明显高于对照组的87.5%,差异有统计学意义（x2=9.372,P〈0.05）.结论 针灸辅助治疗神经根型颈椎病伴重度睡眠障碍疗效显著,能够明显减低患者的疼痛评分,有效改善睡眠质量,操作简单方便,值得临床推广使用.
Objective To compare the clinical efficacy and safety of acupuncture treatment and conventional drug treatment on cervical disease with severe sleep disorders.Methods 80 cervical disease patients with severe sleep disorders were randomly divided into acupuncture group （n=40） and conventional drug group （n=40） according to the digital table.The conventional drug group was given alprazolam tablets,the acupuncture group was given acupuncture.2 weeks for a course,the two groups were treated for 2 courses.The subjective pain was evaluated by visual analogue scale （VAS）,the sleep quality was assessed by PSQI,the clinical efficacy and incidence of adverse reactions were compared.Results The scores of VAS in acupuncture group and conventional group were （1.08±0.66）points and （2.53±0.75）points,which were decreased significantly （t=7.175 and 5.264,all P〈0.01）,and the decrease of VAS in acupuncture group was greater than that in control group （t=5.663,P〈0.01）.The scores of PSQI,sleep quality,sleep latency,sleep time,sleep efficiency,and daytime function in the acupuncture group and the conventional group were （2.60±0.12）points and （4.24±0.15）points,（0.52±0.20）points and （0.95±0.35）points,（0.42±0.30）points and （0.45±0.28）points,（0.45±0.18）points and （0.72±0.20）points,（0.38±0.18）points and （0.40±0.14）points,（0.43±0.15）points and （0.78±0.30）points,（0.30±0.16）points and （0.94±0.40）points,which were significantly lower than those before treatment （t=14.502 and 10.265,9.431 and 7.312,8.873 and 7.062,7.607 and 6.313,7.492 and 6.815,8.263 and 5.672,8.141 and 5.515,all P〈0.01）.The sleep quality,sleep time,sleep disturbance,and daytime function score of the acupuncture group were significantly higher than those of the control group （t=7.719,4.633,5.141,4.223,5.645,all P〈0.01）.The total effective rate in the acupuncture group was 97.5%,which was significantly higher than that in the control group （87.5%）,the difference was statistically significant （x2=9.372,P〈0.05）.Conclusion Acupuncture treatment has exact effect in the treatment of cervical disease with severe sleep disorders,it can significantly reduce the pain score,improve sleep quality,it is simple and convenient,and worthy of clinical application.
作者
顾建菊
Gu Jianju(Department of Chinese Medicine Injury,the First People＇s Hospital of Wuyi County,Zhejiang 321200, China)
出处
《中国基层医药》
CAS
2017年第12期1809-1812,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
睡眠障碍
脊柱疾病
颈椎
灸法
针刺
Sleep Disorders
Spinal diseases
Cervical vertebrae
Moxibustion
Acupuncture
