摘要
目的:探讨安神醒脑针法联合超微针刀治疗肝郁气滞型颈源性失眠的疗效。方法:选取本院治疗的颈源性失眠患者106例,采用区组随机法分为对照组(56例)和观察组(50例),对照组给予超微针刀疗法,观察组在此基础上联合安神醒脑针法,比较两组治疗后临床疗效、治疗前后中医症候积分、睡眠质量、PSQI评分和NPQ评分、HAMD-17和HAMD-14评分、中医症候积分及血清BDNF和GDNF水平变化。结果:治疗后观察组临床疗效明显较高,差异具有统计学意义(P<0.05);治疗后两组PSQI评分、NPQ评分、HAMD-17和HAMD-14评分均明显降低,差异具有统计学意义(P<0.05),且观察组降低更显著,差异具有统计学意义(P<0.01);治疗后两组中医症候积分明显降低,差异具有统计学意义(P<0.05),且观察组降低更显著,差异具有统计学意义(P<0.01);治疗后两组睡眠快波睡眠占比、潜伏期时间、觉醒次数、觉醒时间及血清BDNF和GDNF水平明显改善,差异具有统计学意义(P<0.05),肝郁气滞型并且观察组改善更明显,差异具有统计学意义(P<0.01)。结论:采用安神醒脑针法联合超微针刀治疗颈源性失眠具有较好的疗效。
Objective:To investigate the curative effect of Anshen Xingnao acupuncture combined with ultramicro acupotomy in treatment of cervical insomnia of Liver-Qi stagnation.Methods:A total of 106 patients with cervical insomnia were randomly divided into the control group(n=56) and the observation group(n=50).The control group was treated with ultramicro acuptomoy;on which basis,the observation group was also treated with Anshen Xingnao acupuncture.Clinical efficacy,TCM symptom score,sleep quality,scores of PSQI,NPQ,HAMD-17,HAMD-14,as well as serum levels of BDNF and GDNF were compared between the two groups before and after the treatment.Results:The curative effect of the observation group was significantly higher than that of the control group(P<0.05).The scores of PSQI,NPQ,HAMD-17 and HAMD-14 were significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.01).The TCM symptom scores were significantly reduced after the treatment compared with those before the treatment in the two groups(P<0.05),and the reductions were more significant in the observation group than those in the control group(P<0.01).The proportion of fast wave sleep,latency time,waking times,waking duration and serum levels of BDNF and GDNF were significantly improved after the treatment in the two groups(P<0.05);of which the improvements were more significant in the observation group than those in the control group(P<0.01).Conclusion:Anshen Xingnao acupuncture combined with ultramicro acupotomy has a good effect in treatment of cervical insomnia.
作者
王君楠
赵蓓
刘娜
张书航
易靖然
WANG Junnan;ZHAO Bei;LIU Na;ZHANG Shuhang;YI Jingran(Taihe Hospital,Shiyan 442000,China;Yunyang District Hospital of Traditional Chinese Medicine,Shiyan 442521,China;The Hong Kong Polytechnic University,Hongkong 100872,China)
出处
《针灸临床杂志》
2024年第3期38-42,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
湖北省卫生健康委员会项目,编号:ZY2021M057。
关键词
安神醒脑针法
超微针刀
颈源性失眠
Anshen Xingnao acupuncture
Ultramicro acuptomoy
Cervical insomnia
