世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
8期
1083-1085
,共3页
针灸%推拿%神经根型颈椎病%重度睡眠障碍
針灸%推拿%神經根型頸椎病%重度睡眠障礙
침구%추나%신경근형경추병%중도수면장애
Acupuncture%Tuina%Nerve root type of cervical spondylosis%Severe sleep disorders
目的：探讨针灸在神经根型颈椎病伴重度睡眠障碍治疗中的应用疗效。方法：将272例神经根型颈椎病伴重度睡眠障碍患者以数字表法随机分为对照组和治疗组各136例，2组均给予推拿治疗，在此基础上，对照组给予右佐匹克隆片改善睡眠，治疗组给予针灸治疗，2个疗程后对比2组疗效。结果：治疗组治愈率53.68％、总有效率98.53％均分别高于对照组的30.15％、88.24％，治疗组治疗前后颈椎病VAS评分差值（4.72±0.53）分大于对照组（3.88±0.69）分，差异均有统计学意义（P＜0.05）；治疗组PSQI总分及睡眠质量、睡眠时间、睡眠障碍、日间功能均较对照组改善更为明显，差异均有统计学意义（P＜0.05）；2组不良反应发生率差异无统计学意义（P＞0.05）。结论：针灸治疗神经根型颈椎病伴重度睡眠障碍可促进病情缓解，明显改善睡眠质量，疗效确切，安全性高，值得临床进一步研究推广。
目的：探討針灸在神經根型頸椎病伴重度睡眠障礙治療中的應用療效。方法：將272例神經根型頸椎病伴重度睡眠障礙患者以數字錶法隨機分為對照組和治療組各136例，2組均給予推拿治療，在此基礎上，對照組給予右佐匹剋隆片改善睡眠，治療組給予針灸治療，2箇療程後對比2組療效。結果：治療組治愈率53.68％、總有效率98.53％均分彆高于對照組的30.15％、88.24％，治療組治療前後頸椎病VAS評分差值（4.72±0.53）分大于對照組（3.88±0.69）分，差異均有統計學意義（P＜0.05）；治療組PSQI總分及睡眠質量、睡眠時間、睡眠障礙、日間功能均較對照組改善更為明顯，差異均有統計學意義（P＜0.05）；2組不良反應髮生率差異無統計學意義（P＞0.05）。結論：針灸治療神經根型頸椎病伴重度睡眠障礙可促進病情緩解，明顯改善睡眠質量，療效確切，安全性高，值得臨床進一步研究推廣。
목적：탐토침구재신경근형경추병반중도수면장애치료중적응용료효。방법：장272례신경근형경추병반중도수면장애환자이수자표법수궤분위대조조화치료조각136례，2조균급여추나치료，재차기출상，대조조급여우좌필극륭편개선수면，치료조급여침구치료，2개료정후대비2조료효。결과：치료조치유솔53.68％、총유효솔98.53％균분별고우대조조적30.15％、88.24％，치료조치료전후경추병VAS평분차치（4.72±0.53）분대우대조조（3.88±0.69）분，차이균유통계학의의（P＜0.05）；치료조PSQI총분급수면질량、수면시간、수면장애、일간공능균교대조조개선경위명현，차이균유통계학의의（P＜0.05）；2조불량반응발생솔차이무통계학의의（P＞0.05）。결론：침구치료신경근형경추병반중도수면장애가촉진병정완해，명현개선수면질량，료효학절，안전성고，치득림상진일보연구추엄。
Objective:To investigate the curative effect of acupuncture treating nerve root type of cervical spondylosis with severe sleep disorders.Methods:Two hundred and seventy two patients with nerve root type of cervical spondylosis with severe sleep disorders were randomly divided into control group (n=136)and treatment group (n=136).Patients in both groups were treated with Tuina therapy. Besides,patients in the control group were given Eszopiclone tablets to improve sleep,and the treatment group applied acupuncture treatment.Therapeutic effects were compared after 2 treatment courses.Results:The curative rate of the treatment group was 53.68%, and the total effective rate was 98.53%,which were both higher than those of the control group (30.15% and 88.24%).VAS score difference of cervical disease before and after treatment was (4.72 ±0.53)in the treatment group,which was higher than that of con-trol group (3.88 ±0.69),and the differences were statistically significant (P<0.05).PSQI total scores and improvement of sleep quality,sleep time,sleep disorders,and daytime function were more obvious in the treatment group than those of the control group,and the differences were statistically significant (P<0.05);the adverse reaction rates of the two groups showed no significant differences (P>0.05).Conclusion:Acupuncture treating nerve root type of cervical disease with severe sleep disorders can promote remission,im-prove sleep quality with definite curative effect and high safety,which is worthy of further clinical application.
