Curative effect of manipulation combined with acupuncture at meridian sinew nodal point on insomnia of atlantoaxial joint dislocation and its influences on sleep quality
Objective To observe the curative effect of manipulation combined with acupuncture at meridian sinew nodal point on insomnia of atlantoaxial joint dislocation and its influences on sleep quality.Methods Sixty patients with insomnia of atlantoaxial joint dislocation were randomly assigned to control group(n=30,manipulation massage)or treatment group(n=30,acupuncture at meridian sinew nodal point plus manipulation massage).All patients were treated for 10 days.The changes in scores of traditional Chinese medicine(TCM)syndromes,Pittsburgh Sleep Quality Index(PSQI),the 100-item World Health Organization Quality of Life Assessment(WHOQOL-100),visual analogue scale(VAS)and General Comfort Question-naire(GCQ)before and after treatment,and hemodynamics indexes(mean velocity[Vm]of bilateral internal carotid arteries,pulsatility index[PI],peak systolic velocity[PSV])were included as comparators between the two groups.The curative effect in the two groups was statistically analyzed.Results The total effective rate in treatment group was significantly higher than that of control group(96.67%[29/30]vs80.00%[24/30],P<0.05).After treatment,the dimension scores of TCM symptoms in both groups were significantly decreased compared to before treatment(P<0.05),which were significantly lower in the treatment group than in the control group(P<0.05).The scores of PSQI and VAS in both groups were significantly decreased than before treatment(P<0.05),while the scores of WHOQOL-100 and GCQ were significantly higher(P<0.05),and the treatment group was superior to the control group for PSQI and VAS,WHO-QOL-100 and GCQ(P<0.05).After treatment,Vm and PI in both groups were significantly elevated than before treatment(P<0.05),while PSV was significantly lower(P<0.05),and there was a significant difference in Vm,PI and PSV between the two groups(P<0.05).Conclusion Curative effect of manipulation combined with acupuncture at meridian sinew nodal point is significant on insomnia of atlantoaxial joint dislocation.It not only helps to improve clinical symptoms and hemodynam-ics,but also improves sleep quality.
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