世界睡眠医学杂志2024,Vol.11Issue(7) :1461-1464,1468.DOI:10.3969/j.issn.2095-7130.2024.07.011

针灸联合推拿体表痛敏点对神经根型颈椎病伴睡眠障碍的影响

Effects of Nudging Body Surface Pain-sensitive Points on Neurogenic Cervical Spondylosis with Sleep Disorders

蒋艺敏 林丽莉
世界睡眠医学杂志2024,Vol.11Issue(7) :1461-1464,1468.DOI:10.3969/j.issn.2095-7130.2024.07.011

针灸联合推拿体表痛敏点对神经根型颈椎病伴睡眠障碍的影响

Effects of Nudging Body Surface Pain-sensitive Points on Neurogenic Cervical Spondylosis with Sleep Disorders

蒋艺敏 1林丽莉1
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作者信息

  • 1. 福建中医药大学,福州,350122
  • 折叠

摘要

目的:探讨针灸联合推拿体表痛敏点对神经根型颈椎病(CSR)伴睡眠障碍患者颈椎情况及睡眠的影响.方法:选取2022年9月至2023年12月福建中医药大学收治的CSR伴睡眠障碍患者62例作为研究对象,按照随机数字表法分为对照组和观察组,每组31例.对照组采用常规针灸治疗,观察组在对照组治疗基础上联合推拿体表痛敏点,采集基线及干预后信息,比较2组患者干预效果.结果:干预后,观察组的疼痛模拟视觉量表(VAS)、简化颈椎功能障碍指数(NDI)和匹兹堡睡眠质量指数(PSQI)评分显示患者疼痛、颈椎情况和睡眠改善程度均优于对照组,差异有统计学意义(P<0.05),观察组总有效率明显高于对照组,差异有统计学意义(P<0.05).结论:针灸联合推拿体表痛敏点可明显改善CSR患者的颈椎症状,同时明显改善患者的睡眠状况,提高其生命质量,值得在临床中推广及应用.

Abstract

Objective:To explore the effect of acupuncture and moxibustion combined with massage of body surface pain sensitive points on cervical vertebra and sleep in patients with cervical spondylotic radiculopathy(CSR)with sleep disorder.Methods:A total of 62 patients with CSR accompanied by sleep disorders admitted to Fujian University of Chinese Medicine from September 2022 to December 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 31 patients in each group.The control group was treated with routine treatment combined with acupuncture and moxibustion,and the observation group was treated with massage of body surface pain sensitive points on the ba-sis of the control group,collected baseline and post intervention information,and compared the intervention effects of the two groups.Results:After intervention,the visual analog scale(VAS),neck disability index(NDI),and Pittsburgh sleep quality index(PSQI)scores of the observation group showed that the pain,cervical condition,and sleep improvement of the patients were better than those of the control group,the difference was statistically significant(P<0.05).Total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:acu-puncture and moxibustion combined with massotherapy of body surface pain sensitive points can significantly improve the cervical symptoms of CSR patients,and at the same time significantly improve the sleep status of patients,improve their quality of life,which is worth popularizing and applying in clinical practice.

关键词

神经根型颈椎病/睡眠障碍/针灸/推拿/穴位敏化

Key words

Cervical spondylotic radiculopathy/Sleep disorders/Acupuncture and moxibustion/Tuina/Acupoint sensitization

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基金项目

福建省教育厅A类科技项目(JAJ08120)

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量18
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