针灸临床杂志2024,Vol.40Issue(3) :38-42.DOI:10.19917/j.cnki.1005-0779.024051

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临床研究

Clinical Study of Anshen Xingnao Acupuncture Combined with Ultramicro Acupotomy in Treatment of Cervical Insomnia of Liver-Qi Stagnation

王君楠 赵蓓 刘娜 张书航 易靖然
针灸临床杂志2024,Vol.40Issue(3) :38-42.DOI:10.19917/j.cnki.1005-0779.024051

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临床研究

Clinical Study of Anshen Xingnao Acupuncture Combined with Ultramicro Acupotomy in Treatment of Cervical Insomnia of Liver-Qi Stagnation

王君楠 1赵蓓 2刘娜 3张书航 1易靖然1
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作者信息

  • 1. 十堰市太和医院,湖北十堰 442000
  • 2. 十堰市郧阳区中医院,湖北十堰 442521
  • 3. 香港理工大学,香港 100872
  • 折叠

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.

Abstract

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.

关键词

安神醒脑针法/超微针刀/颈源性失眠

Key words

Anshen Xingnao acupuncture/Ultramicro acuptomoy/Cervical insomnia

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基金项目

湖北省卫生健康委项目(ZY2021M057)

出版年

2024
针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
参考文献量27
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