陈氏飞针治疗椎动脉型颈椎病伴失眠的临床研究  

Clinical Study on Chen's Flying Acupuncture in the Treatment of Insomnia Combined With Vertebral Artery Type of Cervical Spondylosis

作　　者：奎瑜 陈秀华 徐振华 陈全新 李颖 王聪 黄彬城 张圣浩 

机构地区：[1]广州中医药大学第二附属医院传统疗法科,广东省广州市510120

出　　处：《中国全科医学》2016年第21期2553-2556,2561,共5页Chinese General Practice

基　　金："十一五"国家科技支撑计划项目(2007BAI10BO1-066);国家中医药管理局中医药科学技术研究专项课题项目(2009ZL34);国家中医药管理局全国名老中医药专家陈全新传承工作室建设项目(2011KT1909)

摘　　要：目的探究陈氏飞针治疗椎动脉型颈椎病伴失眠的临床疗效。方法选取2009年4月—2011年1月在广州中医药大学第二附属医院传统疗法科就诊的符合纳入标准的椎动脉型颈椎病伴失眠患者92例为研究对象,按照就诊先后顺序将患者分为对照组、艾司唑仑组和陈氏飞针组,剔除脱落患者,每组最终纳入30例患者。陈氏飞针组采用陈氏飞针及安慰剂进行治疗,艾司唑仑组患者采用艾司唑仑与假针刺进行治疗,对照组患者采用假针刺(同艾司唑仑组)和安慰剂(同陈氏飞针组)进行治疗。共治疗2周。比较3组患者治疗结束时临床疗效,治疗前及治疗后4周的睡眠状况自评量表(SRSS)评分及椎动脉型颈椎病功能评定量表(FS-CSA)评分。结果陈氏飞针组患者临床疗效优于艾司唑仑组和对照组(P<0.05);艾司唑仑组患者临床疗效优于对照组(P<0.05)。3组患者治疗前SRSS、FS-CSA评分比较,差异无统计学意义(P>0.05)。陈氏飞针组和艾司唑仑组患者治疗后SRSS、FS-CSA评分均低于对照组(P<0.05);陈氏飞针组患者SRSS、FS-CSA评分低于艾司唑仑组(P<0.05)。3组患者治疗后SRSS、FS-CSA评分均较治疗前降低(P<0.05)。结论陈氏飞针治疗椎动脉型颈椎病伴失眠的临床疗效确切,能有效改善患者的睡眠情况。Objective To explore the clinical effect of Chen＇ s flying acupuncture in the treatment of insomnia combined with vertebral artery type of cervical spondylosis. Methods 92 patients with insomnia combined with vertebral artery type of cervical spondylosis who were treated in Department of Traditional Therapy of the Second Affiliated Hospital of Guangzhou University of Chinese Medicine from April 2009 to January 2011,were selected as study subjects,all subjects met the inclusion criteria. According to the order of treatment,totally 90 patients were equally divided into three groups： Group A,B,and C,patients who withdrew from the treatment were excluded. Patients in Group C were treated with Chen＇ s flying acupuncture and placebo,patients in Group B were treated with estazolam and sham acupuncture,patients in Group A were treated with sham acupuncture and placebo. All patients were treated for 2 weeks. The clinical effect after treatment,and scores of the self- rating scale of sleep（ SRSS） and the functional scale for vertebral artery type of cervical spondylosis（ FS- CSA） before treatment and4 weeks after treatment were compared among 3 groups of patients. Results The clinical effect of Group C was significantly better than that of Group B and Group A respectively（ P〈0. 05）,the clinical effect of Group B was significantly better than that of Group A（ P〈0. 05）. There was no significant difference in scores of the SRSS and FS- CSA among the three groups before treatment（ P〉0. 05）. The scores of SRSS and FS- CSA after treatment in Group C and Group B were significantly lower than those in Group A（ P〈0. 05）,the scores of SRSS and FS- CSA in Group C were significantly lower than those in Group B（ P〈0. 05）. The scores of SRSS and FS- CSA after treatment were significantly lower than those before treatment in the three groups（ P〈0. 05）. Conclusion Chen＇s flying acupuncture is effective in treatment of insomnia combined with vertebral artery type of cervical spondylosis,a

关 键 词：颈椎病 椎底动脉供血不足 入睡和睡眠障碍 陈氏飞针 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R741[医药卫生—临床医学]