枕寰枢复合关节微调手法治疗颈性失眠临床研究  

Clinical Research of Atlanto-Axial Joint Trimming Technique in Treatment of Cervical Insomnia

作　　者：吴毅明[1] 范雅丽[1] 杨云涛[1] 乔敏[1] 陈新旺[2] WU Yiming FAN Yali YANG Yuntao QIAO Min CHEN Xinwang(The Third Affiliated Hospital to Henan University of Chinese Medicine, Zhengzhou Henan China 450008 Henan University Of Chinese Medicine, Zhengzhou Henan China 450046)

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008 [2]河南中医药大学,河南郑州450046

出　　处：《中医学报》2017年第7期1337-1339,共3页Acta Chinese Medicine

基　　金：河南省高校重点科研项目(16A360010);河南中医药大学博士科研基金项目(BSJJ2015-21)

摘　　要：目的:观察枕寰枢复合关节微调手法治疗颈性失眠的临床疗效。方法:选择68例颈性失眠患者,随机分为两组,试验组采用推拿结合微调手法治疗,对照组采用针刺结合牵引治疗。在治疗前、治疗2个疗程、4个疗程及疗程结束后1个月分别统计两组患者临床疗效,匹兹堡睡眠质量指数((pittsburgh sleep quality index,PSQI)评分进行评价比较。结果:试验组有效率97.1%,对照组有效率85.2%,两组疗效比较,差异有统计学意义(P<0.05);两组治疗2个疗程、4个疗程后及疗程结束后1个月PSQI评分比较,试验组优于对照组,差异有统计学意义(P<0.01)。结论:枕寰枢复合关节微调手法治疗颈性失眠疗效确切,且具有远期疗效明显的优势。Objective： To observe the clinical effect of atlanto-axial joint trimming technique in the treatment of cervical insomnia.Methods： Sixty-eight patients with cervical insomnia were randomly divided into two groups. The experimental group was treated with massage and atlanto-axial joint trimming technique. The control group was treated with acupuncture combined with traction therapy. The clinical efficacies and the Pittsburgh sleep quality index（ PSQI） scores of the two groups were evaluated before treatment,after 2 courses of treatment and 1 month after 4 courses of treatment. were evaluated and compared. Results： The effective rate of the experimental group was 97. 1% and that of the control group was 85. 2%,with the difference being statistically significant（ P〈0. 05）. The scores of the Pittsburgh sleep quality index（ PSQI） scores of the two groups were evaluated before treatment,after 2 courses of treatment and 1 month after 4 courses of treatment the two groups were statistically different（ P〈0. 01）.Conclusion： The combination of atlanto-axial joint trimming technique is effective in the treatment of cervical insomnia,with the advantage of having a long-term curative effect.

关 键 词：颈性失眠 枕寰枢复合关节 微调手法 针刺疗法 牵引疗法 

分 类 号：R256.23[医药卫生—中医内科学]