悬吊推拿运动技术对颈源性失眠患者睡眠及椎-基底动脉血流动力学的影响  

Effect of Suspension Massage Exercise Technique on Cervicogenic Insomnia and Vertebrobasilar Artery Hemodynamics

作　　者：张天钰 刘丽 丁懿 孙杰[1] 王淑睿 李泽文 王菁华[1] 李丽[3] ZHANG Tianyu;LIU Li;DING Yi;SUN Jie;WANG Shurui;LI Zewen;WANG Jinghua;LI Li(Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;Jinan Vocational College of Nursing,Jinan,Shandong 250102,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250001,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]济南市护理职业学院,山东济南250102 [3]山东中医药大学第二附属医院,山东济南250001

出　　处：《康复学报》2023年第5期442-448,共7页Rehabilitation Medicine

基　　金：山东省科技厅重点研发计划项目(2017GSF19114)。

摘　　要：目的:探讨悬吊推拿运动技术治疗颈源性失眠的临床疗效及其对椎-基底动脉血流动力学的影响。方方法法:选取2021年1月—2022年1月于山东中医药大学第二附属医院收治的56例颈源性失眠患者,采用随机数字表法分为观察组和对照组,各28例。对照组选用传统推拿治疗,观察组选用悬吊推拿运动技术治疗,以上治疗均30 min/次,1次/d,5 d/周,共治疗4周。依据治疗前后的匹兹堡睡眠质量指数(PSQI)评分差值制定疗效判定标准以评估临床疗效,并于治疗前后进行PSQI、Northwick Park颈痛量表(NPQ)评分比较,检测左侧椎动脉(LVA)、右侧椎动脉(RVA)、基底动脉(BA)的平均血流速度(Vm)及收缩期峰值(Vs)变化,记录治疗期间不良反应发生情况。结果:治疗前2组PSQI总分及单项评分、NPQ评分,LVA、RVA及BA的Vm、Vs值相比较,差异均无统计学意义(P>0.05)。治疗后观察组的总有效率为82.14%,明显高于对照组的50.00%,差异有统计学意义(P<0.05);2组PSQI总分及单项评分、NPQ评分均明显降低,且观察组治疗后上述评分均低于对照组,差异均有统计学意义(P<0.01);治疗后,观察组PSQI各因子评分均降低(P<0.05),对照组睡眠质量、睡眠障碍、日间功能障碍评分均降低(P<0.05),且观察组睡眠质量、入睡时间、睡眠时间低于对照组(P<0.05);2组治疗后LVA、RVA及BA的Vm均上升,且观察组治疗后上述指标均高于对照组,差异均有统计学意义(P<0.01);2组治疗后LVA、RVA及BA的Vs均上升,且观察组治疗后的上述指标均高于对照组,差异均有统计学意义(P<0.01)。2组在治疗期间均无明显不良反应。结论:悬吊推拿运动技术可有效改善颈源性失眠患者的睡眠质量,缓解失眠症状和颈部疼痛,调节患者椎-基底动脉血流动力学,值得临床推广应用。Objective:To investigate the clinical efficacy of suspension massage exercise technique for cervicogenic insomnia and its effect on vertebrobasilar artery hemodynamics.Methods:A total of fifty-six patients with cervicogenic insomnia admitted to the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2021 to January 2022 were selected and randomly divided into 28 cases each in observation group and control group using the random number table method.The control group was treated with traditional massage therapy,and the observation group was treated with suspension massage exercise technique,and all the above treatments were 30 min/session,1 time/day,5 day/week,for a total of 4 weeks.The clinical efficacy was evaluated by the Pittsburgh Sleep Quality Index(PSQI)scores before and after treatment,and the PSQI and Northwick Park Neck Pain Questionnaire(NPQ)scores were compared before and after treatment.Left vertebral artery(LVA),right vertebral artery(RVA)and basilar artery(BA),and the change of mean blood velocity(Vm)and peak systolic velocity(Vs),and the occurrence of adverse effects during treatment were recorded.Results:Before treatment,there were no statistically significant differences in PSQI scores,NPQ scores,Vm and Vs values of LVA,RVA and BA between the two groups(P>0.05).After treatment,total effective rate of the observation group was 82.14%,which was significantly higher than that of the control group(50.00%),and the difference was statistically significant(P<0.05).After treatment,PSQI and NPQ scores were significantly lower in both groups,and the above scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.01);after treatment,the scores of each factor of PSQI of the observation group were reduced(P<0.05),and the scores of sleepiness of the control group were reduced(P<0.05).and the scores of sleep quality,sleep disorder,and daytime dysfunction in the control group decreased(P<0.05),and th

关 键 词：颈源性失眠 悬吊推拿运动技术 椎-基底动脉血流动力学 

分 类 号：R244.1[医药卫生—针灸推拿学]