针刺结合刺血拔罐治疗颈源性失眠的临床疗效观察  

Clinical observation on the therapeutic effect of acupuncture combined with blood-pricking and cupping on cervical insomnia

作　　者：戴云 于佳 DAI Yun;YU Jia(Department of Traditional Chinese Medicine,Sanjianfang Community Health Service Center,Beijing 100121,China)

机构地区：[1]北京市朝阳区三间房社区卫生服务中心中医科,100121 [2]北京中医药大学东直门医院脑病科,101100

出　　处：《中国实用医药》2024年第14期154-156,共3页China Practical Medicine

摘　　要：目的分析针刺结合刺血拔罐治疗颈源性失眠患者的临床效果。方法68例接受诊治的颈源性失眠患者,采取电脑抽号法将患者分为研究组与常规组,各34例。常规组患者实施常规针刺治疗,研究组患者实施针刺结合刺血拔罐治疗。比较两组患者治疗后的临床效果,治疗前后的匹茨堡睡眠质量指数量表(PSQI)评分及睡眠结构[睡眠周期、非快速动眼睡眠期(NREM期)时间及快速眼动睡眠期(REM期)时间]。结果研究组总有效率97.06%高于常规组的79.41%,存在明显差异(P<0.05)。治疗后,研究组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及总分分别为(0.79±0.56)、(0.86±0.44)、(0.86±0.52)、(0.66±0.48)、(0.83±0.38)、(0.31±0.47)、(0.14±0.35)、(4.45±1.02)分,低于常规组的(1.07±0.26)、(1.18±0.45)、(1.18±0.48)、(1.04±0.19)、(1.04±0.19)、(0.64±0.49)、(0.42±0.50)、(6.57±0.69)分,存在明显差异(P<0.05)。治疗后,研究组睡眠周期(4.51±1.26)个/夜少于常规组的(5.24±1.57)个/夜、NREM期时间(328.59±43.55)min以及REM期时间(88.55±20.68)min长于常规组的(292.17±65.92)、(60.39±18.49)min,存在明显差异(P<0.05)。结论针刺结合刺血拔罐治疗可改善颈源性失眠患者的睡眠质量,提高临床疗效,改善患者的睡眠结构,具有应用价值。Objective To analyze the clinical effect of acupuncture combined with blood-pricking and cupping on cervical insomnia.Methods 68 patients with cervical insomnia were divided into a study group and a conventional group by computer number extraction method,each with 34 cases.Patients in the conventional group were treated with conventional acupuncture,and patients in the study group were treated with acupuncture combined with blood-pricking and cupping.Patients in both groups were compared in terms of clinical effect after treatment,Pittsburg Sleep Quality Index(PSQI)score and sleep structure[sleep cycle,non-rapid eye movement(NREM)period and rapid eye movement sleep(REM)period]before and after treatment.Results The total effective rate of the study group was 97.06%,which was higher than 79.41%of the conventional group,and there was significant difference(P<0.05).After treatment,the scores of sleep quality,sleep latency,sleep time,sleep efficiency,sleep disorders,hypnotic drugs,and daytime dysfunction and total scores in the study group were(0.79±0.56),(0.86±0.44),(0.86±0.52),(0.66±0.48),(0.83±0.38),(0.31±0.47),(0.14±0.35)and(4.45±1.02)points,which were significantly lower than(1.07±0.26),(1.18±0.45),(1.18±0.48),(1.04±0.19),(1.04±0.19),(0.64±0.49),(0.42±0.50)and(6.57±0.69)points in the conventional group.There were significant differences(P<0.05).After treatment,the sleep cycles in the study group was(4.51±1.26)/night,which was less than(5.24±1.57)/night in the conventional group;the NREM period in the study group was(328.59±43.55)min and REM period was(88.55±20.68)min,which were longer than(292.17±65.92)and(60.39±18.49)min in the conventional group;there were significant differences(P<0.05).Conclusion Acupuncture combined with blood-pricking and cupping therapy can improve the sleep quality of patients,improve clinical efficacy,and improve the sleep structure of patients,with application value.

关 键 词：针刺治疗 刺血拔罐 颈源性失眠 临床疗效 

分 类 号：R274[医药卫生—中医骨伤科学]