“筋骨并举”推拿联合刃针治疗椎动脉型颈椎病引发睡眠障碍的临床疗效观察  

Effect of“Jingubingju”Tuina Combined With Blade Acupuncture on Sleep Disorders of Patients With CSA

作　　者：张万云[1] 赖忠涛 黎安 ZHANG Wanyun;LAI Zhongtao;LI An(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《中医药临床杂志》2024年第8期1564-1568,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省高校科研项目(No.2022AH050430);国家中医药管理局国医大师工作室建设项目(No.2018-474)。

摘　　要：目的:探究“筋骨并举”推拿联合刃针针刺干预椎动脉型颈椎病所引发睡眠障碍的临床疗效。方法:选取符合标准的60例椎动脉型颈椎病引发睡眠障碍的患者,分为对照组30例和观察组30例。对照组为刃针针刺治疗,观察组为“筋骨并举”推拿联合刃针针刺治疗。分别于治疗开始前、治疗疗程完成后,分析比较2组患者匹兹堡睡眠质量指数评分(PSQI)、视觉模拟评分(VAS)、疗效评估及1月后随访复发情况。结果:在接受治疗后,对2组患者PSQI及VAS评分进行的组内比较各项得分变化情况均优于治疗前(P<0.05);组间比较,观察组与对照组得分差异具有一定统计学意义(P<0.05)。疗程完成后,观察组总有效率(93.33%)相较于对照组总有效率(76.67%)高;自治疗结束次日起1月后随访发现,观察组复发率相较于对照组低,且P<0.05。结论:“筋骨并举”推拿联合刃针疗法能够改善椎动脉型颈椎病患者的相关临床症状,且可以有效提高患者睡眠质量,降低复发率。Objective: To explore the clinical efficacy of “Tendons and Bones Lifting” massage combined with blade needle acupuncture in the intervention of sleep disorders caused by vertebral artery type cervical spondylosis. Methods: A total of 60 patients with vertebral artery type cervical spondylosis who met the criteria were selected and divided into a control group and an observation group. The observation group was treated with “Tendons and Bones Lifting” mas-sage combined with blade needle acupuncture, and the control group was treated with blade needle acupuncture, with 30 cases in each group. Before the start of treatment and after the completion of the treatment course, the Pittsburgh Sleep Quality Index (PSQI), Visual Analog Scale (VAS), efficacy evaluation and follow-up recurrence after 1 month were analyzed and compared between the two groups. Results: After treatment, the changes in PSQI and VAS scores of the two groups were better than those before treatment (P<0.05);the differences between the observation group and the control group were statistically significant (P<0.05). After the treatment, the total effective rate of the observation group (93.33%) was higher than that of the control group (76.67%);the follow-up one month after the end of treatment showed that the recurrence rate of the observation group was lower than that of the control group (P<0.05). Conclusion: “Tendons and bones” massage combined with blade acupuncture therapy can improve the relevant clinical symptoms of patients with vertebral artery type cervical spondylosis, and can effectively improve the sleep quality of patients and reduce the recurrence rate.

关 键 词：“筋骨并举”推拿 刃针 椎动脉型颈椎病 睡眠障碍 

分 类 号：R244.1[医药卫生—针灸推拿学]