超微针刀联合砭石温灸治疗颈源性失眠临床研究
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R256.23

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温州市科研项目(基础性医疗卫生科技项目Y2020911)


Clinical Study on Superfine Acupotomy and Moxibustion with Healing Stones for Cervical Insomnia
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    摘要:

    目的:观察超微针刀联合砭石温灸治疗颈源性失眠的临床疗效,以及对患者炎症因子的影响。方法:选取150 例颈源性失眠患者,按随机数字表法分为观察组、对照1 组、对照2 组,每组50 例。对照1 组给予艾司唑仑治疗,对照2 组采用常规针刺治疗,观察组采用超微针刀联合砭石温灸治疗,3 组均以2 周为1 个疗程,治疗2 个疗程。比较3 组临床疗效及治疗前后睡眠质量、疼痛程度、焦虑程度及血清炎症因子水平。结果:观察组总有效率90.00%,对照1 组总有效率64.00%,对照2 组总有效率58.00%,观察组总有效率高于对照1 组和对照2 组(P<0.017)。治疗后,3 组匹兹堡睡眠质量指数(PSQI) 评分、视觉模拟评分法(VAS) 评分、汉密尔顿焦虑量表(HAMA) 评分均较治疗前降低(P<0.05),观察组PSQI 评分、VAS 评分、HAMA 评分均低于对照1 组和对照2 组(P<0.017)。治疗后,3 组血清白细胞介素-1β(IL-1β)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α) 水平均较治疗前降低(P<0.05),观察组血清IL-1β、IL-6、TNF-α 水平均低于对照1 组和对照2 组(P<0.017)。结论:超微针刀联合砭石温灸治疗颈源性失眠疗效显著,能够改善患者的睡眠质量,缓解其颈椎疼痛和焦虑状态,降低炎症因子水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of superfine acupotomy and moxibustion with healing stones on cervical insomnia and its effect on inflammatory factors. Methods:A total of 150 patients with cervical insomnia were selected and divided into the observation group,the control group one and the control group two according to random number table method,with 50 patients in each group. The control group one was treated with estazolam,the control group two was treated with conventional acupuncture, and the observation group was treated with superfine acupotomy and moxibustion with healing stones. Three groups were treated for two courses,two weeks being a course. The sleep quality,pain degree, anxiety degree and levels of serum inflammatory factors before and after treatment as well as the clinical effects were compared among the three groups. Results: The total effective rate was 90.00% in the observation group, 64.00% in the control group one, and 58.00% in the control group two, the total effective rate in the observation group were higher than those in the control group one and control group two (P<0.017). After treatment,the scores of Pittsburgh Sleep Quality Index(PSQI),Visual Analog Scale(VAS) and Hamilton Anxiety Scale(HAMA) in the three groups were decreased when compared with those before treatment(P<0.05), and the scores of PSQI, VAS and HAMA in the observation group were lower than those in the control group one and the control group two(P<0.017). After treatment,the levels of serum interleukin- lβ(IL- lβ), interleukin- 6(IL- 6) and tumor necrosis factor- α(TNF- α) in the three groups were decreased when compared with those before treatment(P<0.05),and the levels of serum IL-lβ,IL-6 and TNF-α in the observation group were lower than those in the control group one and the control group two (P<0.017). Conclusion:Superfine acupotomy and moxibustion with healing stones has a significant effect on the treatment of cervical insomnia,which can improve the sleep quality of patients,relieve the pain and anxiety of cervical spine,and reduce the levels of inflammatory factors.

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廖文军,宋丰军,刘海飞,张爱国.超微针刀联合砭石温灸治疗颈源性失眠临床研究[J].新中医,2022,54(16):166-170

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  • 在线发布日期: 2022-08-28
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