颈椎病颈痛与失眠的相关性研究

Relationship between neck pain caused by cervical spondylosis and insomnia

目的探讨颈椎病颈痛与失眠之间的关系。方法调查500例颈椎病颈痛患者的失眠情况,以视觉模拟评分法(VAS)、匹兹堡睡眠质量指数(PSQI)为主要调查指标,通过相关性分析研究颈椎病颈痛与失眠的关系。结果 本组已经确诊为颈椎病颈痛的476例患者中,合并失眠症147例(30.88%);相关性分析显示颈椎病颈痛VAS评分与失眠的PSQI总分、睡眠质量、入睡时间、睡眠效率、睡眠障碍、日间功能障碍均呈正相关,有非常显著性差异(P<0.01);其中颈椎病颈痛VAS评分与失眠的PSQI总分呈高度正相关(r=0.841)。结论颈椎病颈痛与失眠具有显著相关性,颈痛可能是失眠发生的重要因素之一。

Objective To study the relationship between neck pain caused by cervical spondylosis and insomnia.Methods 500 cases of neck pain caused by cervical spondylosis were collected,476 cases were involved in statistical analysis.The relationship between neck pain and insomnia was evaluated by Visual Analogue Scale（VAS） and Pittsburgh Sleep Quality Index（PSQI）.Results The incidence of insomnia in neck pain caused by cervical spondylosis was 30.88%（147 cases）.The relationship between the VAS and the sleep quality,enter-sleep time,sleep efficiency,sleep disorder,function of daytime and total scores of PSQI was positive correlation,it was significantly different between the neck pain caused by cervical spondylosis and insomnia（P〈0.01）.The relationship was highly positive correlated between the VAS and the total scores of PSQI（r=0.841）.Conclusions It is significant relationship between the neck pain caused by cervical spondylosis and insomnia,the neck pain maybe one of the important factors to insomnia.