针灸心肾论治颈椎病颈痛并失眠的临床研究

Research on therapeutic effect of acupuncture treatment for cervical spondylosis neck pain and insomnia from heart and kidney

目的:探讨针灸心肾论治颈椎病颈痛并失眠的临床疗效。方法:将70例符合纳入标准的颈椎病颈痛并失眠患者随机平均分为观察组和对照组,分别采用心肾论治针灸方案及常规针灸方案治疗。观察前后采用颈痛(NPQ)量表、匹兹堡睡眠质量指数(PSQI)量表评定。结果:①治疗后NPQ评分比较观察组优于对照组(P<0.05);②治疗后PSQI评分比较在睡眠质量、睡眠效率、日间功能障碍、入睡时间、总评分方面观察组优于对照组(P<0.01,P<0.05)。结论:针灸从心肾论治颈椎病颈痛并失眠,在改善患者颈部疼痛的同时能有效改善患者的睡眠质量,并优于常规针灸局部取穴为主的方法。

Objective： To explore the efficacy of acupuncture based on heart and kidney theory for cervical spondylosis neck pain with insomnia.Methods： 70 cervical spondylosis neck pain with insomnia patients were randomly assigned to an observation group（35 cases,heart kidney treatment） and a control group（35 cases,conventional acupuncture）.Before and after the treatment,using Northwick Park neck pain scale（NPQ）,Pittsburgh sleep quality index（PSQI） to assess the curative effect.Results： After treatment,① Observation group is superior to the control group in comparing of NPQ score（P0.05）;② The two groups were compared PSQI score in the sleep quality,sleep efficiency,daytime dysfunction,total score had significant difference（P0.01）,sleep time had significant difference（P0.05）.Conclusion： Acupuncture treatment of cervical spondylosis neck pain and insomnia from the treatment of heart and kidney not only confirmed in lower patients＇ neck pain,but also can effectively improve patients＇ quality of sleep.Heart and kidney treatment method is better than the conventional method of acupuncture primarily in local location.