吴氏手法治疗颈源性失眠的临床观察及与焦虑症的相关性研究

Clinical observation of Wu′s manipulation on cervical-induced insomnia and its correlation with anxiety

目的:探讨吴氏手法治疗颈源性失眠的临床疗效及其与焦虑症的相关性。方法:选取2018年9月—2019年3月收治的颈源性失眠患者100例,采用随机抽签法将其分为对照组和观察组,每组50例。对照组患者接受药物治疗,观察组患者接受吴氏手法治疗。对比两组患者匹兹堡睡眠质量指数表(PSQI)评分、焦虑自评量表(SAS)评分及临床疗效。结果:治疗后,两组患者PSQI量表中各项指标评分和总分较治疗前均有所减少,且观察组评分明显低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者SAS得分均降至50分以下,较治疗前明显降低,同时,观察组SAS得分低于对照组,差异有统计学意义(P<0.05);观察组总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论:颈源性失眠症患者的焦虑情况更加严重。随着颈源性失眠的治疗,焦虑情况也相对减轻,同时吴氏手法治疗颈源性失眠临床疗效显著。

Objective:To explore the clinical efficacy of Wu′s manipulation in the treatment of cervical insomnia and its correlation with anxiety.Methods:One hundred patients with cervical-induced insomnia admitted to Hongdu Hospital of Nanchang City from September 2018 to March 2019 were enrolled.The patients were randomly divided into control group and treatment group,with 50 patients in each group.Patients in the control group received medical treatment,and patients in the treatment group received Wu′s manipulation.The pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)were surveyed in the two groups,and the scores were statistically analyzed.The clinical efficacy of the two groups was compared.Results:After treatment,the scores and total scores of the PSQI scores of the two groups were reduced compared with those before treatment,and the scores of the treatment group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).After treatment,the SAS scores of both groups were reduced to less than 50 points,which was significantly lower than before treatment.At the same time,the SAS scores of the treatment group were lower than those of the control group,the difference was statistically significant(P<0.05).The effective rate was higher than control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:The anxiety of patients with cervical insomnia is more serious.With the treatment of cervical insomnia,the anxiety is relatively relieved.At the same time,the clinical effect of Wu′s manipulation on cervical insomnia is significant.