龙氏治脊疗法治疗颈性失眠的临床观察

Clinical Observation on Longshi Chiropractic Therapy for Treatment of Cervical Insomnia

【目的】观察龙氏治脊疗法治疗颈性失眠的临床疗效。【方法】将60例颈性失眠患者随机分为治疗组和对照组,每组各30例,2组患者在传统针刺配合电针治疗的基础上,对照组给予传统推拿手法治疗,治疗组给予龙氏治脊疗法治疗,2组均隔日治疗1次,治疗10 d为1个疗程,共治疗4个疗程。治疗40 d后,观察2组患者治疗前后视觉模拟评分(VAS)及匹兹堡睡眠质量指数(PSQI)积分的变化情况,并评价2组患者的临床疗效及不良反应的发生情况。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.01),且治疗组在改善VAS评分方面均明显优于对照组,差异有统计学意义(P<0.01)。(2)治疗后,2组患者的PSQI总分明显改善(P<0.01);从治疗后PSQI各项目积分来看,治疗组的催眠药物评分和日间功能障碍评分改善不明显,差异无统计学意义(P>0.05);睡眠质量评分、入睡时间评分、睡眠时间评分、睡眠效率评分、睡眠障碍评分均有明显改善,差异有统计学意义(P<0.01);其中,入睡时间评分、睡眠时间评分、睡眠效率评分、睡眠障碍评分均明显改善,与对照组比较,差异有统计学意义(P<0.05)。(3)治疗组总有效率为96.7%(27/30),对照组为80.0%(24/30)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。(4)治疗过程中,2组患者均未出现晕针、疼痛加重、骨折等不良反应。【结论】龙氏治脊疗法治疗颈性失眠,能明显改善患者的临床症状,提高患者的睡眠质量,疗效显著。

Objective To observe the clinical curative efficacy of Longshi chiropractic therapy for treatment of cervical insomnia. Methods A total of 60 patients with cervical insomnia were randomly divided into treatment group and control group,30 cases in each group. The two groups received traditional acupuncture combined with electroacupuncture treatment, additionally, the control group received traditional massage therapy, and the treatment group received Longshi chiropractic therapy,one time every other day,10 days constituted one course,the treatment lasting 4 courses. After 40 days of treatment,the changes in Visual Analog Scale(VAS)pain score and Pittsburgh Sleep Quality Index(PSQI)score were observed in the two groups before and after the treatment,and the clinical efficacy and adverse reactions were evaluated in the two groups. Results(1)After treatment,VAS score in the two groups was improved(P<0.01),and the improvement in VAS score of the treatment group was superior to that of the control group,the difference being significant(P<0.01).(2)After treatment,PSQI score in the two groups was improved(P<0.05). From the view of various items of PSQI score after treatment,hypnotic drugs score and daytime dysfunction score had no obvious changes in the treatment group(P>0.05),but sleep quality score, sleep latency score, sleep time score, sleep efficiency score, sleep disorders score in the treatment group were improved,the differences being significant(P<0.01),in which sleep latency score,sleep time score,sleep efficiency score and sleep disorders score were improved,the differences being significant as comparison with the control group(P<0.05).(3)The total response rate was 96.7%(27/30)in the treatment group,and was 80.0%(24/30)in the control group. The curative efficacy in the treatment group was superior to that in the control group,the difference being significant(P<0.05).(4)During period of treatment,there were no adverse reactions such as needlesickness, pain aggravation and bone fracture in the two groups. Conclusion Longshi chiropractic therapy has effects on improving clinical symptoms and promoting sleep quality in cervical insomnia patients.