针刺治疗阿曼苏丹国颈源性失眠患者临床观察

The Clinical Observation of Acupuncture in the Treatment of Patients with Cervicogenic Insomnia in the Sultanate of Oman

目的:对阿曼苏丹国颈源性失眠患者针刺治疗的临床疗效观察研究。方法:采用随机对照法将65例颈源性失眠患者分为观察组33例和对照组32例。观察组在对照组口服用药基础上,取颈夹脊穴和心俞穴以“烧山火”手法针刺治疗。10次治疗为1疗程,共治疗2个疗程,分别记录患者治疗前后症状量表,并应用匹兹堡睡眠质量指数(PSQI)评定临床疗效。结果:观察组患者治疗后PSQI各因子得分及总分与治疗前相比均有显著降低(P<0.05)。观察组总有效率为87.88%,对照组总有效率为59.38%,观察组疗效优于对照组(P<0.05)。观察组治疗前后睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能等因子及总分差异优于对照组(P<0.05),而两组睡眠障碍因子差异无统计学意义(P>0.05)。结论:在口服药治疗基础上,针刺可有效缓解阿曼苏丹国颈源性失眠患者临床症状,PSQI量表中睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能因子及总分差异优于单纯口服药组。

Objective:To observe the clinical efficacy of acupuncture in the treatment of patients with cervicogenic insomnia in the Sultanate of Oman.Methods:65 patients with cervicogenic insomnia were divided into 33 cases in the observation group and 32 cases in the control group using the randomized control method.In the observation group,on the basis of oral medication in the control group,the cervical pinch point and related acupuncture points were treated with the “mountain burning manipulation” technique.10 times of treatment were considered as one course of treatment,and a total of two courses were treated.The improvement of clinical symptoms were recorded respectively.Also the clinical efficacy was evaluated by the Pittsburgh Sleep Quality Inventory(PSQI).Results:The PSQI scores and total scores of each factor in the observation group were significantly lower after treatment(P<0.05).The total effective rate of the observation group was 87.88%and the total effective rate of the control group was 59.38%.The efficacy of the observation group was better than that of the control group(P<0.05).The differences in factors and total scores of sleep quality,time to fall asleep,sleep duration,sleep efficiency,and daytime function in the difference before and after treatment in the observation group were better than those in the control group(P<0.05),while the differences in sleep disorder factors between the two groups were not statistically significant(P>0.05).Conclusion:On the basis of oral medication treatment,acupuncture can effectively relieve the clinical symptoms of the cervicogenic insomnia patients in the Sultanate of Oman.The differences in sleep quality,time to sleep,sleep duration,sleep efficiency,daytime functional factors and total scores on the PSQI scale were better than those of the oral medication-only group.