点按反阿是穴治疗颈源性失眠症的临床研究

Clinical Study on Treatment of Cervical Insomnia by Pressing Anti-Ashi Acupoint

目的探讨点按反阿是穴联合传统推拿手法对颈源性失眠症的诊治效果,为颈源性失眠的临床诊疗提供思路与方法。方法选取福建中医药大学附属第二人民医院2020年12月—2021年12月收治的60例颈源失眠患者纳入研究,随机分为治疗组和对照组,每组30例。对照组使用传统推拿手法,治疗组按传统推拿手法治疗联合点按反阿是穴。使用颈痛评分(northwick park,NPQ)、匹兹堡睡眠质量指数表(pittsburgh sleep quality index,PSQI)两种观察指标在两个疗程后评定疗效。结果在失眠改善方面,治疗组疗效(93.33%)优于对照组(73.33%)(P<0.05)。改善颈椎病颈痛的疗效,治疗组总有效率(96.67%)优于对照组(83.33%),差异有统计学意义(P<0.05)。治疗后,两组患者的PSQI及NPQ均低于治疗前,差异有统计学意义(P<0.05);治疗组的PSQI及NPQ均低于对照组,且差异有统计学意义(P<0.05)。结论传统推拿手法结合点按反阿是穴可同时治疗患者的颈椎病颈痛及失眠症状,总体效果比传统推拿手法治疗更佳,可推广。

Objective To explore the therapeutic effect of pressing antiashi acupoint combined with traditional massage manipulation in the treatment of cervicogenic insomnia.Methods A total of 60 patients with cervical insomnia treated in the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from December 2020 to December 2021 were included in the research scope,who were randomly divided into treatment group and control group,with 30 cases in each group.The control group was treated with traditional massage,while the treatment group was treated with traditional massage,then combined with anti-ashi acupoint.The curative effect was evaluated after two courses of treatment by using the neck pain score(NPQ)and pittsburgh sleep quality index(PSQI).Results In improving insomnia,the curative effect of the treatment group(93.33%)was better than that of the control group(73.33%)(P<0.05).The cure rate of the treatment group(96.67%)was better than that of the control group(83.33%),and the difference was statistically significant(P<0.05).After treatment,the PSQI and NPQ of the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05).The PSQI and NPQ of the treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Traditional massage manipulation combined with pressing the anti-ashi acupoint can simultaneously treat cervical spondylosis,neck pain and insomnia symptoms,and the overall effect is better than traditional massage manipulation,which can be promoted.