黄帝内针治疗颈源性失眠的临床疗效观察

Clinical efficacy of Huangdi internal acupuncture on cervical insomnia

目的观察黄帝内针治疗颈源性失眠的临床疗效。方法将120例颈源性失眠患者按照随机数字表法分为2组,对照组60例(后退出5例)予常规针刺治疗,治疗组60例(后退出3例)予黄帝内针治疗。2组均治疗4周。比较2组的有效率及治疗前后匹兹堡睡眠质量指数(PSQI)评分、简化McGill疼痛量表(SF-MPQ)评分、椎动脉(VA)的平均血流速度(Vm)、血流阻力指数(RI)、搏动指数(PI)。结果治疗组总有效率86.0%(49/57),对照组总有效率80.0%(44/55),治疗组临床疗效优于对照组(P<0.05)。2组治疗后PSQI各项评分及总分均较本组治疗前降低(P<0.05),且治疗组治疗后PSQI入睡时间、睡眠效率、睡眠障碍、日间功能障碍评分及总分均低于对照组(P<0.05)。2组治疗后SF-MPQ评分均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。治疗组治疗后双侧VA的Vm均较本组治疗前升高(P<0.05),双侧PI、RI均降低(P<0.05),对照组治疗后仅LVA的PI降低(P<0.05),且治疗组治疗后双侧VA的Vm均高于对照组(P<0.05),双侧PI、RI均低于对照组(P<0.05)。结论黄帝内针治疗颈源性失眠安全有效,可显著改善睡眠质量,明显缓解颈痛,改善椎动脉供血。

Objective To observe the clinical efficacy of Huangdi internal acupuncture on cervical insomnia.Methods Totally 120 patients with cervical insomnia were assigned to the control group(n=60,5 cases of shedding)and the treatment group(n=60,3 cases of shedding),in which they were treated with conventional acupuncture and Huangdi internal acupuncture,respectively.A 4-week treatment was performed to compare effective rate,Pittsburgh Sleep Quality Index(PSQI)scores,short form of the McGill Pain Questionnaire(SF-MPQ),mean blood velocity(Vm),resistance index(RI),pulsatility index(PI)of vertebral artery(VA).Results The total effective rate of the treatment group was superior to the control group(86.0%[49/57]vs 80.0%[44/55];[P<0.05],respectively).After treatment,the PSQI scores in the two groups were lower than those before treatment(P<0.05),and the sleep time,sleep efficiency,sleep disturbance,daytime dysfunction in the treatment group were lower than those in the control group(P<0.05).SF-MPQ scores in both groups were significantly lower than those before treatment(P<0.05),and which were significantly lower in the treatment group than in the control group(P<0.05).After treatment,increased Vm of bilateral VA,and decreased PI and RI were detected in the treatment group(all P<0.05);left vertebral artery(LVA)in the control group was decreased(P<0.05).Compared to the control group,the Vm of bilateral VA was significantly increased and the PI and RI was significantly reduced in the treatment group(P<0.05).Conclusion Huangdi internal acupuncture is effective and safe in the treatment of cervical insomnia.As well as improving sleep,it can relieve cervical pain and improve vertebral artery blood flow.