针灸治疗神经根型颈椎病伴重度睡眠障碍136例

摘要

目的：探讨针灸在神经根型颈椎病伴重度睡眠障碍治疗中的应用疗效。方法：将272例神经根型颈椎病伴重度睡眠障碍患者以数字表法随机分为对照组和治疗组各136例，2组均给予推拿治疗，在此基础上，对照组给予右佐匹克隆片改善睡眠，治疗组给予针灸治疗，2个疗程后对比2组疗效。结果：治疗组治愈率53.68％、总有效率98.53％均分别高于对照组的30.15％、88.24％，治疗组治疗前后颈椎病VAS评分差值（4.72±0.53）分大于对照组（3.88±0.69）分，差异均有统计学意义（P＜0.05）；治疗组PSQI总分及睡眠质量、睡眠时间、睡眠障碍、日间功能均较对照组改善更为明显，差异均有统计学意义（P＜0.05）；2组不良反应发生率差异无统计学意义（P＞0.05）。结论：针灸治疗神经根型颈椎病伴重度睡眠障碍可促进病情缓解，明显改善睡眠质量，疗效确切，安全性高，值得临床进一步研究推广。%Objective:To investigate the curative effect of acupuncture treating nerve root type of cervical spondylosis with severe sleep disorders.Methods:Two hundred and seventy two patients with nerve root type of cervical spondylosis with severe sleep disorders were randomly divided into control group (n=136)and treatment group (n=136).Patients in both groups were treated with Tuina therapy. Besides,patients in the control group were given Eszopiclone tablets to improve sleep,and the treatment group applied acupuncture treatment.Therapeutic effects were compared after 2 treatment courses.Results:The curative rate of the treatment group was 53.68%, and the total effective rate was 98.53%,which were both higher than those of the control group (30.15% and 88.24%).VAS score difference of cervical disease before and after treatment was (4.72 ±0.53)in the treatment group,which was higher than that of con-trol group (3.88 ±0.69),and the differences were statistically significant (P<0.05).PSQI total scores and improvement of sleep quality,sleep time,sleep disorders,and daytime function were more obvious in the treatment group than those of the control group,and the differences were statistically significant (P<0.05);the adverse reaction rates of the two groups showed no significant differences (P>0.05).Conclusion:Acupuncture treating nerve root type of cervical disease with severe sleep disorders can promote remission,im-prove sleep quality with definite curative effect and high safety,which is worthy of further clinical application.