颈椎双平面牵引联合头皮花针治疗气滞血瘀型颈源性失眠临床研究
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R246.6

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广西重点研发计划项目(桂科AB25069079);广西中医药适宜技术开发与推广项目(GZSY2025045);广西中医药大学2025年研究生教育创新计划项目(YCSY2025089)


Clinical Study on Biplanar Cervical Traction Combined with Scalp Cluster Acupuncture for Cervicogenic Insomnia of Qi Stagnation and Blood Stasis Type
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    摘要:

    目的:观察颈椎双平面牵引联合头皮花针对气滞血瘀型颈源性失眠患者睡眠质量的影响。方法:选 取2022年8月—2024年8月于广西中医药大学附属国际壮医医院就诊的颈源性失眠患者60例,采用随机数字 表法分为观察组和对照组各30例。对照组采用常规西药联合传统颈椎单平面水平牵引治疗,观察组采用颈椎 双平面牵引联合头皮花针治疗。2组均治疗7天。评价2组临床疗效,比较2组治疗前后匹兹堡睡眠质量指 数(PSQI) 评分、颈椎功能障碍指数(NDI) 评分、中医证候积分,统计不良反应发生率和复发率。结果:治 疗后,观察组总有效率为80.00%(24/30),高于对照组53.33%(16/30)(P<0.05)。治疗第2天、第7天,2组 PSQI各项评分及总分均较治疗前降低(P<0.05);治疗第7天,观察组PSQI睡眠质量、入睡时间、睡眠时间、 日间功能障碍评分及总分均低于对照组(P<0.05)。治疗第2 天、第7 天,2 组NDI 评分呈下降趋势(P< 0.05);治疗第7 天,观察组NDI 评分低于对照组(P<0.05)。治疗第2 天,观察组中医证候积分低于治疗 前(P<0.05)。治疗第7天,2组中医证候积分较治疗前降低(P<0.05),且观察组中医证候积分低于对照 组(P<0.05)。观察组不良反应发生率为10.00%(3/30),低于对照组33.33%(10/30)(P<0.05)。6个月后随 访,观察组复发率为25.00%(6/24),低于对照组62.50%(10/16)(P<0.05)。结论:颈椎双平面牵引联合头 皮花针治疗气滞血瘀型颈源性失眠患者效果显著,能改善颈源性失眠患者的睡眠质量,改善颈椎功能。

    Abstract:

    Abstract:Objective:To observe the effect of biplanar cervical traction combined with scalp cluster acupuncture on sleep quality in patients with cervicogenic insomnia of qi stagnation and blood stasis type. Methods:Sixty patients with cervicogenic insomnia treated at the International Zhuang Medicine Hospital Affiliated to Guangxi University of Chinese Medicine from August 2022 to August 2024 were selected and randomly divided into the observation group and the control group using the random number table method, with 30 cases in each group. The control group received conventional western medicine combined with traditional horizontal single-plane cervical traction,while the observation group received biplanar cervical traction combined with scalp cluster acupuncture. Both groups were treated for seven days. Clinical efficacy was evaluated,and Pittsburgh Sleep Quality Index (PSQI) scores,Neck Disability Index( NDI) scores, and traditional Chinese medicine syndrome scores before and after treatment were compared between the two groups. The incidence of adverse reactions and the recurrence rate were also recorded. Results:After treatment,the total effective rate in the observation group was 80.00% (24/30), higher than that of 53.33% (16/30) in the control group (P<0.05). On the second and seventh days of treatment,all item scores and total scores of PSQI in both groups were decreased compared with those before treatment (P<0.05). On the seventh day of treatment,the PSQI scores for sleep quality,sleep latency,sleep duration,daytime dysfunction,and the total score in the observation group were lower than those in the control group (P<0.05). On the second and seventh days of treatment,NDI scores showed a decreasing trend in both groups( P<0.05). On the seventh day of treatment,the NDI score in the observation group was lower than that in the control group (P<0.05). On the second day of treatment, the traditional Chinese medicine syndrome score in the observation group was decreased compared with that before treatment (P<0.05). On the seventh day of treatment, traditional Chinese medicine syndrome scores in both groups decreased compared with those before treatment (P<0.05),and the score in the observation group was lower than that in the control group (P<0.05). The incidence of adverse reactions in the observation group was 10.00% (3/30),lower than that of 33.33% (10/30) in the control group( P<0.05). At the six-month follow-up,the recurrence rate in the observation group was 25.00%( 6/24), lower than that of 62.50% (10/16) in the control group (P<0.05). Conclusion:Biplanar cervical traction combined with scalp cluster acupuncture is significantly effective in the treatment of patients with cervicogenic insomnia of qi stagnation and blood stasis type. It can improve sleep quality and cervical function in these patients.

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李松,史明,张聃,罗满,黄缨兹.颈椎双平面牵引联合头皮花针治疗气滞血瘀型颈源性失眠临床研究[J].新中医,2026,58(7):58-63

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  • 在线发布日期: 2026-04-20
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