| BackgroundCervical spondylosis's cervicodynia and insomnia are clinical common diseases, frequently-occurring disease. Along with the social lifestyle change, both of them have a growing trend in pathogenesis. Research found that cervical spondylosis closely related with insomnia, cervical spondylosis patients higher incidence of insomnia, the pain is one of the important reasons for causing insomnia. But now there is a tendency, as long as cervical spondylosis and insomnia come up simultaneously, clinically will simple qualitative as " cervical vertebrae-originated insomnia " namely, insomnia because of cervical spondylosis as for fruit. While previous studies found that, pain and sleep mutually influence in the development process of disease, and between the two there is a reciprocal causation-the actual interaction of the vicious circle of state.Therefore, this view " cervical vertebrae-originated insomnia" is worth further discussing, as cervical spondylosis neck pain and insomnia existing at the same time, cervical spondylosis neck pain is one of the important reasons for cause insomnia, while under the influence of the related factors sleep can also lead to the emergence of neck pain, between the two is a kind of cause-effect circular relationship. In order to confirm the relationship between cervical spondylosis neck pain and insomnia, This subject focuses on investigating the correlation between cervical spondylosis neck pain and insomnia.Based on the cervical spondylosis neck pain and insomnia is a reciprocal causation-the actual between the idea of circular relationship, clinical research will from the acupuncture treatment of cervical spondylosis neck pain, observe the improvement of insomnia in cervical spondylosis neck pain and insomnia patients based on the treatment of cervical spondylosis neck pain. Through clinical research verify the correlation between cervical spondylosis neck pain and insomnia. At present, literature is fewer in intervene cervical disease and insomnia, TCM methods and physical therapy is given priority, the TCM methods including acupuncture, massage technique and traditional Chinese medicine. Literature analysis showed that, using acupuncture therapy for the treatment of cervical syndrome and insomnia mainly by locate the neck, especially neck Jiaji points, ignoring acupuncture point when the clinical application syndrome differentiation of the zang-fu organs and meridians, cannot reflects the characteristics of traditional Chinese medicine treats the whole. My Teacher prof. Fu Wenbin through long-term clinical research found, the onset of cervical spondylosis neck pain and pathogenesis and closely related to heart and kidney, both treat kidney and heart can operate qi blood stagnation, context stasis resistance or bone marrow by lost raise cervical spondylosis neck pain, acupuncture treatment of cervical spondylosis neck pain from the heart, kidney has good curative effect. And between heart and kidney "heart renal intersect, " " coordinating water and fire " relationship reflect the normal sleep at the intersection of the core idea of Yin and Yang, adjust heart and kidney can coordinate fire and water, transportation Yin and Yang, treating insomnia. Therefore, cervical spondylosis neck pain and insomnia have same TCM pathogenesis foundation, in the principle "different disease pathogenesis, under the same guidance", acupuncture treatment of cervical spondylosis neck pain from the heart, kidney should also improve patients'insomnia symptom.Objective(1) To investigate the relevance between cervical spondylosis's cervicodynia and insomnia(2) To verify the relevance between cervical spondylosis's cervicodynia and insomnia through clinical studies, and improve the clinical effectiveness acupuncture for cervical spondylosis's cervicodynia with insomnia.Methods1 Investigation study(1)The relationship between cervical spondylosis's cervicodynia and insomniaQuestionnaire survey was used to investigate 500 patients who met inclusion criteria of cervical spondylosis's cervicodynia with insomnia. The questionnaires were drew by Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI) as the main parameters, probing the relevance between cervical spondylosis's cervicodynia and insomnia from Correlation Analysis.(2)The relationship between insomnia and cervical spondylosis's cervicodyniaQuestionnaire survey was used to investigate 500 patients who met inclusion criteria of insomnia with cervical spondylosis's cervicodynia. The questionnaires were drew by Pittsburgh Sleep Quality Index (PSQI), Visual Analogue Scale (VAS) as the main parameters, probing the the relevance between insomnia and cervical spondylosis's cervicodynia from Correlation Analysis.2 Clinical research70 patients who met inclusion criteria of cervical spondylosis's cervicodynia and insomnia were chose. According to the software PEMS3.1 generate random numbers, patients were divided into heart renal treatment group, conventional acupuncture treatment group and each group 35 cases. Therapeutic method:Acupuncture,moxibustion and imbedding needle synthesis method was introduced to two groups. (1) Heart kidney treatment group: Acupuncture location:Bailao(EX-HN15), Shenmen(HT-7), Wangu(SI-4). Acupuncture method:straight piercing, about 10-30mmdepth, after that do small lifting,inserting,twisting, retaining needle for 30 minutes when get the "qi" sensation, and manipulate needle every 10 minutes. Moxibustion location:Da-zhui (DU-14), Xinshu(BL-15), Shenshu (BL-23), Operation methods: skin around acupiont coated with wanhua oil, use about 0.5 cm diameter conical little moxa cone to apply direct moxibustion therapy,5 cones each point, to local skin flush for degree; Imbedding needle location:Bailao(EX-HN15),Xinshu(BL-15),Shenshu (BL-23), methods:using disposable needle on wheat type, pinpoint in vertical spine direction Needle piercing 3-5mm, needle handle reserved superficially, with medical proof fabric fixed, retain 2 days. (2) Conventional acupuncture group: Acupuncture location:Tianzhu(BL-10), Fengchi (GB-20), Bailao(EX-HN15), Waiguan(SJ-5) moxibustion location:Dazhui(DU-14), Bailao(EX-HN15), Jianzhongshu(SI-15), Imbedding needle location:Bailao(EX-HN15), Jianzhongshu(SI-15), Group therapy order, utensils and operation method as same as heart renal treatment groupp. Treatment course:both groups 2 times each week, every Tuesday and Friday 1 times,5 times for 1 treat course totalled 2 courses. Before and after the treatment, using Northwick Park neck pain scale (NPQ), Pittsburgh sleep quality index (PSQI), SF-36 quality of life questionnaire, subjective symptoms scoring form assess the curative effect. statistical software SPSS17.0 were statistically analyzed. the collected data.Result1 Investigation study(1) The relationship between cervical spondylosis's cervicodynia and insomnia.The survey of 500 patients with cervical spondylopathy neck pain,24 cases fails to complete all survey,476 patients include in statistical analysis. The results showed:â‘ 476 patients have cervical spondylopathy neck pain with insomnia were 147 example, the incidence of insomnia were 30.88%, the result shows a higher prevalence of insomnia in the patients with cervical neck pain;â‘¡Cervical spondylosis neck pain complicated with insomnia group compared with insomnia group in the neck pain VAS score, duration, number of people are engaged in hang head work, there exists significant difference (P<0.05), in terms of age no significant difference (P>0.05), the results show the incidence of insomnia in in cervical spondylosis neck pain had significant relationship with the degree of neck pain, duration and poor working position, and there is no significant relationship with age;â‘¢Correlations between cervical spondylosis neck pain and insomnia in insomnia complicated symptom groups were found that cervical spondylosis neck pain of the VAS score with insomnia PSQI sleep quality, fall sleeping time, sleep efficiency, sleep disorder, daylight dysfunction, total score, are positively correlated, have significantly different (p<0.01); that cervical spondylosis neck pain VAS score with insomnia total PSQI sleep quality, sleep efficiency, daylight dysfunction, total score are closely relevant (r>0.5), the results show cervical spondylosis's cervicodynia with insomnia has significant correlation, as cervical spondylosis neck pain and insomnia existing at the same time, cervical spondylosis neck pain is one of the important reasons for cause insomnia.â‘£For gender, age, duration of factors can be controlled, cervical spondylosis neck pain VAS score with insomnia total PSQI score, the sleep quality, sleeping time, sleep efficiency, sleep disorder, daylight dysfunction still were positively correlated, have significantly different (P<0.01), the results show sex, age and duration have no significant effects to the relationship between cervical spondylosis's cervicodynia and insomnia.(2) The relationship between insomnia and cervical spondylosis's cervicodynia.The survey of 500 patients with insomnia,37 cases fails to complete all survey,463 patients include in statistical analysis. The results showed:â‘ 463 patients have insomnia with cervical spondylopathy neck pain were 76 example, the incidence of cervical spondylopathy neck pain were 16.41%, the result shows some prevalence of cervical neck pain in the patients with insomnia;â‘¡Insomnia group compared with insomnia complicated with cervical spondylosis neck pain group in the PSQI score, duration, there exists significant difference (P<0.05), in terms of age, number of people are engaged in hang head work no significant difference (p>0.05), the results show the incidence of cervical spondylosis neck pain in insomnia had significant relationship with the degree of insomnia and the duration of insomnia;â‘¢Correlations between insomnia and cervical spondylosis neck pain in insomnia complicated symptom groups were found that PSQI sleep quality, fall sleeping time, sleeping time, sleep efficiency, daylight dysfunction, total score with cervical spondylosis neck pain VAS score are positively correlated, have significantly different (P<0.01); that insomnia PSQI fall sleeping time, sleeping time, sleep efficiency, total score are closely relevant with cervical spondylosis neck pain VAS score (r>0.5), the results show insomnia with cervical spondylosis's cervicodynia has significant correlation, as insomnia and cervical spondylosis neck pain existing at the same time, insomnia is one of the reasons for cause cervical spondylosis neck pain.â‘£For gender, age, duration of factors can be controlled, insomnia PSQI sleeping time, sleep efficiency, total score with cervical spondylosis neck pain VAS score were still positively correlated, have significantly different (P<0.01), The results show sex, age and duration have no significant effects to the relationship between insomnia and cervical spondylosis's cervicodynia. 2 Clinical research(1)Before treatment, there was no significantly difference between two groups on gender, age, duration, number of people are engaged in hang head work and syndrome distribution of TCM(P>0.05).(2)After treatment, in improving overall effect, heart kidney treatment group is superior to the routine treatment group (p<0.05).(3)After treatment, the improvement of neck pain, heart kidney treatment cervical spondylosis is superior to conventional acupuncture treatment group (P<0.05).(4) Two groups in neck pain, the sleep quality, quality of life were improved after treatment comparing before. (P<0.01,0.05);(5)After treatment, the two groups were compared PSQI score in the sleep quality, sleep efficiency, daytime dysfunction, total score has significant difference (p<0.01), sleep time has significant difference (P<0.05). heart kidney treatment group with in improving the quality of sleep is superior to conventional acupuncture treatment group;(6) After treatment, the two groups of patients were compared in SF-36 scores, physiological functions, physiological functions, energy, mental health has significant difference (p<0.01), the body pain, general health, social function, emotional functions with significant difference (p<0.05), heart kidney treatment group was better quality of life improved than conventional acupuncture treatment group.Conelusions(1) Cervical spondylosis's cervicodynia with insomnia has significant correlation. Both miscellaneous carries high morbidity, its incidence has relationship with factors such as the degree of neck pain, insomnia, duration and poor working position, etc. Between the clinical symptoms, both performance the circular relationship of cause and effect, its relevance not influenced by factors of gender, age, duration.(2) According to the traditional method of " different disease pathogenesis, under the same guidance", syndrome differentiation of the zang-fu organs and meridians for guidance, acupuncture treatment of cervical spondylosis neck pain and insomnia from the heart, kidney not only confirmed in improve patients' neck pain, but also can effectively improve patients quality of sleep and life. From clinical research verify the correlation between cervical spondylosis neck pain and insomnia. The results indicate that heart kidney treatment method is better than that of the conventional method of acupuncture and moxibustion primarily in local location.
|
PDF Full Text Request