| Objective:To analyze and evaluate the overall sleep quality of patients and the clinical changes of signs and symptoms of neck pain,and observe the clinical efficacy of head and neck meridian-following manipulation and conventional manipulation in treating patients with cervicogenic insomnia,so as to provide a safe and effective treatment for cervicogenic insomnia by massage.Methods:72 patients who met the diagnostic criteria of cervicogenic insomnia and were included in the criteria were selected.According to the random number table,they were divided into observation group(head and neck massage group)and control group(routine massage group with insomnia),with 36 cases in each group.The observation group was treated with head and neck acupuncture,while the control group was treated with internal massage for insomnia according to the 13th Five-Year Plan textbook"Tuina".Both groups were treated for about 30 minutes every time,once every other day,and 10 times were a course of treatment.After two courses of treatment,they were evaluated by PSQI scale and NPQ scale.All data were analyzed by SPSS25.0 software package.The measurement data is expressed by (?)±S,and the counting data is tested by x~2.P<0.05 indicates that the difference is statistically significant.Results:The data of 69 patients(35 cases in observation group,1 case in shedding,34 cases in control group,2 cases in shedding)were statistically analyzed.1.Before treatment,there were no significant differences in the course of disease,gender,age,total scores of PSQI scale,scores of detailed rules and scores of NPQ scale between the two groups.2.After two courses of treatment,there were significant differences in the total scores of PSQI scale and NPQ scale between the observation group and the control group(P<0.01).The improvement of daytime dysfunction,sleep time,sleep quality,sleep time and sleep disorder in the observation group was significantly better than that in the control group.3.The total scores of PSQI before and after treatment in the observation group were significantly different(P<0.01).There were significant differences in the detailed scores of sleep time,sleep disorder,sleep quality,sleep time,daytime dysfunction and sleep efficiency(P<0.01).4.The total scores of PSQI before and after treatment in the control group were significantly different(P<0.01).There were significant differences in the detailed scores of sleep efficiency,sleep quality,daytime dysfunction,sleep time,sleep disorder and sleep time(P<0.01).5.The total scores of NPQ before and after treatment in the observation group were significantly different(P<0.01).There was significant difference in the total score of NPQ before and after treatment in the control group(P<0.01).6.After two courses of treatment,11 cases(31.4%)were cured,15 cases(42.9%)were markedly effective,7 cases(20%)were effective,2 cases(5.7%)were ineffective,and the total effective rate was 94.3%.In the control group,5 cases(14.7%)were cured,12cases(35.3%)were markedly effective,9 cases(26.5.%)were effective,8 cases(23.5%)were ineffective,and the total effective rate was 76.5%.7.After statistical analysis,both the observation group and the control group can improve the sleep of patients with cervicogenic insomnia after treatment,but the improvement of insomnia and clinical symptoms of cervicogenic spondylosis in the observation group is obviously better than that in the control group.8.No adverse events were found during the specific operation of head and neck meridian-following manipulation.Conclusion:1.Both head and neck meridian-following manipulation and routine medical massage for insomnia can treat cervicogenic insomnia.2.The improvement of clinical symptoms of patients treated by head and neck massage is obviously better than that of patients in the control group.3.Head and neck meridian-following manipulation is safe and effective,which can give consideration to cervicogenic spondylosis and insomnia at the same time.It is worthy of further promotion and use in clinic,and enriches the clinical treatment of cervicogenic insomnia. |
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