Clinical Study On The Treatment Of Cervical Spondylosis Of Vertebral Artery Type Merger Insomnia By The“Roujin Zhengji” Manipulative Therapy

Purpose : To compare the clinical efficacy of the treatment of Cervical spondylosis of vertebral artery type(CSA)with insomnia by comparing the “Roujin Zhengji” manipulative therapy with conventional drug therapy,and to determine the advantage of the “Roujin Zhengji” manipulative therapy in the treatment of CSA combined with insomnia.Provide new ideas and new methods for CSA with insomnia.Method : Sixty patients of CSA merger insomnia who met the criteria were randomly divided into two groups according to the principle of randomized controlled trial,namely the treatment group and the control group with 30 cases each.The treatment group was treated by “Roujin Zhengji” manipulative therapy,while the control group was treated by oral betastastine mesylate tablets,Jinfukang granules and esazolam tablets.Patients in both groups were treated for a course of 7 days,a total of 2 courses of treatment.Evaluation was performed at the end of 2 sessions and at 3 months.The CSA related symptoms,signs,functional scores,insomnia PSQI score and polysomnography monitoring scores of the two groups before and after treatment were compared,and statistical analysis was conducted to comprehensively evaluate the clinical efficacy and sleep improvement of the “Roujin Zhengji” manipulative therapy and drug treatment.Result:1.There were significant differences in CSA-related symptoms,signs and functional scores between the two groups before and after treatment(P<0.05),suggesting that both methods can improve the symptoms,signs and functions of CSA;There were significant differences between the two groups in the symptoms,signs and functional scores after treatment(P<0.05),indicating that is superior to the drug treatment group in improving the clinical symptoms of CSA.2.The scores of PSQI scores and polysomnography before and after treatment in the two groups were statistically different(P<0.05),suggesting that both groups can improve the sleep quality of patients with CSA.There was a difference(P<0.05),suggesting that the “Roujin Zhengji” manipulative therapy is superior to the drug treatment group in improving the sleep quality3.After 2 courses of treatment,the total effective rate of the treatment of glutinous ridge chiropractic was 93%,the total effective rate of drug treatment was 73%,and the difference was statistically significant(P<0.05),suggesting that the short-term effect of the “Roujin Zhengji” manipulative therapy is superior to drug treatment;the total effective rate of the he “Roujin Zhengji” manipulative therapy group is 90% at the 3 months follow-up,and the total effective rate of drug treatment is 63%.There is statistical difference(P<0.05),suggesting the long-term effect of the “Roujin Zhengji” manipulative therapy is better thanConclusion:1.Both the “Roujin Zhengji” manipulative therapy and the medicinal treatment can effectively treat CSA merger insomnia.2.In terms of symptoms,signs,functional scores and improvement of sleep quality,the manipulation of the “Roujin Zhengji” manipulative therapy was superior to drug therapy,and the long-term curative effect of the “Roujin Zhengji” manipulative therapy is reliable,and the drug treatment has a certain recurrence trend and there were no obvious adverse reactions during the treatment and follow-up of the two groups,indicating that the manipulation of the “Roujin Zhengji” manipulative therapy was reliable,safe and feasible and not easy to relapse in treating CSA combined merger insomnia.