"小醒脑"联合"颈部七线"针刺法治疗颈源性失眠临床观察OA

Objective:To observe the clinical efficacy of"Xiaoxingnao"combined with"cervical seven lines"acupuncture in treating Cervical Insomnia.Methods:A total of 70 patients with cervical insomnia were randomly assigned to a control group and an observation group by using a random number table,with 35 cases in each group.The control group received oral estazolam,while the observation group was treated with"Xiaoxingnao"combined with"cervical seven lines"acupuncture.Pittsburgh Sleep Quality Index(PSQI)scores were assessed before treatment and after 1,2,and 3 courses of treatment,with a follow-up conducted one month later.Insomnia Severity Index(ISI),Neck Disability Index(NDI),and Self-Rating Anxiety Scale(SAS)scores were compared between the two groups before and after treatment.Additionally,the clinical efficacy of both groups was evaluated.Results:Pairwise comparisons within the observation group across different time points of PSQI scores showed statistically significant differences before treatment and during the treatment period(P＜0.05).However,there was no significant difference in PSQI scores between the end of the 3rd treatment course and the follow-up period(P＞0.05).In the control group,pairwise comparisons revealed statistically significant differences across most time points(P＜0.05),except between the 1st and 2nd treatment courses(P＞0.05).Notably,PSQI scores increased significantly at the follow-up compared to all time points during treatment(P＜0.05).Regarding intergroup comparisons,the observation group had higher PSQI scores than the control group after the 1st course(P＜0.05).No significant difference was observed after the 2nd course(P＞0.05).However,the observation group exhibited lower PSQI scores than the control group after the 3rd course and at the follow-up period(P＜0.05).After treatment,both groups showed significant reductions in ISI sore for each item and total ISI score,NDI score,and SAS score compared to those before treatment(P＜0.05).After treatment,the observation group demonstrated lower scores in ISI sore for each item(except for the"Impact on Life as Viewed by Others"item),NDI,and SAS compared with that of the control group(P＜0.05).The overall effective rate was 93.75％in the observation group,which was higher than 70.97％in the control group(P＜0.05).Conclusions:"Xiaoxingnao"combined with"cervical seven lines"acupuncture effectively improves sleep quality,cervical function,and alleviates negative psychological emotions in patients.Compared with oral hypnotics,this acupuncture regimen exhibits a relatively slower onset of action,requiring at least three courses of treatment to demonstrate its therapeutic superiority.However,follow-up data indicate a lower recurrence rate and more sustained efficacy,suggesting that this integrative approach holds distinct long-term advantages.