耳穴压豆与针灸联合中医定向透药疗法对颈椎病患者功能恢复及睡眠质量的影响OA
Effects of Auricular Acupressure Combined with Acupuncture and Traditional Chinese Medicine(TCM) Directed Drug Permeation Therapy on Functional Recovery and Sleep Quality in Patients with Cervical Spondylosis
目的:探讨耳穴压豆与针灸联合中医定向透药疗法对颈椎病患者功能恢复及睡眠质量的影响.方法:选取2022年8月至2025年8月苏州工业园区星湖医院中医科收治的颈椎病患者82例作为研究对象,按照随机数字表法分为对照组和观察组,每组41例.对照组采取针灸联合中医定向透药疗法治疗,观察组采取联合耳穴压豆法治疗,比较2组患者临床疗效、颈椎功能恢复情况、各神经递质水平变化及睡眠质量改善情况.结果:在治疗总有效率方面,观察组高于对照组,差异有统计学意义(P＜0.05);2组颈椎功能比较,治疗前差异无统计学意义(P＞0.05),治疗后观察组NDI评分与VAS评分低于对照组,CASCS评分高于对照组,差异有统计学意义(P＜0.05);2组各神经递质水平比较,治疗前差异无统计学意义(P＞0.05),治疗后观察组优于对照组,差异有统计学意义(P＜0.05);2组PSQI各维度评分与总分比较,治疗前差异无统计学意义(P＞0.05),治疗后观察组低于对照组,差异有统计学意义(P＜0.05).结论:在颈椎病患者治疗中联合应用耳穴压豆、针灸与中医定向透药疗法不仅可提高治疗效果,促进颈椎功能恢复,还可调节各神经递质水平,改善患者睡眠质量.
Objective:To investigate the effects of auricular acupressure combined with acupuncture and Traditional Chinese Medicine(TCM)directed drug permeation therapy on functional recovery and sleep quality in patients with cervical spondylosis.Methods:A prospective study was conducted on 82 patients with cervical spondylosis admitted to the Department of Traditional Chinese Medicine,Xinghu Hospital,Suzhou Industrial Park,from August 2022 to August 2025.The subjects were ran-domly assigned to either a control group or an observation group using a random number table method,with 41 cases in each group.The control group received acupuncture combined with TCM directed drug permeation therapy,while the observation group received additional auricular acupressure therapy.The clinical efficacy,cervical functional recovery,changes in neurotransmitter levels,and improvements in sleep quality were compared between the two groups.Results:The observation group exhibited a high-er overall treatment effectiveness rate compared to the control group(P＜0.05).Regarding cervical function,there was no statisti-cally significant difference between the two groups before treatment(P＞0.05).After treatment,the observation group demonstra-ted lower Neck Disability Index(NDI)scores and Visual Analog Scale(VAS)scores,along with higher Cervical Spine Functional Status Scale(CASCS)scores compared to the control group(P＜0.05).In terms of neurotransmitter levels,there was no signifi-cant difference between the two groups before treatment(P＞0.05),but after treatment,the observation group showed better neu-rotransmitter profiles compared to the control group(P＜0.05).Regarding sleep quality,as measured by the Pittsburgh Sleep Quality Index(PSQI),there was no significant difference in the scores of each dimension and the total score between the two groups before treatment(P＞0.05).After treatment,the control group had lower scores than the control group(P＜0.05).Con-clusion:The combined application of auricular acupressure,acupuncture,and TCM directed drug permeation therapy in the treat-ment of patients with cervical spondylosis not only enhances the therapeutic effect and promotes cervical functional recovery but also regulates neurotransmitter levels and improves patients' sleep quality.
袁丽;武玲;朱亚婷;张莉芸
苏州工业园区星湖医院中医科,苏州,215000苏州工业园区星湖医院中医科,苏州,215000苏州工业园区星湖医院中医科,苏州,215000苏州工业园区星湖医院中医科,苏州,215000
医药卫生
耳穴压豆针灸中医定向透药疗法颈椎功能神经递质睡眠质量
Auricular acupressureAcupunctureTCM directed drug permeation therapyCervical functionNeurotransmittersSleep quality
《世界睡眠医学杂志》 2026 (2)
313-316,4
苏州大学重点项目(H220769).
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