[Sleep disturbance in patients with chronic nonspecific neck pain before and after radiofrequency denervation].

Q3 Medicine

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova Pub Date : 2025-01-01 DOI:10.17116/jnevro202512505287

M I Gaydash, G Yu Evzikov, M G Zonov, V V Khizhniak, M A Shaykhalov

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引用次数: 0

Abstract

Objective: To study the severity of insomnia before and after radiofrequency denervation (RFD) in chronic nonspecific neck pain (CNNP).

Material and methods: The study included 25 patients with CNNP (18 females and 7 males) aged 23 to 88, with a mean age of 63.7±16 years. Pain intensity was assessed using a Visual Analog Scale (VAS), and sleep quality was assessed using the Insomnia Severity Index (ISI) before and 3 months after RFD.

Results: Chronic insomnia was diagnosed in the majority (18 of 25) of patients with CNNP, and in more than half (13 of 18), it preceded the occurrence of pain. Three months after RFD, the pain intensity according to VAS decreased from 7.1±1.1 to 3.2±2.7 points (p<0.001), the severity of insomnia decreased from 16.4±6.3 to 12.2±7.1 points (p<0.001). High ISI scores (14.6±3.4 points) 3 months after RFD were found in patients with sleep disorders preceding CNNP.

Conclusion: Most patients with CNNP have chronic insomnia. RFD provides a significant reduction in the severity of pain and, as a result, improves sleep quality. Normalization of sleep is less likely in the presence of insomnia before the development of cervical pain; in such cases, cognitive behavioral therapy (CBT) may be effective.

查看原文本刊更多论文

慢性非特异性颈痛患者射频去神经前后的睡眠障碍。

目的：研究慢性非特异性颈痛（CNNP）射频去神经支配（RFD）治疗前后失眠的严重程度。材料与方法：纳入25例CNNP患者，其中女性18例，男性7例，年龄23 ~ 88岁，平均年龄63.7±16岁。采用视觉模拟量表（VAS）评估疼痛强度，采用失眠严重程度指数（ISI）评估RFD前后3个月的睡眠质量。结果：大多数CNNP患者（25例中有18例）被诊断为慢性失眠，超过一半（18例中有13例）的慢性失眠先于疼痛的发生。RFD治疗3个月后，疼痛强度VAS评分由7.1±1.1分降至3.2±2.7分（ppp）。RFD可以显著减轻疼痛的严重程度，从而改善睡眠质量。在出现颈椎疼痛之前，失眠患者的睡眠不太可能恢复正常；在这种情况下，认知行为疗法（CBT）可能有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal Nevrologii I Psikhiatrii Imeni S S Korsakova 医学-精神病学

CiteScore

1.10

自引率

0.00%

发文量

287

审稿时长

3-6 weeks

期刊介绍： Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.