滋肾疏肝法治疗围绝经期妇女不寐48例的临床观察  

Observe 80 Cases Insomnia of Menopausal Women by Nourishing Yin and Regulating Liver Qi

作　　者：闫凤乐[1] 周岳君[1] 

机构地区：[1]浙江中医药大学,杭州310053

出　　处：《浙江中医药大学学报》2013年第5期546-548,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨围绝经期妇女不寐的中医病机,观察滋肾疏肝法治疗的临床疗效。[方法]收集门诊围绝经期妇女不寐病患80例,随机分为中药治疗组(简称治疗组)和西药对照组(简称对照组),治疗组给予滋阴疏肝法治疗,对照组给予1mg舒乐安定治疗,4周为1个疗程。1个疗程结束后观察两组总有效率、临床症状及伴随症状的改善情况。[结果]滋阴疏肝法治疗围绝经期妇女不寐的总有效率为91.67%,舒乐安定的总有效率为90.62%,差异无统计学意义(P>0.05)。在治疗伴随症状方面,潮热症状改善治疗组优于对照组,差异有显著统计学意义(P<0.01),夜梦频多、长期便秘、悲伤欲哭等症状改善治疗组优于对照组,差异有统计学意义(P<0.05)。[结论]滋阴疏肝法治疗围绝经期不寐疗效肯定,能够显著改善患者的临床症状和伴随症状。[Objective] To discuss the pathogenesis of the menopausal women with insomnia and observe the clinical curative effect of the method which is nourishing Yin and regulating liver Qi.[Method] Collect 80 patients in the clinic which were randomly divided into two groups.48 cases in the treating group were treated by the method of nourishing Yin and regulating liver Qi,and 32 patients in the control group were given 1mg estazolam.The period of treatment lasted for 1 course.To observe the curative effects and the total effective rates of the two groups.[Results] After the treatment,the total effective rate was 91.67% in treatment group by nourishing Yin and regulating liver Qi.The total effective rate was 90.62% in the control groups,there no statistical significance etween them.For the treatment to the accompanying symptoms of perimenopausal,hot flash and sweating were improved significantly better than the control group;improving the night dream frequency multiple,long-term constipation,sad to cry and other symptoms of the treatment group was significantly better than the control group.[Conclusion]It is indicated that the method of nourishing Yin and regulating liver Qi has a significant therapeutic effect on insomnia of the menopausal women.

关 键 词：不寐 围绝经期 滋阴疏肝法 

分 类 号：R655[医药卫生—外科学]