围绝经期失眠研究进展  

Research Progress of Perimenopause Insommia

作　　者：于心同[1] 刘臻[2] 杨文佳[2] 陈云飞[2,3] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院中西医结合临床研究所,上海200437 [2]上海中医药大学附属岳阳中西医结合医院中心实验室,上海200437 [3]上海市针灸经络研究所,上海200030

出　　处：《中医药信息》2015年第2期113-117,共5页Information on Traditional Chinese Medicine

基　　金：上海市教委预算内项目(No.2012JW52);上海市市属博士学科点建设基金课题(No.JX61.02.02.11);上海中医药大学附属岳阳中西医结合医院青苗人才培养项目

摘　　要：围绝经期是女性生理过程中的必经阶段,年龄大致在45~55岁之间,是女性从壮年走向衰老的过渡期。由于卵巢功能衰退甚至丧失,雌激素水平波动或下降而出现一系列症状,其中约1/3的女性可以平稳渡过这一时期,同时约2/3的女性出现不同程度的低雌激素血症从而引发一系列症状,即围绝经期综合征（perimenopausal syndrome）。此时除月经的变化以及泌尿生殖系统的变化外,神经精神症状较为常见,其中失眠是最常见的临床症状之一。就近几年来对围绝经期失眠的发病机制及治疗存在的问题进行综述,以共同道参阅。Perimenopausal is a necessary stage of women physiological process, roughly between the age 45 and 55 years old, as women from middle - aged to aging transition. Due to the recession and even loss of ovarian function, estrogen levels fluctuate or decrease the emergence of a series of symptoms, of which about 1/3 of women can smooth out this period, while about 2/3 of women with varying degrees of low estrogen hyperlipi- demia trigger a series of perimenopausal syndrome （ perimenopausal syndrome）. Apart from this point as well as changes in the urogenital system, menstruation, neuropsyehiatrie symptoms are more common, wherein in- somnia is the most common clinical symptom. On the pathogenesis and treatment in recent years the problems of perimenopause insomnia are reviewed in order to the further study.

关 键 词：围绝经期失眠 发病机制 电针 

分 类 号：R271.116[医药卫生—中医妇科学]