加味逍遥散结合经颅磁刺激治疗围绝经期失眠临床观察  

Clinical Observation of Combining the Modified Xiaoyaosan and the Repetitive Transcranial Magnetic Stimulation in Treating the Perimenopausal Insomnia

作　　者：颜冬华[1] 彭慧渊[1] 许美珍[1] 

机构地区：[1]广东省中山市中医院,广东中山528400

出　　处：《中国民族民间医药》2018年第4期60-62,共3页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:观察加味逍遥散联合经颅磁刺激治疗围绝经期失眠的疗效。方法:选取46例围绝经期失眠患者,随机分成对照组和治疗组各23例。对照组口服地西泮片,治疗组予加味逍遥散配合经颅磁刺激治疗,治疗3周后比较两组PSQI评分、改良Kupperman积分,3个月后随访PSQI评分。结果:两组治疗后PSQI评分、改良Kupperman积分均明显较治疗前改善(P<0.05),且治疗组优于对照组;随访3个月后治疗组PSQI评分较对照组显著降低(P<0.01)。结论:加味逍遥散结合经颅磁刺激治疗围绝经期失眠疗效显著,不易复发,值得临床推广应用。Objective To observe the clinical efficacy of combining The Modified Xiaoyaosan and the rTMS （repetitive Transcra- nial Magnetic Stimulation） in treating the perimenopausal insomnia. Methods 46 patients with the perimenopansal insomnia were ran- domly divided into control group and treatment group of 23 cases. The control group only received oral Diazepam treatment, while the treatment group was treated with combining the Modified Xiaoyaosan and the RTMS. The two groups were compared with the PSQI （ Pittsburgh sleep quality index） and the improved Kupperman index scores after 3 weeks of treatment. And follow- up 3 months, their PSQI scores would be recorded. Results The scores of the PSQI and the improved Kupperman index in the two groups were better than those before treatment （ P 〈 0. 05 ）. And the scores of the treatment group were better than those of the control group （P 〈 0. 05 ）. Compared with the control group, the PSQI scores of the treatment group decreased significantly （P 〈 0.01 ）. Conclusion It has a sig- nificant curative effect and less recurrence to combining The Modified Xiaoyaosan and the rTMS in treating the perimenopausal insomni- a, and worthy of clinical at）placation.

关 键 词：逍遥散 经颅磁刺激 围绝经期综合征 失眠 

分 类 号：R271.116[医药卫生—中医妇科学]