桂枝甘草龙骨牡蛎汤配合耳穴治疗更年期失眠疗效观察  

Clinical Effect of Guizhi Gancao Longgu Muli decoction with auricular acupoint on climacteric insomnia

作　　者：彭思菡[1] 林潮荣[2] 吕梦亮 陈凤英[1] PENG Si - han;LIN Chao - rong;LV Meng - liang;et al(Shenzhen Eighth Affiliated Hospital of Zhongshan University in Guangdong Province,Shenzhen,518000,China)

机构地区：[1]广东省深圳市中山大学附属第八医院 [2]北京大学深圳医院

出　　处：《山西中医》2018年第5期17-18,24,共3页Shanxi Journal of Traditional Chinese Medicine

基　　金：广东省深圳市福田区卫生公益性科研项目(编号:FTWS20160026)

摘　　要：目的:探讨桂枝甘草龙骨牡蛎汤配合耳穴对更年期失眠患者的治疗作用。方法:收集我院门诊更年期失眠患者100例,随机分为两组各50例,治疗组给予中药桂枝甘草龙骨牡蛎汤配合耳穴,耳穴选用神门、内分泌、肾、脾、心五个穴位。对照组口服艾司唑仑,疗程4周。采用Kupperman评分判定疗效。结果:两组治疗前的失眠、眩晕、疲乏、心悸症状与治疗后比较有差异(P<0.01或P<0.05)。其中治疗组治疗后失眠症状的评分与对照组比较有显著性差异(P<0.01)。治疗组失眠治疗总有效率为96.0%,明显高于对照组80.0%(P<0.05)。结论:中药配合耳穴能更有效地改善更年期患者失眠、疲乏、眩晕、心悸等症状,其中失眠改善最为显著。Objective To investigate the clinical effect of Guizhi Gancao Longgu Muli decoction combined with auricular acupoint on climacteric insomnia. Methods ： 100 cases of patients with climacteric insomnia were collect- ed from our hospital and divided randomly into two groups,50 cases in each group. The treatment group was riga- ted with Guizhi Gancao Lottggu Muli decoction of TCM drug combined with auricular acupoint,and Shenmen, en- docrine, kidney, spleen and heart were taken as auricular acupoint;while the control group was treated with oral estazolam. The course of treatment was 4 weeks. The effect was detemfined by Kuppemlan score. Results： Com- pared the symptoms of insomnia, dizziness, fatigue and palpitation before treatment with those after treatment in two groups,there was difference （P 〈 0.01 or P 〈 0.05）. Among them, the score of insomnia symptom after treatment in treatment group was compared with that in control group, there was significant difference （P 〈 0.01 ）. The total effective rate of treating insomnia in treatment group was 96.0% , obviously higher than 80.0% in con- trol group（P 〈 0.05）. Conclusion： TCM drug combined with auricular acupoint can effectively improve the insom- nia, fatigue, dizziness and palpitation etc. symptoms of climacteric patients. Among them, the improvement of in- somnia is the most remarkable.

关 键 词：更年期失眠 桂枝甘草龙骨牡蛎汤 耳穴 KUPPERMAN评分 中医药疗法 

分 类 号：R256.23[医药卫生—中医内科学]