加味滋水清肝饮治疗绝经后失眠的临床观察  

Clinical Observation of Modified Zishui Qinggan Drink in the Treatment of Insomnia after Perimenopausal Menopause

作　　者：韩霞 赵含森[2] HAN Xia;ZHAO Hansen(Department of Traditional Chinese Medicine,Xiaohongmen Community Health Service Center of Chaoyang District,Beijing 100076,China;Department of Cardiology,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital University of Medicine Sciences,Beijing 100010,China)

机构地区：[1]北京市朝阳区小红门社区卫生服务中心中医科,北京100076 [2]首都医科大学附属北京中医医院心内科,北京100010

出　　处：《中国中医药现代远程教育》2018年第14期107-109,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察加味滋水清肝饮治疗阴虚火旺型绝经后失眠的临床疗效。方法将60例围绝经期绝经后失眠患者随机分为观察组和治疗组,观察组采用加味滋水清肝饮治疗,对照组口服坤宝丸治疗,2组均以1月为1个疗程。1个疗程后观察2组患者治疗前后匹兹堡睡眠质量指数表(PSQI)评分、失眠临床疗效及安全性指标变化。结果治疗后2组患者的睡眠均较治疗前改善,但观察组较对照组改善更明显(P<0.05);2组PQSI各单项评分及总分均较治疗前降低(P<0.05),观察组睡眠质量、睡眠时间、日间功能及PQSI评分均低于对照组(P<0.05)。结论加味滋水清肝饮治疗围绝经期停经后失眠疗效明显,值得临床推广。Obj ective To observe the effects of modified Zishui Qinggan drink in the treatment of insomnia after perimenopausal menopause differentiated as type of yin deficiency and fire excess. Methods 60 patients with insomnia after perimenopausal menopause were randomly divided into observation group and treatment group. The observation group was treated with modified Zishui Qinggan drink, and the control group was treated with oral Kunbao pill. The 2 groups all took 1 month as 1 course of treatment. After 1 course, the score of Pittsburgh sleep quality index（PSQI）, clinical efficacy of insomnia and security index change were observed before and after treatment in the 2 groups. Results After treatment, the sleep status of the 2 groups was better than that before the treatment, but the improvement of the observation group was more obvious than the control group（ P〈0.05）. The PQSI individual score and total score of the 2 groups were lower than those before the treatment（ P〈0.05）. The sleep quality, sleep time,daytime function and PQSI score of the observation group were all lower than those of the control group（ P〈0.05）. Conclusion The curative effect of modified Zishui Qinggan drink in the treatment of insomnia after perimenopausal menopause is obvious, and it is worthy of clinical promotion.

关 键 词：不寐 绝经 失眠 滋水清肝饮 阴虚火旺 

分 类 号：R256.23[医药卫生—中医内科学]