逍遥散加减治疗女性更年期失眠的经验  

Experience of Modified Xiaoyao Powder in Treatment of Female Climacteric Insomnia

作　　者：万圆圆[1] 徐丽霞[1] 钱巧云[1] 万首燕 缪春润[1] 谢正环 WAN Yuanyuan;XU Lixia;QIAN Qiaoyun;WAN Shouyan;MIAO Chunrun;XIE zhenghuan(Dongtai City Hospital of Traditional Chinese Medicine,Dongtai,Jiangsu,224200)

机构地区：[1]江苏省东台市中医院,江苏东台224200

出　　处：《智慧健康》2022年第15期91-93,109,共4页Smart Healthcare

摘　　要：目的 探讨应用逍遥散进行加减治疗更年期女性失眠的疗效。方法 选择本院2018年1月-2019年12月接收的100例更年期失眠女性患者作为研究病例,采用计算机随机均分为对照组(n=50)与干预组(n=50),对照组选择西药艾司唑仑片进行治疗,干预组选择中医逍遥散进行加减治疗,对比两组的治疗效果、睡眠时间、睡眠质量评分、生活质量评分、治疗满意度。结果 干预组治疗的总有效率96.00%明显高于对照组的82.00%(P<0.05);治疗前观察组患者睡眠时间(4.14±1.35)h对比对照组患者睡眠时间(4.20±1.32)h无较大差异(P>0.05),治疗后干预组的睡眠时间(7.38±1.56)h明显长于对照组的(5.96±1.41)h(P<0.05);治疗后,干预组的PSQI评分(6.78±0.66)分明显比对照组的(9.46±0.93)分更低(P<0.05);干预组的GQOLI74评分明显高于对照组(P<0.05);干预组的治疗满意率94.00%明显比对照组的78.00%更高(P<0.05)。结论 对更年期失眠患者应用逍遥散进行加减治疗效果显著,可有效延长患者的睡眠时间,改善患者睡眠质量,提高患者治疗满意度,值得被大力地推广以及应用。Objective To explore effect of modified Xiaoyao powder on insomnia in treatment of climacteric women.Methods The paper chose 100 female patients with climacteric insomnia in our hospital from January 2018 to December 2019 as study cases,and divided them into control group (n=50) and intervention group (n=50) randomly.Control group was treated with western medicine estazolam tablets,and intervention group with traditional Chinese medicine modified Xiaoyao Powder.Treatment effect,sleep time,sleep quality scores,life quality scores and treatment satisfaction between two groups were compared.Results Total effective rate of 96.00% in intervention group was significantly higher than 82.00% in control group (P<0.05);there was no significant difference between observation group and control group (4.14±1.35) hours before treatment,(P>0.05).After treatment,sleep time of intervention group (7.38±1.56) hours was significantly longer than (5.96±1.41) hours of control group,(P<0.05);after treatment,PSQI scores of intervention group (6.78±0.66) were significantly lower than control group (9.46±0.93),(P<0.05);GQOLI74 scores of intervention group were significantly higher than control group (P<0.05);treatment satisfaction degree 94.00% in intervention group was significantly higher than 78.00% in control group (P<0.05).Conclusion Modified Xiaoyao powder can achieve significant effect in treatment of climacteric insomnia,can prolong sleep time,improve sleep quality,treatment satisfaction degree of patients effectively,which is worthy of vigorous promotion and application.

关 键 词：逍遥散 加减治疗 女性 更年期失眠 效果 

分 类 号：R256.23[医药卫生—中医内科学]