针刺治疗围绝经期失眠临床观察  

Acupuncture in the Treatment of Perimenopausal Insomnia

作　　者：赵梦 高崚[2] 高希言[1,2] 王茜娜 黄银凤 王培育[1] ZHAO Meng;GAO Ling;GAO Xiyan;WANG Qianna;HUANG Yinfeng;WANG Peiyu(College of Acupuncture and Tuina,Henan University of Chinese Medicine,Henan Province,Zhengzhou 450046,China;Department of Acupuncture and Moxibustion,The Third Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou 450008,China;Department of Infectious Diseases,The Third Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学针灸推拿学院,河南郑州450046 [2]河南中医药大学第三附属医院针灸学科,河南郑州450008 [3]河南中医药大学第三附属医院感染科,河南郑州450008

出　　处：《中国中医药现代远程教育》2023年第15期127-129,共3页Chinese Medicine Modern Distance Education of China

基　　金：河南省高校重点科研项目【No.21B360005】;河南省中医药科学研究专项课题【No.2022ZY1096】。

摘　　要：目的观察针刺治疗80例围绝经期失眠患者的临床效果。方法将门诊收治的围绝经期失眠患者80例按照随机数字表法分为观察组和对照组,各40例。观察组进行针刺治疗,对照组口服艾司唑仑治疗。7 d为1个疗程,共4个疗程。比较2组患者治疗前后的临床效果、匹兹堡睡眠质量指数(PSQI)评分、中医症状体征评分、血清性激素雌二醇(E_(2))、促卵泡刺激素(FSH)及促黄体生成素(LH)水平的表达情况。结果治疗后,2组PSQI评分、中医症状体征评分及血清FSH及LH水平相较于治疗前均降低,且观察组降低幅度大(P<0.05);血清E_(2)水平均升高,与治疗前相比,观察组升高幅度大(P<0.01),对照组升高幅度小(P>0.05);观察组的总有效率为92.5%(37/40),高于对照组的80.0%(32/40)(P<0.05)。结论针刺治疗围绝经期失眠有确切效果,在睡眠质量、睡眠时间以及激素水平的改善情况方面,效果优于西药艾司唑仑。Objective To observe the clinical effect of acupuncture on eighty cases of perimenopausal insomnia.Methods Eighty cases of perimenopausal insomnia were divided into observation group and control group according to random number table,with 40 cases in each group.The observation group was treated with acupuncture,while control group was treated with eszolam orally.Seven days was a session,and the treatment contained a total of 4 courses.The clinical effect,Pittsburgh sleep quality index(PSQI)score,TCM symptom score and the level of serum sex hormone estradiol(E_(2)),follicle stimulating hormone(FSH)and luteinizing hormone(LH)of the two groups was compared.Results After treatment,the PSQI score,TCM symptom score,serum FSH and LH levels were lower than those before treatment(P<0.05),and serum E_(2) level elevated.Compared with the period before treatment,there was a higher elevation in observation group(P<0.01)and a lower elevation in control group(P>0.05).The total effective rate was 92.5%(37/40)in the observation group and that was 80.0%(32/40)in control group(P<0.05).Conclusion Acupuncture has definite curative effect on perimenopausal insomnia in terms of improvements in sleep quality,sleep duration and hormone levels and its curative effect is better than that of eszolam.

关 键 词：围绝经期 失眠 不寐 针刺疗法 艾司唑仑 中医外治法 

分 类 号：R246.6[医药卫生—针灸推拿学]