围绝经期睡眠障碍中医研究概况  

Overview of TCM Research on Sleep Disorders in Perimenopausal Women

作　　者：李莹[1] 侯梦卉 马静[1] LI Ying;HOU Menghui;MA Jing(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300193

出　　处：《基层中医药》2023年第12期24-28,共5页Basic Traditional Chinese Medicine

基　　金：天津市卫生健康委员会科研重点项目(2021014);天津市教委科研计划项目(2021ZD015)。

摘　　要：睡眠障碍是围绝经期女性主要临床症状之一,以入睡困难、睡眠时间短、夜间觉醒次数多、睡眠质量差为特点,严重影响围绝经期女性身心健康和生活质量。现代医学对围绝经期睡眠障碍的治疗以激素替代疗法及镇静催眠药物为主,由于存在诸多不良反应及禁忌证让患者望而却步。随着社会的发展,中医以其独特优势及高接受度,应用范围愈加广阔,在整体观及辨证论治的基础上治疗围绝经期睡眠障碍临床疗效显著。本文结合以往相关研究及名医治疗经验进一步总结围绝经期睡眠障碍的病因病机及辨治,以期对临床诊治有所助益。The sleep disorders in perimenopausal women include insomnia,short sleep duration,frequent wakefulness at night,and poor sleep quality,which seriously affect the physical and mental health and the quality of life of perimenopausal women.The modern medical therapies of sleep disorders in perimenopausal women include hormone replacement therapy and sedative-hypnotic drugs,which,however,cause a variety of adverse reactions and have multiple contraindications.With the development of the society,traditional Chinese medicine with unique advantages and high acceptance has been applied in increasing fields.With the holistic view and syndrome differentiation,it has demonstrated significant performance in the clinical treatment of sleep disorders in perimenopausal women.We summarized the etiology,pathogenesis,and differential differentiation-based treatment of sleep disorders in perimenopausal women by reviewing the relevant studies and treatment experience of famous doctors,aiming to help the clinical diagnosis and treatment.

关 键 词：围绝经期睡眠障碍 病因病机 整体观 辨证论治 

分 类 号：R16[医药卫生—公共卫生与预防医学]