中医综合疗法治疗围绝经期综合征研究进展  

Research Progress of Comprehensive Therapy of TCM for Perimenopausal Syndrome

作　　者：韩小丽 马瑞萍 李铭旸 曹婧 倪爽[2] HAN Xiaoli;MA Ruiping;LI Mingyang;CAO Jing;NI Shuang(Meilong Community Health Service Center of Minhang District in Shanghai,Shanghai,China,201108;Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China,200030)

机构地区：[1]上海市闵行区梅陇社区卫生服务中心,上海201108 [2]上海中医药大学附属龙华医院,上海200030

出　　处：《河南中医》2024年第5期771-776,共6页Henan Traditional Chinese Medicine

基　　金：上海市闵行区自然科学研究课题项目(2021MH2029)。

摘　　要：中医治疗围绝经期综合征(perimenopausal syndrome,PMS)多采用辨证论治、推拿按摩疗法、针灸疗法等,同时重视饮食护理,发挥多阶段、多层次、多角度和多目标行为等优势,取得较好疗效。但目前仍存在以下问题:(1)关于围绝经期综合征的病因、辨证分型及疗效评价尚无统一的标准,也无定量和微观指标;(2)缺乏大样本、多中心临床试验,造成证据的可靠性和确切性不足;(3)缺乏长期追踪数据,目前针对中医综合疗法治疗围绝经期综合征的临床试验结果主要基于短期疗效。今后,需进一步开展多中心、大样本的临床试验,积累更为可靠和具有说服力的证据,进而帮助中医从业者总结经验、统一标准,并提升治疗效果;也可通过基因检测等手段,在更全面理解个体差异的基础上实施精准化治疗,将传统疗法与现代技术相结合,丰富中医理论在疾病中的指导作用;从整体角度出发,采取推拿按摩、针灸、饮食调节等多种治疗方法相互配合,形成一套个体化的组合治疗方案,以改善围绝经期综合征患者的各项临床症状,提高其生活质量。For perimenopausal syndrome,TCM therapies usually include syndrome differentiation and treatment,massage therapy,acu⁃puncture and moxibustion therapy,and diet nursing,and have achieved good curative effect by taking advantage of multi⁃stage,multi⁃level,multi⁃angle and multi⁃objective behavior.However,there are still the following problems:(1)There is no unified standard for the etiology,syndrome differentiation and curative effect evaluation of perimenopausal syndrome,nor quantitative and micro indicators;(2)There is lack of large sample,multi⁃center clinical trials,resulting in insufficient reliability and accuracy of evidence;(3)There is lack of long⁃term tracking data,and the current clinical trial results of TCM for the treatment of perimenopausal syndrome are mainly based on short⁃term curative effect.In the future,it is necessary to further carry out multi⁃center,large⁃sample clinical trials to accumulate more reliable and convincing evidence,so as to help TCM practitioners summarize experiences,unify standards,and improve the curative effect.Precision treatment can also be implemented through genetic testing and other means on the basis of a more comprehensive un⁃derstanding of individual differences,combining traditional therapy with modern technology to enrich the guiding role of TCM theory in diseases.From the overall perspective,a variety of treatment methods including massage,acupuncture,diet adjustment and so on are a⁃dopted to cooperate with each other to form a set of individualized combined treatment plan,effectively improving the clinical symptoms of patients with perimenopausal syndrome and enhancing their quality of life.

关 键 词：围绝经期综合征 中医综合疗法 辨证论治 推拿按摩疗法 针灸疗法 

分 类 号：R271.911.75[医药卫生—中西医结合]