隔姜灸联合平衡针在更年期女性失眠症中的应用效果  

Application effect of ginger moxibustion combined with balance acupuncture in menopausal women with insomnia

作　　者：石敏丽 张焱 周萍 刘玉娟 唐丽军 谢娟娟 肖艳 SHI Minli;ZHANG Yan;ZHOU Ping;LIU Yujuan;TANG Lijun;XIE Juanjuan;XIAO Yan(Department of Rehabilitation Medicine,Xingguo Hospital Affiliated to Gannan Medical University,Jiangxi Province,Xingguo342400,China)

机构地区：[1]赣南医科大学附属兴国医院康复医学科,江西兴国342400

出　　处：《中国当代医药》2025年第6期119-122,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212595)。

摘　　要：目的分析隔姜灸联合平衡针在更年期女性失眠症中的应用价值。方法选取2021年9月至2023年12月赣南医科大学附属兴国医院的74例更年期失眠女性患者作为研究对象,根据随机数字表法分为对照组(n=37)和研究组(n=37)。两组均常规治疗,包括心理调节、情绪疏导、药物治疗,对照组在常规治疗基础上实施平衡针,研究组在对照组基础上联合隔姜灸治疗。分别于干预前后,比较两组睡眠质量指数(PSQI)、过度觉醒量表(HAS)及生活质量简表(WHOQOL-100)评分,检测两组促黄体激素(LH)、促卵泡激素(FSH)、雌二醇(E2)水平。结果干预后,研究组PSQI各项评分低于对照组,差异有统计学意义(P<0.05),研究组HAS评分低于对照组,差异有统计学意义(P<0.05),研究组患者干预后LH、FSH水平低于对照组,E2水平高于对照组,差异有统计学意义(P<0.05),研究组WHOQOL-100评分高于对照组,差异有统计学意义(P<0.05)。结论更年期失眠症女性患者应用隔姜灸联合平衡针治疗,能够改善睡眠质量,降低觉醒程度,并改善内分泌激素水平,从而提高患者生活质量。Objective To analyze the application value of ginger moxibustion combined with balance acupuncture in menopausal women with insomnia.Methods A total of 74 female patients with menopausal insomnia in Xingguo Hospital Affiliated to Gannan Medical University from September 2021 to December 2023 were selected as the study objects,and they were divided into control group(n=37)and study group(n=37)according to random number table method.Both groups received routine treatment,including psychological adjustment,emotional guidance,drug treatment.The control group received balance acupuncture on the basis of routine treatment,and the study group combined ginger moxibustion treatment on the basis of the control group.Before and after the intervention,Pittsburgh sleep quality inventory(PSQI),hypervigilance and arousal scale(HAS)and World Health Organization quality of life with 100 questions(WHOQOL-100)scores were compared between the two groups,and luteinizing hormone(LH),follicle-stimulating hormone(FSH)and estradiol(E2)levels were detected between the two groups.Results After intervention,PSQI scores in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).HAS score in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).LH and FSH levels in the study group were lower than those in the control group,and E2 level was higher than that in the control group after intervention,the differences were statistically significant(P<0.05).The WHOQOL-100 scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The treatment of ginger moxibustion in women with menopausal insomnia can improve the quality of sleep,reduce the awakening degree,and improve the level of endocrine hormone,so as to improve the quality of life of patients.

关 键 词：隔姜灸 平衡针 更年期 失眠症 睡眠质量 生活质量 

分 类 号：R256.23[医药卫生—中医内科学]