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针灸配合黄连阿胶汤治疗围绝经期失眠症的效果 预览 被引量:6

Effect of acupuncture-moxibustion matching with Huanglian Ejiao Decoction treating perimenopausal insomnia
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摘要 目的探讨针灸配合黄连阿胶汤治疗围绝经期失眠症的效果。方法2015年5月。2016年3月广州市增城区中医医院收治的80例围绝经期失眠症患者,将患者随机分为两组,各40例。对照组单纯服用黄连阿胶汤治疗。观察组在服用黄连阿胶汤的基础上联合采用针灸法治疗。比较两组患者的中医症候改善效果、生活质量、匹兹堡睡眠指数(PSQI)、焦虑量表评分(HAMA)、抑郁量表评分(HAMD)。结果观察组的中医症候改善总有效率为95.00%,高于对照组的62.50%(P〈0.01)。观察组的生活质量评分明显高于对照组(P〈0.05)。观察组治疗后1、2、4周的PSQI评分、HAMA评分、HAMD评分低于对照组及治疗前(P〈0.05)。结论针灸配合黄连阿胶汤治疗围绝经期失眠症的效果显著,可有效改善患者的失眠状态,提高睡眠质量和生活质量,改善不良心理状态,具有较高的临床应用价值。 Objective To explore the effect of acupuncture-moxibustion matching with Huanglian Ejiao Decoction treating perimenopausal insomnia.Methods Eighty patients with perimenopausal insomnia treated in Traditional Chinese Medicine Hospital in Zengcheng District of Guangzhou City from May 2015 to March 2016 were randoMly divided into control group (n=40) and observation group (n=40).In the control group,only Huanglian Ejiao Decoction was used for the treatment,while in the observation group,on the basis of the administration of Huanglian Ejiao Decoction,acupuncture- moxibustion was combined.The effect of improving traditional Chinese medicine (TCM) symptoms,quality of life,Pittsburgh sleep index (PSQI),HAMA and HAMD score were compared between two groups.Results The effective rate of improving TCM symptoms in the observation group (95.00%) was higher than that in the control group accounting for 62.50% (P〈0.01).In the observation group,the score of quality of life was much higher than that in the control group (P〈 0.05).In the observation group,after 1,2,and 4 weeks therapy,the score of PSQI,HAMA,and HAMD were all lower than those before treatment (P〈0.05) as well as in the control group after treatment (P〈0.05).Conclusion Acupuncture-moxibustion matching with Huanglian Ejiao Decoction treating perimenopausal insomnia obtains a remarkable effect.It can effectively improve patients' insomnia state as well as sleep quality,hence betters quality of life and poor mental state, which has a higher clinical application value.
作者 单醒瑜 何小妹 刘洁文 SHAN Xing-yu ,HE Xiao-mei ,LIU Jie-wen (Department of Rehabilitation,Traditional Chinese Medicine Hospital in Zengcheng District of Guangzhou City in Guangdong Province,Guangzhou 511300,China)
出处 《中国当代医药》 2017年第6期103-105,共3页 China Modern Medicine
关键词 针灸 黄连阿胶汤 围绝经期 失眠症 Acupuncture-moxibustion Huanglian Ejiao Decoction Perimenopausal period Insomnia
作者简介 单醒瑜(1984-),女,汉族,广东广州人,硕士,主治中医师,研究方向:针灸的临床研究
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