上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
22期
36-38
,共3页
涂轶佳%朱燕芬%陈理%张士芬
塗軼佳%硃燕芬%陳理%張士芬
도질가%주연분%진리%장사분
更年期失眠%更眠安汤%肾阴虚型%中医治疗
更年期失眠%更眠安湯%腎陰虛型%中醫治療
경년기실면%경면안탕%신음허형%중의치료
menopausal insomnia%Geng Mianan Decoction%kidney-yin deifciency%treatment with Chinese medicine
目的:观察自拟“更眠安汤”治疗肾阴虚型更年期失眠的临床疗效。方法:选择2012年6月至2014年3月以失眠为主诉的女性更年期综合征患者36例,给予“更眠安汤”治疗,4周为1个疗程,共服用2个疗程。采用匹兹堡睡眠质量指数量表和中医证候积分评估患者治疗第4周和第8周时的临床疗效,并进行比较。结果:治疗第4周和第8周时的总有效率分别为86.11%(31/36)和91.67%(33/36),主要睡眠指标较治疗前均有改善,差异有统计学意义(P<0.05);除夜间多梦指标外,治疗第8周时较第4周的其余睡眠指标均更佳,差异有统计学意义(P<0.05)。结论:“更眠安汤”治疗女性更年期失眠症疗效确切,治疗8周的临床疗效更显著。
目的:觀察自擬“更眠安湯”治療腎陰虛型更年期失眠的臨床療效。方法:選擇2012年6月至2014年3月以失眠為主訴的女性更年期綜閤徵患者36例,給予“更眠安湯”治療,4週為1箇療程,共服用2箇療程。採用匹玆堡睡眠質量指數量錶和中醫證候積分評估患者治療第4週和第8週時的臨床療效,併進行比較。結果:治療第4週和第8週時的總有效率分彆為86.11%(31/36)和91.67%(33/36),主要睡眠指標較治療前均有改善,差異有統計學意義(P<0.05);除夜間多夢指標外,治療第8週時較第4週的其餘睡眠指標均更佳,差異有統計學意義(P<0.05)。結論:“更眠安湯”治療女性更年期失眠癥療效確切,治療8週的臨床療效更顯著。
목적:관찰자의“경면안탕”치료신음허형경년기실면적림상료효。방법:선택2012년6월지2014년3월이실면위주소적녀성경년기종합정환자36례,급여“경면안탕”치료,4주위1개료정,공복용2개료정。채용필자보수면질량지수량표화중의증후적분평고환자치료제4주화제8주시적림상료효,병진행비교。결과:치료제4주화제8주시적총유효솔분별위86.11%(31/36)화91.67%(33/36),주요수면지표교치료전균유개선,차이유통계학의의(P<0.05);제야간다몽지표외,치료제8주시교제4주적기여수면지표균경가,차이유통계학의의(P<0.05)。결론:“경면안탕”치료녀성경년기실면증료효학절,치료8주적림상료효경현저。
Objective:To observe the clinical effect of“Geng Mianan Decoction”in the treatment of menopausal insomnia women with Kidney-Yin deficiency. Methods:Thirty-six patients who complained menopausal insomnia were enrolled in the study between June 2012 and March 2014. As 4-week was a period of treatment, the patients received 2 course of“Geng Mianan Decoction”treatment. The clinical effects of treatment in 4 weeks and 8 weeks were eveluated using TCM symptoms scores and Pittsburgh Sleep Quality Index scores. Results:The total effective rate in 4-week treatment and 8-week treatment was 86.11%(31/36) and 91.67%(33/36)respectively. The sleep indicators were signiifcantly improved after treatment when compared with before. There was a statistical signiifcance (P<0.05). Except for nocturnal dreams indicator, the rest indicators in 8-week treatment were better than those in 4-week treatment with statistical signiifcancer (P<0.05). Conclusion:The“Geng Mianan Decoction”is effective in the treatment of menopausal insomnia. The effect of 8-week treatment is better than 4-wee treatment.