CAJ | 학술논문

[目的]探讨围绝经期妇女不寐的中医病机,观察滋肾疏肝法治疗的临床疗效.[方法]收集门诊围绝经期妇女不寐病患80例,随机分为中药治疗组(简称治疗组)和西药对照组(简称对照组),治疗组给予滋阴疏肝法治疗,对照组给予1mg舒乐安定治疗,4周为1个疗程.1个疗程结束后观察两组总有效率、临床症状及伴随症状的改善情况.[结果]滋阴疏肝法治疗围绝经期妇女不寐的总有效率为91.67%,舒乐安定的总有效率为90.62%,差异无统计学意义(P>0.05).在治疗伴随症状方面,潮热症状改善治疗组优于对照组,差异有显著统计学意义(P<0.01),夜梦频多、长期便秘、悲伤欲哭等症状改善治疗组优于对照组,差异有统计学意义(P<0.05).[结论]滋阴疏肝法治疗围绝经期不寐疗效肯定,能够显著改善患者的临床症状和伴随症状.
[목적]탐토위절경기부녀불매적중의병궤,관찰자신소간법치료적림상료효.[방법]수집문진위절경기부녀불매병환80례,수궤분위중약치료조(간칭치료조)화서약대조조(간칭대조조),치료조급여자음소간법치료,대조조급여1mg서악안정치료,4주위1개료정.1개료정결속후관찰량조총유효솔、림상증상급반수증상적개선정황.[결과]자음소간법치료위절경기부녀불매적총유효솔위91.67%,서악안정적총유효솔위90.62%,차이무통계학의의(P>0.05).재치료반수증상방면,조열증상개선치료조우우대조조,차이유현저통계학의의(P<0.01),야몽빈다、장기편비、비상욕곡등증상개선치료조우우대조조,차이유통계학의의(P<0.05).[결론]자음소간법치료위절경기불매료효긍정,능구현저개선환자적림상증상화반수증상.
Objective] To discuss the pathogenesis of the menopausal women with insomnia and observe the clinical curative effect of the method which is nourishing Yin and regulating liver Qi.[Method] Col ect 80 patients in the clinic which were randomly divided into two groups.48 cases in the treating group were treated by the method of nourishing Yin and regulating liver Qi ,and 32 patients in the control group were given 1mg estazolam .The period of treatment lasted for 1 course.To observe the curative effects and the total effective rates of the two groups. [Results] After the treatment, the total effective rate was 91.67%in treatment group by nourishing Yin and regulating liver Qi. The total effective rate was 90.62%in the control groups, there no statistical significance etween them. For the treatment to the accompanying symptoms of perimenopausal, hot flash and sweating were improved significantly better than the control group; improving the night dream frequency multiple, long-term constipation, sad to cry and other symptoms of the treatment group was significantly better than the control group. [Conclusion]It is indicated that the method of nourishing Yin and regulating liver Qi has a significant therapeutic effect on insomnia of the menopausal women .