CAJ | 학술논문

目的：探讨针刺配合滋肾调肝汤治疗围绝经期妇女失眠症的疗效。方法：将符合纳入标准的126例患者随机分成两组，每组63例，观察组采用针刺配合滋肾调肝汤治疗，对照组采用与观察组相同的针刺治疗，连续干预4星期后评价疗效。结果：观察组总有效率为96.8%，对照组为74.6%，两组总体疗效比较有统计学意义(P＜0.01)。治疗后，两组SPIEGEL量表评分均与本组治疗前有统计学差异(P＜0.05，P＜0.01)；两组治疗前后SPIEGEL量表评分差值有统计学差异(P＜0.05)。结论：针刺配合滋肾调肝汤治疗女性围绝经期失眠症效果确切，且疗效优于单纯的针刺治疗。
목적：탐토침자배합자신조간탕치료위절경기부녀실면증적료효。방법：장부합납입표준적126례환자수궤분성량조，매조63례，관찰조채용침자배합자신조간탕치료，대조조채용여관찰조상동적침자치료，련속간예4성기후평개료효。결과：관찰조총유효솔위96.8%，대조조위74.6%，량조총체료효비교유통계학의의(P＜0.01)。치료후，량조SPIEGEL량표평분균여본조치료전유통계학차이(P＜0.05，P＜0.01)；량조치료전후SPIEGEL량표평분차치유통계학차이(P＜0.05)。결론：침자배합자신조간탕치료녀성위절경기실면증효과학절，차료효우우단순적침자치료。
Objective:To explore the therapeutic effect of acupuncture plus Zi Shen Tiao Gan (Kidney-reinforcing and Liver-regulating) Decoction for perimenopausal women with insomnia. <br> Methods:A total of 126 eligible cases were randomly divided into two groups, 63 cases in each group. Patients in the observation group were given acupuncture plus Zi Shen Tiao Gan (Kidney-reinforcing and Liver-regulating) Decoction. Those in the control group were treated with the same acupuncture treatment as the observation group. The therapeutic effects were assessed after continuous treatment for four weeks. <br> Results:The total effective rate was 96.8%in the observation group and 74.6%in the control group. The comparison of the total clinical effects between the two groups was statistically significant (P<0.01). After treatment, the intra-group comparisons of SPIEGEL score were statistically significant in both groups (P<0.05, P<0.01);the inter-group comparison of SPIEGEL score difference between before and after treatment was statistically significant (P<0.05). <br> Conclusion: Acupuncture plus Zi Shen Tiao Gan (Kidney-reinforcing and Liver-regulating) Decoction for perimenopausal insomnia is affirmative in the therapeutic effect, and the therapeutic effect is better than simple acupuncture treatment.