CAJ | 학술논문

目的：观察穴位埋线联合心理疗法治疗更年期心肾不交型失眠症的临床效果。方法对43例更年期心肾不交型失眠症患者采用穴位埋线联合认知治疗、行为矫正治疗等心理疗法治疗，统计分析治疗效果。结果43例患者临床痊愈19例，占44.2%；显效13例，占30.2%；有效9例，占20.9%；无效2例，占4.7%。总有效率为95.3%。治疗前后血清E2水平经统计学处理比较，差异有统计学意义(P＜0.01)。结论穴位埋线联合心理疗法治疗更年期心肾不交型失眠症具有较好疗效，可升高血清E2水平，提高雌激素分泌，增强卵巢功能。
목적：관찰혈위매선연합심리요법치료경년기심신불교형실면증적림상효과。방법대43례경년기심신불교형실면증환자채용혈위매선연합인지치료、행위교정치료등심리요법치료，통계분석치료효과。결과43례환자림상전유19례，점44.2%；현효13례，점30.2%；유효9례，점20.9%；무효2례，점4.7%。총유효솔위95.3%。치료전후혈청E2수평경통계학처리비교，차이유통계학의의(P＜0.01)。결론혈위매선연합심리요법치료경년기심신불교형실면증구유교호료효，가승고혈청E2수평，제고자격소분비，증강란소공능。
ObjectiveTo observe the clinical efficacy of acupoint thread embedding plus psychotherapy for insomnia due to disharmony betweenheart and kidney during perimenopause.MethodForty-three patients with insomnia due to disharmony between heart and kidney during perimenopause were intervened by acupoint thread embedding plus psychotherapy including cognitive and behavioral therapies,and then the therapeutic results were statistically analyzed.ResultOf the 43 subjects, 19 were clinically cured, accounting for 44.2%; 13 subjects were markedly improved, accounting for 30.2%; 9 were improved, accountingfor 20.9%; 2 subjects failed, accounting for 4.7%. The total effective rate was 95.3%. The serum E2level was significantly changed after intervention (P<0.01).ConclusionAcupoint thread embedding plus psychotherapy can produce a significant efficacy in treating insomnia due to disharmony between heart and kidney during perimenopause, and this method can up-regulate the serum E2level, enhance the production of estrogen, and improve ovary function.