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\补肾安神\针刺疗法治疗围绝经期失眠的临床观察
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Journal Article
\补肾安神\针刺疗法治疗围绝经期失眠的临床观察
2024
Overview
R246.6; 目的:观察\"补肾安神\"针刺疗法对围绝经期失眠(PMI)患者睡眠、情绪、性激素水平及中医症状的影响.方法:将90例PMI患者随机分为治疗组和对照组,每组45例.治疗组予以针刺肾俞、太溪、百会和安眠治疗;对照组给予假针刺治疗.两组均每周治疗3次,共4周.治疗前、治疗后及治疗结束1月后采用匹兹堡睡眠质量指数(PSQI)量表和失眠严重指数(ISI)量表评价受试者睡眠情况;采用BECK抑郁量表(BDI)、BECK焦虑量表(BAI)评价受试者的抑郁和焦虑情绪;采用中医证候量表评价受试者的中医症状.治疗前后检测受试者血清雌二醇(E2)、卵泡刺激素(FSH)和促黄体生成激素(LH)水平.结果:研究过程中治疗组脱落2例,对照组无脱落.与治疗前相比,治疗组治疗后及随访1个月时的PSQI评分显著降低(P<0.05),与对照组相比差异有统计学意义(P<0.05).对照组治疗后PSQI评分较治疗前显著降低(P<0.05),随访1个月与治疗前差异无统计学意义(P>0.05).与治疗前相比,治疗组治疗后及随访1个月时的ISI、BDI、BAI评分和中医证候量表评分均降低(P<0.05),与同时间点对照组差异有统计学意义(P<0.05).对照组治疗前、治疗后及随访1个月的ISI、BDI、BAI评分和中医证候量表评分差异均无统计学意义(P>0.05).治疗后,治疗组血清E2较治疗前显著升高(P<0.05),与对照组差异有统计学意义(P<0.05).对照组治疗前后血清E2水平差异无统计学意义(P>0.05).两组受试者治疗前后血清FSH和LH水平差异均无统计学意义(P>0.05).结论:\"补肾安神\"针刺疗法治疗PMI患者能改善睡眠质量,缓解焦虑及抑郁情绪,延缓血清E2水平的降低,改善相关中医症状.
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