243例围绝经期失眠证候分析与病机探讨

Investigate on Syndrome and Pathogenesis about 243 Cases Perimenopause Insomnia

目的：探讨围绝经期失眠的证候分布与病机特点。方法：总结243例围绝经期失眠患者的临床资料，对其年龄与证候分布进行统计学描述。结果：围绝经期失眠患者年龄多集中在45～55岁之间；证型以阴虚血瘀出现频率最高，占30．86％，其次为肝肾阴虚和阴虚热结。结论：围绝经期病理改变多为本虚标实，以阴虚为本，痰、瘀、热结为标，肝肾亏虚、阴虚不藏是围绝经期失眠的基本病机，阴虚及其导致的痰、瘀、阳浮、热扰是围绝经期失眠的主要病理因素。

Objective： To inrestigate syndrome distributing and pathogenesis features of perimenopause insomnia. Methods： Summarized clinical data of 243 cases perimenopause insomnia, and described age and syndrome distributing. Results： Their ages were mostly confined 44-55 years old, the highest occurence frequency is Yin deficiency blood-stasis, accounting for 30. 86% ; then liver-kidney Yin deficiency and Yin deficiency heat retention. Conclusion： The pathological changes of perimenopause is deficiency in- cidental excess, has the characteristics of essential Yin deficiency, and phlegm, blood-stasis, heat retention are the superficiali- ty. The basic pathogenesis of perimenopause insomnia is deficiency of the liver and kidney, Yin deficiency. Yin deficiency and the fol- lowing phlegm, blood-stasis, Yang floating, heat retention are main pathological factors.