中药配合音乐治疗围绝经期失眠的临床疗效观察

Clinical effective observation on treating perimenopausal insomnia with TCM medicine plus music

目的:观察中药配合音乐治疗围绝经期失眠的临床疗效。方法:选取围绝经期患者60例,随机分配为治疗组和对照组各30例。对照组给予艾司唑仑片,每晚1mg,口服;治疗组给予中药黄连阿胶汤合甘麦大枣汤加减,煎服。同时嘱患者在每晚睡前保持居室安静,保持最舒适的姿势(静坐或平卧),选择柔和的音乐聆听30～60min。3周后评价疗效。结果:治疗组在临床证候改善方面较对照组有明显优势(P <0.05);两组失眠症临床观察调查表(SPIEGEL量表)评分在治疗前后均有明显改善(P <0.05),但治疗后两组比较差异无统计学意义(P> 0.05);两组出现不良反应均未影响治疗疗程。结论:中药配合音乐疗法治疗围绝经期失眠症患者能明显改善患者的失眠症状,改善睡眠质量,且无明显不良反应。

Objective:To observe clinical efficacy of TCM medicine plus music on perimenopausal insomnia.Methods:60 cases were divided into two groups,30 cases in each.The control group was given eszolam tablets;and the treatment group was given the Huanglian Ejiao decoction(黄连阿胶汤)plus the Ganmai Dazao decoction(甘麦大枣汤)and soft music(30~60min).Results:The clinical syndrome in the treatment group was improved better(P<0.05).Before and after treatment,the SPIEGEL scores in two groups were significantly improved(P<0.05),but there was no significant difference between groups after treatment(P>0.05).Adverse reactions in both groups did not affect treatment.Conclusion:TCM medicine plus music on perimenopausal insomnia can significantly improve the symptoms of insomnia and sleep quality,without obvious adverse reactions.