腹针配合柴胡疏肝散治疗气郁型围绝经期失眠的临床效果

Clinical effect of abdominal acupuncture combined with Chaihu Shugan Powder in the treatment of perimenopausal insomnia with qi stagnation type

目的观察腹针配合柴胡疏肝散治疗气郁型围绝经期失眠患者的临床效果。方法选取2018年1月~2019年9月北京航天总医院中医更年期门诊确诊为气郁型围绝经期失眠患者92例,按随机数字表法将其分为对照组和观察组,每组各46例。对照组给予柴胡疏肝散治疗,观察组在对照组的基础上加用腹针治疗,两组均治疗4周。比较两组临床疗效、匹兹堡睡眠质量指数(PSQI)量表评分、改良Kupperman index评分。结果治疗后,两组睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠效率、日间功能评分及PSQI总分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组改良Kupperman index评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。观察组治疗后总有效率明显高于对照组(P<0.05)。结论柴胡疏肝散配合腹针治疗能提高气郁型围绝经期失眠的临床效果,更好地改善患者症状,提高睡眠质量,临床值得推广。

Objective To observe clinical effect of Chaihu Shugan Powder combined with abdominal acupuncture in the treatment of perimenopausal insomnia with qi stagnation type.Methods Ninety-two patients with qi stagnation were selected in Menopause Clinic of Beijing Aerospace General Hospital from January 2018 to September 2019.They were divided into control group and observation group according to the random number table method,with 46 cases in each group.Control group was treated with Chaihu Shugan Powder,observation group was treated with abdominal acupuncture on the basis of control group,both groups were treated for 4 weeks.Clinical efficacy,Pittsburgh sleep quality index(PSQI)score and modified Kupperman index score of two groups were compared.Results After treatment,the sleep quality,sleep latency,length of sleep,sleep disorder,sleep efficiency,daytime function scores and PSQI total score of two groups were lower than those before treatment(P<0.05),and observation group was lower than control group(P<0.05).After treatment,modified Kupperman index scores of two groups were lower than those before treatment(P<0.05),and observation group was lower than control group(P<0.05).Total effective rate of observation group was significantly higher than that of control group(P<0.05).Conclusion Chaihu Shugan Powder combined with abdominal acupuncture can improve the clinical effect of perimenopausal insomnia with qi stagnation,better improve the symptoms of patients and enhance sleep quality,it is worthy of clinical promotion.