针刺联合柴胡桂枝龙骨牡蛎汤治疗围绝经期肝肾阴虚型失眠症的临床效果分析

Analysis on Clinical Effect of Acupuncture Combined with Chaihu Guizhi Longgu Muli Decoction in Treating Perimenopausal Insomnia of Liver and Kidney Yin Deficiency Type

目的:观察针刺联合柴胡桂枝龙骨牡蛎汤在围绝经期肝肾阴虚型失眠症患者治疗中的应用效果。方法:选取2022年1月—2023年1月湖南省康复医院收治的围绝经期肝肾阴虚型失眠症患者90例作为研究对象,采用随机数字表法分中药组、针刺组及针刺联合中药组,各30例。中药组患者给予柴胡桂枝龙骨牡蛎汤口服治疗,针刺组给予针刺治疗,针刺联合中药组患者在服用中药处方的基础上,同步执行针刺疗法。比较三组患者临床治疗效果、治疗前后的绝经综合征症状评定量表(Kupperman)评分、匹兹堡睡眠指数(PSQI)评分与失眠严重程度指数量表(ISI)评分。结果:针刺联合中药组临床治疗总有效率高于中药组、针刺组,差异有统计学意义(P<0.05);治疗后,三组患者Kupperman评分均低于治疗前,针刺联合中药组低于针刺组、中药组,差异有统计学意义(P<0.05);治疗后,三组PSQI、ISI评分均低于治疗前,针刺联合中药组低于针刺组、中药组,差异有统计学意义(P<0.05)。结论:针刺联合柴胡桂枝龙骨牡蛎汤在围绝经期肝肾阴虚型失眠症临床治疗中的效果显著,能够有效改善患者的更年期症状,提升患者的睡眠质量。

Objective:To observe the application effect of acupuncture combined with Chaihu Guizhi Longgu Muli Decoction in the treatment of perimenopausal insomnia patients with liver and kidney Yin deficiency type.Methods:A total of 90 perimenopausal insomnia patients with liver and kidney Yin deficiency type treated in Hunan Rehabilitation Hospital from January 2022 to January 2023 were selected as the study subjects.According to random number table method,the patients were divided into Chinese medicine group,acupuncture group and acupuncture combined Chinese medicine group,with 30 cases in each group.The patients in the Chinese medicine group were treated with oral Chaihu Guizhi Longgu Muli Decoction,and the acupuncture group was given acupuncture treatment,and the patients in the acupuncture combined with Chinese medicine group were treated with acupuncture therapy on the basis of taking the Chinese medicine prescription.The clinical treatment effect,menopausal syndrome symptom rating scale(Kupperman)score,Pittsburgh Sleep Quality Index(PSQI)score and Insomnia Severity Index(ISI)score before and after treatment were compared among the three groups.Results:The total effective rate of clinical treatment in the acupuncture combined with Chinese medicine group was higher than that in the Chinese medicine group and in the acupuncture group,and the difference was statistically significant(P<0.05);after treatment,the Kupperman score in the three groups was lower than that before treatment,and the acupuncture combined with Chinese medicine group was lower than the acupuncture group and the Chinese medicine group,with statistically significant differences(P<0.05).After treatment,the PSQI and ISI scores in the three groups were lower than those before treatment,and the acupuncture combined with Chinese medicine group was lower than the acupuncture group and the Chinese medicine group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with Chaihu Guizhi Longgu Muli Decoction has a significant effect in the clinical treatment of perimenopausal insomnia patients with liver and kidney Yin deficiency type,which can effectively ameliorate the menopausal symptoms and improve sleep quality of patients.