百合地黄汤加味联合针灸治疗更年期失眠症的效果分析

Analysis of the effect of Baihe Dihuang Decoction combined with acupuncture on climacteric insomnia

目的探讨更年期失眠症采用百合地黄汤加味联合针灸治疗的效果。方法选择130例更年期失眠症患者为研究对象,按随机数字表法分为对照组与研究组,每组65例。对照组给予常规西药联合针灸治疗,研究组在对照组基础上采用百合地黄汤加味治疗,比较两组治疗前后、治疗4周后的血清雌二醇(E_(2))水平、中医证候积分、失眠严重程度指数评分。结果治疗前,两组E_(2)水平、失眠严重程度指数评分及中医证候积分比较,差异均无统计学意义(P>0.05);治疗后,研究组E_(2)水平高于对照组,中医证候积分、失眠严重程度指数评分均低于对照组(P<0.05)。结论更年期失眠症采用百合地黄汤加味联合针灸治疗效果较好,能调节E_(2)水平,减轻中医证候,缓解临床症状,减轻失眠程度,值得临床推广与应用。

Objective To investigate the effect of Baihe Dihuang decoction combined with acupuncture on climacteric insomnia.Methods A total of 130 patients with climacteric insomnia were selected as subjects and divided into reference group and research group according to random number table method,with 65 cases in each group.The reference group was treated with conventional western medicine combined with acupuncture and moxibustion,and the research group was treated with Baihe Dihuang decoction supplemented with flavor on the basis of the reference group.The serum estradiol(E_(2))level,TCM syndrome score and insomnia severity index score of the two groups were compared before and after treatment and 4 weeks after treatment.Results Before treatment,there were no significant differences in E_(2) level,insomnia severity index score and TCM syndrome score between the two groups(P>0.05).After treatment,the E,level of the study group was higher than that of the reference group,and the scores of TCM syndrome score and insomnia severity index were lower than those of the reference group(P<0.05).Conclusion The effect of Baihe Dihuang Decoction combined with acupuncture and moxibustion on menopausal insomnia is good,which can adjust E_(2) level,relieve TCM syndromes,relieve clinical symptoms and reduce insomnia degree,and is worthy of clinical promotion and application.