引气归元针法联合黄连阿胶汤治疗心肾不交型围绝经期失眠

Yinqi Guiyuan Acupuncture Combined with Huanglian Ejiao Decoction in Treatment of Perimenopausal Insomnia with Heart-Kidney Non-communication Syndrome

目的:观察引气归元针法联合黄连阿胶汤治疗心肾不交型围绝经期失眠的临床疗效。方法:46例心肾不交型围绝经期失眠患者随机平均分为对照组和观察组,其中对照组给予常规西医疗法,观察组在对照组治疗基础上给予引气归元针法联合黄连阿胶汤,两组均治疗1个月。比较两组患者临床疗效及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分。结果:(1)观察组有效率为91.30%(21/23),对照组为73.91%(17/23),两组比较,差异有统计学意义(P<0.05)。(2)治疗后,两组患者PSQI评分低于本组治疗前;观察组PSQI评分为(4.89±1.82)分,低于同期对照组的(8.04±1.95)分(P<0.05)。(3)两组患者HAMA评分低于本组治疗前;观察组治疗后2周HAMA评分为(6.68±0.16)分,低于同期对照组的(14.85±0.26)分(P<0.05)。(4)两组患者HAMD评分低于本组治疗前;观察组治疗后2周HAMD评分为(5.98±0.36)分,低于同期对照组的(10.09±0.89)分(P<0.05)。结论:引气归元针法联合黄连阿胶汤治疗心肾不交型围绝经期失眠疗效显著,能够显著提高患者的睡眠质量,改善患者的焦虑抑郁情绪。

Objective:To observe the clinical efficacy of Yinqi Guiyuan acupuncture method combined with Huanglian Ejiao Decoction in treatment of perimenopausal insomnia with Heart-Kidney non-communication syndrome.Methods:Forty-six patients with perimenopausal insomnia with Heart-Kidney non-communication syndrome were randomly divided into control group and observation group,in which the control group was treated with conventional western medicine,and the observation group was treated with Yinqi Guiyuan acupuncture method combined with Huanglian Ejiao Decoction based on treatment in the control group,with 1 month as a course of treatment.The clinical efficacy of the two groups was compared with the scores of Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).Results:(1)The effective rate of the observation group was 91.30%(21/23)and that of the control group was 73.91%(17/23),and the difference between the two groups was statistically significant(P<0.05).(2)After treatment,the PSQI scores of the two groups were lower than those before treatment.The PSQI score of the observation group was(4.89±1.82),which was significantly lower than that of the control group(8.04±1.95)(P<0.05).(3)The HAMA score of the two groups was lower than that before treatment;The HAMA score of the observation group was(6.68±0.16)after 6 weeks of treatment,which was significantly lower than that of the control group(14.85±0.26)(P<0.05),(4)the HAMD score of the two groups was lower than that before treatment,and the HAMD score of the observation group was(5.98±0.36)after 6 weeks of treatment,which was significantly lower than that of the control group(10.09±0.89)(P<0.05).Conclusion:The combination of Yinqi Guiyuan acupuncture method and Huanglian Ejiao Decoction has a significant effect in treatment of perimenopausal insomnia with Heart-Kidney non-communication syndrome,which can significantly improve the sleep quality and relieve the anxiety and depression of patients.