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针刺吕氏对穴治疗围绝经期失眠的疗效观察

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目的:观察针刺吕氏对穴治疗围绝经期失眠(PMI)的临床疗效.方法:将111例PMI患者随机分为3组,每组37例.其中吕氏对穴组(脱落1例)予以针刺对穴组方治疗,常规针刺组予以针刺失眠常规穴位治疗,两组患者均每周治疗3次;西药治疗组(剔除1例)予以口服结合雌激素片治疗,日1次;3组患者疗程均为4周.采用匹兹堡睡眠指数量表(PSQI)作为主要疗效指标,评价患者主观睡眠质量;以多导睡眠监测(PSG)睡眠进程及性激素水平检验作为次要疗效指标监测患者客观睡眠质量.结果:与治疗前比较,治疗后3组患者PSQI评分均降低,且吕氏对穴组评分低于常规针刺组及西药治疗组,差异有统计学意义(P<0.05).吕氏对穴组总有效率为91.7%,高于常规针刺组及西药治疗组,差异有统计学意义(P<0.05).治疗后进行PSG监测,3组患者睡眠进程与本组治疗前相比,各项指标均改善,且吕氏对穴组患者治疗后各项指标改善更明显,差异有统计学意义(P<0.05).结论:吕氏对穴治疗围绝经期失眠,较常规针刺、西药治疗具有更显著的临床疗效,值得进一步研究与推广应用.
Observation on the curative effect of acupuncture at Lv's pair acupoints on perimenopausal insomnia
Objective:To observe the clinical curative effect of acupuncture at Lv's pair acupoints on perimenopausal insomnia(PMI).Methods:111 PMI patients were randomly divided into 3 groups with 37 cases in each group.Patients in the Lv's pair acupoints group(1 case dropped off)were treated with acupuncture on pair acupoints,and patients in the con-ventional acupuncture group were treated with acupuncture on routine acupoints for insomnia.The patients in the two groups were treated 3 times a week.Patients in the western medication group(excluding 1 case)were treated with oral combined estrogen tablets for once a day.The treatment course of 3 groups was 4 weeks.As the main curative effect index,the Pitts-burgh Sleep Quality Index(PSQI)was used to evaluate the subjective sleep quality of the patients.As a secondary curative effect index,sleep process and sex hormone levels tested by polysomnography(PSG)were tested to monitor the objective sleep quality of patients.Results:Compared with those before treatment,PSQI scores of the 3 groups were all decreased af-ter treatment,and Lv's pair acupoints group score was lower than that of conventional acupuncture group and western medi-cation treatment group,with statistical significance(P<0.05).The total effective rate of Lv's pair acupoints group was 91.7%,which was higher than that of conventional acupuncture group and western medication treatment group,and the dif-ference was statistically significant(P<0.05).After treatment,PSG monitoring results showed that the sleep progress of pa-tients in the 3 groups was improved compared with that before treatment,and all indicators were improved.Especially,the indexes of the Lv's pair acupoints group were improved more obviously after treatment,and the differences were statistically significant(P<0.05).Conclusion:Lv's pair acupoints have more significant clinical efficacy in the treatment of PMI than conventional acupuncture and western medication,which is worthy of further research and application.

insomniaperimenopauseacupunctureLv's pair acupointsclinical research

张斌、樊俞坚、吕玉娥

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山西中医药大学附属医院,山西 太原 030024

天津中医药大学第一附属医院,天津 301617

山西中医药大学附属针灸推拿医院,山西 太原 030012

失眠 围绝经期 针刺 吕氏对穴 临床研究

中国中医科学院科技创新工程项目山西省科技创新人才团队建设项目山西中医药大学创新团队项目

CI2022E010XB2022040510020112022TD1006

2024

山西中医药大学学报

山西中医药大学学报

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年,卷(期):2024.25(4)