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坤泰胶囊联合芬吗通对围绝经期综合征失眠伴抑郁的疗效

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目的 分析坤泰胶囊联合芬吗通对围绝经期综合征(更年期)失眠伴抑郁的疗效。方法 选取2022年2月至2024年2月中国人民解放军联勤保障部队第九八八医院收治的90例更年期失眠伴抑郁患者,按随机数字表法分为芬吗通组、坤泰胶囊组及联合组,各30例。对比3组的临床疗效、睡眠质量、抑郁程度、性激素水平、生活质量及不良反应发生情况。结果 联合组治疗总有效率(96。7%)高于芬吗通组(70。0%)、坤泰胶囊组(73。3%),差异有统计学意义(P<0。05);治疗前,3组的睡眠质量、抑郁程度、性激素水平及生活质量比较,差异无统计学意义(P>0。05);治疗后联合组的匹兹堡睡眠质量(PSQI)、抑郁自评量表(SDS)、黄体生成素(LH)、促卵泡生成素(FSH)低于芬吗通组、坤泰胶囊组,雌二醇(E2)、世界卫生组织生存质量测定量表(WHOQOL-BREF)评分高于芬吗通组、坤泰胶囊组,差异有统计学意义(P<0。05);3组治疗期间不良反应发生率差异无统计学意义。结论 坤泰胶囊与芬吗通联用的比单独使用效果好,可缓解失眠及抑郁,改善性激素水平,提升生活质量,安全有效。
Effects of Kuntai capsule combined with Fenmaotong in menopausal insomnia patients with depression
Objective To investigate the application value of Kuntai capsule combined with Fenmaotong in perimenopausal syndrome(climacteric) patients with insomnia and depression.Methods A total of 90 patients with climacteric insomnia and depression admitted to the 988 Hospital of the Joint Service Support Force of the Chinese People's Liberation Army from February 2022 to February 2024 were selected by convenience sampling.According to the random number table method,the patients were divided into Fenmaotong group,Kuntai capsule group,and combination group,with 30 cases in each group.The clinical efficacy,sleep quality,depression level,sex hormone level,quality of life,and incidence of adverse reactions were compared among the three groups.Results The total effective rate of treatment in the combination group(96.7%) was higher than that in the Femo-stone group(70.0%) and the Kuntai Capsule group(73.3%),with a statistically significant difference (P<0.05).Be-fore treatment,there was no statistically significant difference in sleep quality,depression level,sex hormone level,and quality of life among the three groups (P>0.05).After treatment,the Pittsburgh Sleep Quality Index (PSQI),Self-rating Depression Scale (SDS),luteinizing hormone (LH),and follicle-stimulating hormone (FSH) scores in the combination group were lower than those in the Femostone group and the Kuntai capsule group;while the estradiol (E2) level and World Health Organization Quality of Life-BREF (WHOQOL-BREF) scores in the combination group were higher than those in the Femostone group and the Kuntai capsule group,with statistically significant differ-ences (P<0.05).There was no statistically significant difference in adverse reactions occurred during the treatment period in any of the three groups.Conclusion The combination of Kuntai capsules and Fenmaotong is more ef-fective than using them alone.It can enhance the treatment effect of menopausal insomnia with depression,relieve insomnia and depression,improve sex hormone level,enhance quality of life,and is safe and effective.

Perimenopausal syndromeSleep intiation and maintenance disordersDepressionFenmotongKuntai capsule

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中国人民解放军联勤保障部队第九八八医院中医科,河南焦作 454001

围绝经期综合征 入睡和睡眠障碍 抑郁 芬吗通 坤泰胶囊

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(23)