滋水清肝饮加减配合经颅微电流治疗围绝经期失眠（肝肾阴虚型）的临床研究

发布时间：2018-03-14 04:04

本文选题：肝肾阴虚　切入点：围绝经期失眠　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察滋水清肝饮(颗粒)加减配合经颅微电流刺激治疗围绝经期失眠的临床疗效及症状改善情况,初步评价其治疗围绝经期失眠肝肾阴虚型的有效性,并基于症状的改善从理论上探讨该症候的病因病机、症候特点及其兼症和主症之间的相关性。方法:研究选取长春中医药大学附属医院睡眠中心肝肾阴虚型围绝经期失眠患者90例,随机分为单纯中药治疗组(A组:滋水清肝饮(颗粒)加减)、单纯经颅微电流刺激组(B组)、综合疗法治疗组(C组:滋水清肝饮(颗粒)加减配合经颅微电流刺激)。三组在病程、年龄方面均无差异,具有可比性,三组均以10天为一个疗程,连续观察3个疗程。以中医症候评定标准和匹兹堡睡眠质量指数量表(PSQI)为评价指标进行评定。结果:中医证候学评分和PSQI评分经统计学处理,结果均显示:C组较A组和B组相比P0.05,均有显著性差异,说明C组优于A组和B组;特别是在治疗围绝经期失眠患者的失眠多梦、烘热汗出,五心烦热,口干便难,腰膝酸软,头晕耳鸣等症状效果更佳。结论:C组在临床症候积分及临床疗效积分均优于A组和B组,说明C组是治疗肝肾阴虚型围绝经期失眠的有效方法,同时为治疗围绝经期失眠患者提供了新的思路。
[Abstract]:Objective: to observe the clinical effect and symptom improvement of Zishui Qinggan Yin (QGY) combined with transcranial micro-current stimulation in the treatment of peri-menopausal insomnia, and to evaluate its efficacy in the treatment of peri-menopausal insomnia with deficiency of liver-kidney yin. Based on the improvement of symptoms, the etiology and pathogenesis of the symptoms were discussed theoretically. Methods: 90 cases of peri-menopausal insomnia with liver and kidney yin deficiency type in sleep center of Changchun University of traditional Chinese Medicine were studied. They were randomly divided into two groups: group A: Zishuiqinggan Yin (granule), group B (simple transcranial microcurrent stimulation), and group C: Zishui Qinggan Yin (granule) plus subtraction combined with transcranial microcurrent stimulation (TMC). There was no difference in age and there was comparability among the three groups. All three groups were treated with 10 days as a course of treatment. Three consecutive courses of treatment were observed. The criteria of TCM symptom evaluation and Pittsburgh Sleep quality Index scale (PSQI) were used as the evaluation index. Results: TCM syndromes score and PSQI score were statistically analyzed. The results showed that there was significant difference between group C and group A and group B, which indicated that group C was superior to group A and group B, especially in treating insomnia patients with peri-menopausal insomnia. Conclusion the score of clinical symptoms and clinical efficacy in group C are better than those in group A and group B, indicating that group C is an effective method for treating insomnia in peri-menopausal period of liver and kidney yin deficiency type. At the same time for the treatment of perimenopausal insomnia patients with new ideas.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.23

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