【摘要】 目的评价运用滋肾宁心原则治疗围绝经期失眠症的疗效。方法将80例围绝经期失眠症患者分为治疗组42例,给予滋肾宁心中药治疗;对照组38例,给予艾司唑仑治疗,均治疗2个月。采用阿森斯失眠量表(AIS)评定临床疗效;记录两组治疗前后围绝经期相关症状变化情况;记录停药1、3、6月痊愈及显效病例复发情况。结果两组治疗前后AIS总分比较差异有显著性意义(P<0.01);两组总有效率比较差异无显著性意义(P>0.05);两组临床症状缓解率比较,治疗组明显优于对照组(P<0.01);停药后随访半年,治疗组复发率明显低于对照组。结论运用滋肾宁心的治疗原则治疗围绝经期失眠症较艾司唑仑有效,复发率低。更多还原

【Abstract】 Objective To evaluate the efficacy of Nourishing Kidney and Soothing Heart method in the treatment of perimenopausal insomnia Methods Totally 80 cases of perimenopausal insomnia were randomly divided into two groups.Nourishing Kidney and Soothing Heart method was given to 42 patients in the treatment group,while Espanola was given to 38 patients in the control group.The treatment course lasted for 2 months.Clinical effect was evaluated by the Athens Insomnia Scale.Perimenopausal symptoms before and after treatment were recorded and compared between the two groups.The recurrence rates of recovery patients and excellent efficacy patients in 1,3,and 6 months after treatment were recorded.Results There was significant difference in two groups in terms of total score of AIS before and after treatment(P < 0.01).The total effective rate was no significant difference between two groups(P > 0.05).There was significant difference in the remission of perimenopausal symptoms between the two groups.The remission rate was higher in treatment group than control one(P < 0.01).After half year of treatment,the relapse rate was significantly lower in treatment group than the control one. Conclusion Nourishing Kidney and Soothing Heart method is effective and has a low recurrence rate in treatment of perimenopausal insomnia.更多还原