柴进华 杨贤海 陈程 耿乐仙

【摘 要】 目的：观察背俞穴针罐疗法联合中药内服从肝肾论治妇女围绝经期失眠的临床疗效。方法：将60例确诊为围绝经期失眠的患者随机分为治疗组和对照组各30例，对照组予以口服谷维素片治疗，治疗组予以背俞穴针罐疗法联合中药内服治疗，观察治疗前后症状改善情况。结果：治疗组总有效率86.7%，对照组总有效率63.3%，差异有统计学意义（P<0.05）。结论：背俞穴针罐疗法联合中药内服从肝肾论治能有效减轻围绝经期失眠症状，疗效确切。

【关键词】 围绝经期综合征；失眠；针刺；针罐疗法；背俞穴

【中图分类号】R271.11+6 【文献标志码】 A【文章编号】1007-8517（2018）04-0057-03

Abstract：Objective To observe the effect of Back-Shu acupuncture-cupping therapy combined with Chinese medicine from the liver and kidney on clinical effect of treating perimenopausal insomnia. Methods 60 cases of perimenopausal insomnia patients were randomly divided into treatment group and control group with 30 cases in each group， the treatment group was given Back-Shu acupuncture-cupping therapy combined with traditional Chinese medicine treatment， the control group was treated with Oryzanol Tablets treatment， observed before and after treatment of symptoms to improve the situation. Results The total effective rate of the treatment group was 86.7%， and the total effective rate of the control group was 63.3%. There were significant differences between the 2 groups （P<0.05）. Conclusion Back-Shu acupuncture-cupping therapy combined with Chinese medicine treatment can effectively relieve the insomnia symptoms of perimenopausal period， and the curative effect is exact.

Keywords：Perimenopausal Syndrome； Insomnia； Acupuncture； Acupuncture-cupping Therapy； Back-Shu

圍绝经期综合征[1]是指妇女在绝经期前后出现女性激素水平波动或减少所致的一系列躯体及心理症状，中医学现称之为经断前后诸症或绝经前后诸症。有称“脏燥”、“百合病”、“年老血崩 ”、“年老经断复来”。其临床表现多种多样，有潮热盗汗、月经紊乱、眩晕、头痛、激动易怒、抑郁、心悸、胸闷、失眠、尿频、外阴干涩、骨关节疼痛等，其中睡眠障碍是围绝经期妇女出现的较多问题之一。现代医学治疗失眠采用睡眠药物辅助睡眠，虽然起效快，作用强，但存在一定的副作用，潜在的成瘾性和反弹性，影响患者正常的工作和学习，且容易引起患者对助眠药物的反感心理；心理治疗亦是常见方法方一，但因个性差异，疗效稳定性不高，推广亦难[2]。笔者在临床运用背俞穴针罐疗法中从肝肾论治围绝经期失眠症，取得较好效果。现总结如下。

1 资料与方法

1.1 一般资料 60例围绝经期失眠症患者均来源于2015年1月至2017年6月我院门诊，随机分为治疗组和对照组。……