本文選題：肝腎陰虛　切入點(diǎn)：圍絕經(jīng)期失眠　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察滋水清肝飲(顆粒)加減配合經(jīng)顱微電流刺激治療圍絕經(jīng)期失眠的臨床療效及癥狀改善情況,初步評(píng)價(jià)其治療圍絕經(jīng)期失眠肝腎陰虛型的有效性,并基于癥狀的改善從理論上探討該癥候的病因病機(jī)、癥候特點(diǎn)及其兼癥和主癥之間的相關(guān)性。方法:研究選取長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院睡眠中心肝腎陰虛型圍絕經(jīng)期失眠患者90例,隨機(jī)分為單純中藥治療組(A組:滋水清肝飲(顆粒)加減)、單純經(jīng)顱微電流刺激組(B組)、綜合療法治療組(C組:滋水清肝飲(顆粒)加減配合經(jīng)顱微電流刺激)。三組在病程、年齡方面均無(wú)差異,具有可比性,三組均以10天為一個(gè)療程,連續(xù)觀察3個(gè)療程。以中醫(yī)癥候評(píng)定標(biāo)準(zhǔn)和匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)為評(píng)價(jià)指標(biāo)進(jìn)行評(píng)定。結(jié)果:中醫(yī)證候?qū)W評(píng)分和PSQI評(píng)分經(jīng)統(tǒng)計(jì)學(xué)處理,結(jié)果均顯示:C組較A組和B組相比P0.05,均有顯著性差異,說(shuō)明C組優(yōu)于A組和B組;特別是在治療圍絕經(jīng)期失眠患者的失眠多夢(mèng)、烘熱汗出,五心煩熱,口干便難,腰膝酸軟,頭暈耳鳴等癥狀效果更佳。結(jié)論:C組在臨床癥候積分及臨床療效積分均優(yōu)于A組和B組,說(shuō)明C組是治療肝腎陰虛型圍絕經(jīng)期失眠的有效方法,同時(shí)為治療圍絕經(jīng)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.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R256.23

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