中医药治疗围绝经期失眠临床研究概况
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摘要
围绝经期失眠是45～55岁妇女在绝经期前后常有症状,患者表现为入睡困难、多梦早醒、日间困倦等。中医认为其发病机制与心、肾、肝、脾密切相关,临床上多采用滋阴益肾、疏肝健脾、宁心安神的治疗方法。经过上千年的历史研究,我国医家积累了大量的治疗经验,并发展出多种方法治疗围绝经期失眠,因其疗效显著而受到社会重视。通过查阅近几年来临床采用中医药诊疗围绝经期失眠的文献并对其进行归纳总结。
Peri-menopausa Insomnia is a common and significant disease which affects 45 to 55-year-old womens in menopause transition.Patients may have difficulty in falling asleep,dreaminess,waking up early,and daytime sleepiness.Traditional Chinese medicine(TCM)believes that the pathogenesis of this disease is closely related to heart,kidney,liver and spleen.Clinically,it uses the methods of nourishing yin and tonifying the kidney,soothing the liver and strengthening the spleen,and calming the nerves.After thousands of years of research,TCM doctors have accumulated a large amount of treatment experience,and developed a variety of methods to treat peri-menopausal insomnia,which has received great attention from society because of its remarkable curative effect.In this paper,we review the literature treatment of peri-menopausal insomnia by using traditional chinese medicine in recent years and summarize it.It is summarized as follows.
Peri-menopausa Insomnia is a common and significant disease which affects 45 to 55-year-old womens in menopause transition.Patients may have difficulty in falling asleep,dreaminess,waking up early,and daytime sleepiness.Traditional Chinese medicine(TCM)believes that the pathogenesis of this disease is closely related to heart,kidney,liver and spleen.Clinically,it uses the methods of nourishing yin and tonifying the kidney,soothing the liver and strengthening the spleen,and calming the nerves.After thousands of years of research,TCM doctors have accumulated a large amount of treatment experience,and developed a variety of methods to treat peri-menopausal insomnia,which has received great attention from society because of its remarkable curative effect.In this paper,we review the literature treatment of peri-menopausal insomnia by using traditional chinese medicine in recent years and summarize it.It is summarized as follows.
引文
[1]谢幸,苟文丽,林仲秋,等.妇产科学[M].北京:人民卫生出版社,2013:14-15.
[2]于心同,刘臻,杨文佳,等.围绝经期失眠研究进展[J].中医药信息,2015,32(2):113-117.
[3]赵云安.滋养肝肾法加针灸治疗围绝经期妇女失眠症的临床对照研究[D].广州:广州中医药大学,2010.
[4]李莹.滋肾安神汤治疗围绝经期心肾不交型失眠的临床观察[D].哈尔滨:黑龙江中医药大学,2013.
[5]张其慧.调肝理脾中药治疗围绝经期失眠36例临床观察[J].中医杂志,2006(9):678-680.
[6]张堃,邵素菊,张应虎.邵素菊针刺治疗更年期失眠的经验[J].中华中医药杂志,2016,31(7):2639-2641.
[7]刘绪娟,刘永梅,董艳华.舒肝清胃安神法治疗围绝经期失眠的临床效果分析[J].中国医药指南,2013,11(26):230-232.
[8]杨方尧.方以正不寐从瘀辨治的思路与方法初探[J].贵阳中医学院学报,1999(3):12-13.
[9]张蓉,宋李冬.柴胡加龙骨牡蛎汤治疗围绝经期患者失眠的疗效[J].中国临床医学,2012,19(2):175-176.
[10]韩小雅,庞小坤,江心灿,等.甘麦合剂治疗心脾两虚型围绝经期失眠症的临床研究[J].数理医药学杂志,2018,31(5):715-717.
[11]罗春蕾,刘茵,张天嵩,等.血府逐瘀汤加味治疗女性围绝经期失眠症52例临床观察[J].四川中医,2018,36(03):172-175.
[12]李光跃,彭芳,崔淑华.参松养心胶囊治疗围绝经期妇女失眠42例疗效观察[J].河北中医,2015,37(4):584-586.
[13]徐进华,罗玉韵,丁萍.舒肝解郁胶囊治疗围绝经期失眠症临床观察[J].世界临床药物,2016,37(10):691-693,702.
[14]古衍,姚吉龙,姜向坤.补肾安神方治疗围绝经期失眠(阴虚火旺型)32例疗效观察[J].新中医,2007(9):28-29.
[15]王丽,樊丽芳,赵艳霞,等.清心镇肝汤治疗围绝经期失眠的疗效观察[J].影像研究与医学应用,2018,2(10):228-229.
[16]陈霞,杜新芬.滋肾宁心法治疗围绝经期失眠症临床效果观察[J].实用医院临床杂志,2007(6):60-61.
[17]姚美玉,王欣欣,王秀霞,等.针灸治疗围绝经期失眠临床观察[J].光明中医,2015,30(2):319-320.
[18]张禹.疏肝调神针法对女性围绝经期失眠的临床疗效观察[D].济南:山东中医药大学,2017.
[19]王旭.耳穴贴压疗法治疗围绝经期失眠[D].哈尔滨:黑龙江中医药大学,2014.
[20]杨文佳,于心同,谢晨,等.穴位敷贴治疗围绝经期失眠的临床观察[J].上海中医药大学学报,2013,27(2):40-44.
[21]姚美玉,宋香金,张杨.食疗药膳治疗围绝经期失眠30例[J].长春中医药大学学报,2013,29(2):276-277.
[22]张家怡(Cheung Ka Yi).调任通督針刺法治疗围绝经期心肾不交型失眠的临床观察[D].广州:广州中医药大学,2015.
[23]曹琛,刘巧莲,陈惠林,等.滋肾平肝结合情志疗法治疗围绝经期失眠症的疗效观察[J].辽宁中医杂志,2011,38(4):680-682.
[24]胡萍.穴位贴敷配合艾灸对改善围绝经期失眠的临床研究[D].广州:广州中医药大学,2017.
[25]孙艳杰.电针结合刺血疗法治疗心肾不交型围绝经期失眠的临床观察[D].南宁:广西中医药大学,2016.
[2]于心同,刘臻,杨文佳,等.围绝经期失眠研究进展[J].中医药信息,2015,32(2):113-117.
[3]赵云安.滋养肝肾法加针灸治疗围绝经期妇女失眠症的临床对照研究[D].广州:广州中医药大学,2010.
[4]李莹.滋肾安神汤治疗围绝经期心肾不交型失眠的临床观察[D].哈尔滨:黑龙江中医药大学,2013.
[5]张其慧.调肝理脾中药治疗围绝经期失眠36例临床观察[J].中医杂志,2006(9):678-680.
[6]张堃,邵素菊,张应虎.邵素菊针刺治疗更年期失眠的经验[J].中华中医药杂志,2016,31(7):2639-2641.
[7]刘绪娟,刘永梅,董艳华.舒肝清胃安神法治疗围绝经期失眠的临床效果分析[J].中国医药指南,2013,11(26):230-232.
[8]杨方尧.方以正不寐从瘀辨治的思路与方法初探[J].贵阳中医学院学报,1999(3):12-13.
[9]张蓉,宋李冬.柴胡加龙骨牡蛎汤治疗围绝经期患者失眠的疗效[J].中国临床医学,2012,19(2):175-176.
[10]韩小雅,庞小坤,江心灿,等.甘麦合剂治疗心脾两虚型围绝经期失眠症的临床研究[J].数理医药学杂志,2018,31(5):715-717.
[11]罗春蕾,刘茵,张天嵩,等.血府逐瘀汤加味治疗女性围绝经期失眠症52例临床观察[J].四川中医,2018,36(03):172-175.
[12]李光跃,彭芳,崔淑华.参松养心胶囊治疗围绝经期妇女失眠42例疗效观察[J].河北中医,2015,37(4):584-586.
[13]徐进华,罗玉韵,丁萍.舒肝解郁胶囊治疗围绝经期失眠症临床观察[J].世界临床药物,2016,37(10):691-693,702.
[14]古衍,姚吉龙,姜向坤.补肾安神方治疗围绝经期失眠(阴虚火旺型)32例疗效观察[J].新中医,2007(9):28-29.
[15]王丽,樊丽芳,赵艳霞,等.清心镇肝汤治疗围绝经期失眠的疗效观察[J].影像研究与医学应用,2018,2(10):228-229.
[16]陈霞,杜新芬.滋肾宁心法治疗围绝经期失眠症临床效果观察[J].实用医院临床杂志,2007(6):60-61.
[17]姚美玉,王欣欣,王秀霞,等.针灸治疗围绝经期失眠临床观察[J].光明中医,2015,30(2):319-320.
[18]张禹.疏肝调神针法对女性围绝经期失眠的临床疗效观察[D].济南:山东中医药大学,2017.
[19]王旭.耳穴贴压疗法治疗围绝经期失眠[D].哈尔滨:黑龙江中医药大学,2014.
[20]杨文佳,于心同,谢晨,等.穴位敷贴治疗围绝经期失眠的临床观察[J].上海中医药大学学报,2013,27(2):40-44.
[21]姚美玉,宋香金,张杨.食疗药膳治疗围绝经期失眠30例[J].长春中医药大学学报,2013,29(2):276-277.
[22]张家怡(Cheung Ka Yi).调任通督針刺法治疗围绝经期心肾不交型失眠的临床观察[D].广州:广州中医药大学,2015.
[23]曹琛,刘巧莲,陈惠林,等.滋肾平肝结合情志疗法治疗围绝经期失眠症的疗效观察[J].辽宁中医杂志,2011,38(4):680-682.
[24]胡萍.穴位贴敷配合艾灸对改善围绝经期失眠的临床研究[D].广州:广州中医药大学,2017.
[25]孙艳杰.电针结合刺血疗法治疗心肾不交型围绝经期失眠的临床观察[D].南宁:广西中医药大学,2016.