【摘要】 目的：探讨肝郁肾虚型围绝经期失眠症患者应用疏木养癸汤联合耳穴埋豆治疗的临床价值。方法：选择福建中医药大学附属漳州市中医院2018年4月至2020年1月期间收治的68例肝郁肾虚型围绝经期失眠症患者，随机分为观察组与对照组，各34例。观察组予疏木养癸汤联合耳穴埋豆治疗，对照组予疏木养癸汤治疗。观察两组患者在中医证候积分、临床疗效，匹兹堡睡眠质量指数(PSQI)评分等方面的差异。结果：治疗后观察组患者的中医证候积分(8.85±1.27)分低于对照组的(14.74±1.48)分，差异具有统计学意义(P<0.05)；治疗后观察组患者的PSQI评分(8.47±1.69)分低于对照组的(12.06±2.63)分，差异具有统计学意义(P<0.05)；观察组患者治疗总有效率为88.24 %，高于对照组的73.53 %，差异具有统计学意义(P<0.05)。结论：疏木养癸汤能降低围绝经期失眠患者的中医证候积分，改善PSQI评分，有效治疗肝郁肾虚型围绝经期失眠症，联合耳穴埋豆能进一步提高疏木养癸汤的临床疗效。更多还原

【Abstract】 Objective To explore the clinical value of shumuyanggui decoction combined with ear point burying beans in the treatment of perimenopausal insomnia patients with liver stagnation and kidney deficiency. Methods A total of 68 perimenopausal insomnia patients with liver stagnation and kidney deficiency who were admitted to Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine from April 2018 to January 2020 were randomly divided into observation group and control group, with 34 patients in each group. The observation group was treated with Shumuyanggui decoction combined with ear point burying beans, and the control group was treated with Shumuyanggui decoction. The differences in TCM syndrome score, clinical efficacy and Pittsburgh sleep quality index(PSQI) score between the two groups were observed. Results After treatment, the TCM syndrome score of the observation group(8.85 ± 1.27) was lower than that of the control group(14.74 ± 1.48), the difference was statistically significant(P < 0.05). After treatment, the PSQI scale score of the observation group(8.47 ± 1.69) was lower than that of the control group(12.06 ± 2.63), and the difference was statistically significant(P < 0.05). The total effective rate in the observation group was 88.24%, which was higher than 73.53% of the control group, and the difference was statistically significant(P < 0.05). Conclusion Shumuyanggui decoction can reduce the TCM syndrome score of patients with perimenopausal insomnia, improve the PSQI score, effectively treat perimenopenopausal insomnia of liver stagnation and kidney deficiency, combined with ear point burying beans can further improve the clinical efficacy of Shumuyanggui decoction.更多还原