目的观察引阳入阴推拿配合气息导引治疗围绝经期失眠症的效果.方法选择2011年3—12月就诊的围绝经期失眠症患者40例，随机分为观察组和对照组各20例，在常规中医辨证治疗的基础上，观察组采用引阳入阴推拿配合气息导引；对照组每晚口服1 mg舒乐安定，两组均连续治疗2周.使用睡眠指数量表对患者的睡眠质量进行评估.结果干预2周后，观察组与对照组睡眠质量均有明显改善，两组患者睡眠指数总分组间比较差异无统计学意义(P>0.05).干预前后两组患者在睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能比较差异均有统计学意义(P<0.05)；7个因子组间协方差分析显示，组间除睡眠质量、入睡时间、睡眠效率、睡眠障碍和日间功能比较差异无统计学意义外(P>0.05)，两组患者在睡眠时间和催眠药物组间差异有统计学意义(P<0.05).结论引阳入阴推拿配合气息导引治疗围绝经期失眠症效果显著，对改善患者的睡眠质量、睡眠时间和睡眠效率等方面均有明显作用.%Objective To observe the effect of manipulation to induce Yang conducting to Yin with scent-guided intervention on perimenopausal insomnia. Methods From March 2011 to December 2011, 40 insomnia patients during perimenopausal period were randomly divided into experiment group (n=20) and control group (n=20). In experiment group, on the basis of syndrome differentiation of traditional Chinese medicine, manipulation to induce Yang conducting to Yin with scent-guided intervention was applied while in control group, 1 mg estazolam was provided for patients to take orally every night for 2 weeks. Pittsburgh Sleep Quality Index (PSQI) was applied to assess the quality of sleep. Results Two weeks later, the quality of sleep was improved in two groups, the total score of PSQI indicated no statistical significance (P>0.05), but there was significance within each group in sleep quality, sleep latency, sleep efficiency, sleep disturbance, bedtime, hypnotic drug and daytime function (P<0.05). ANCOVA showed that between two groups, there was no significance in sleep quality, sleep latency, sleep efficiency, sleep disturbance and daytime function (P>0.05) while significant difference in bedtime and hypnotic drug (P<0.05). Conclusion Manipulation to induce Yang conducting to Yin with scent-guided intervention is effective for perimenopausal insomnia.
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