摘要：Objective To observe the intervention efficacy of Tiao Ren Tong Du (regulating the Conception Vessel and unblocking the Governor Vessel) needling in treating perimenopausal insomnia and its effect in improving the symptoms, for providing theoretical evidence for the treatment of perimenopausal insomnia. Method A total of 72 female perimenopausal insomnia patients were randomized into a treatment group (36 cases) and a control group (36 cases). The treatment group was intervened by Tiao Ren Tong Du needling at Baihui (GV20), Shenting (GV24), Yintang (EX-HN3), Zhongwan (CV12), Qihai (CV6), Guanyuan (CV4), Neiguan (PC6), Shenmen (HT7), Sanyinjiao (SP6), and Zusanli (ST36) after standard sterilization, with lifting and thrusting manipulations until needling sensation was obtained. The treatment was given three times a week, successively for 4 weeks. The control group was intervened by conventional public education, without treatment. The Pittsburgh Sleep Quality Index (PSQI) and Kupperman Menopausal Index (MI) were scored before and after the treatment to evaluate the therapeutic efficacy. Result Thirty-three cases in the treatment group finished the treatment and 3 dropped out; while 32 cases in the control group finished the treatment and 4 cases dropped out, and the drop-out rate was 9.7%. The total effective rate was 87.9% in the treatment group versus 40.6% in the control group, and there was a significant difference in comparing the clinical efficacy between the two groups (P<0.01). After the treatment, PSQI and MI sores were significantly changed in thetreatment group (P<0.01,P<0.05). There were no significant changes in PSQI and MI scores in the control group after the treatment (P>0.05). There were significant differences in PSQI and MI scores between the two groups after the treatment (P<0.01,P<0.05). Conclusion Tiao Ren Tong Du needling is effective in treating perimenopausal insomnia, and it can improve perimenopausal syndrome and significantly enhance the patients' quality of life.%目的 观察调任通督针刺法对围绝经期失眠患者的干预效果和症状改善程度,为临床治疗围绝经期失眠提供理论依据.方法 将72例女性围绝经期失眠患者随机分为治疗组(36例)和对照组(36例).治疗组采用调任通督针刺法,选取百会、神庭、印堂、中脘、气海、关元、内关、神门、三阴交、足三里,所有穴位常规消毒后,针刺施以提插捻转手法,至得气后止,每星期3次,连续治疗4星期.对照组进行常规宣教,不予治疗.分别于治疗前后对两组患者进行匹兹堡睡眠质量指数(PSQI)、Kupperman指数(MI)的疗效评定.结果 治疗组完成33例,脱落3例,对照组完成32例,脱落4例,病例脱落率为9.7%.治疗组总有效率为87.9%,对照组总有效率为40.6%,两组比较差异有统计学意义(P<0.01).治疗组治疗后在PSQI、MI评定量表评分与治疗前相比,均有统计学差异(P<0.01,P<0.05).对照组治疗后在PSQI、MI量表评分与治疗前相比均无统计学差异(P>0.05).治疗后,两组在PSQI、MI量表评分上相比均有统计学差异(P<0.01,P<0.05).结论 调任通督针刺法治疗围绝经期失眠临床疗效肯定,可改善围绝经期综合征,明显提高患者生活质量.
