中医“形神共治”综合疗法治疗心肾不交型围绝经期综合征的临床观察

Treatment of Perimenopausal Syndrome of Heart and Kidney Disjunction Type with the Comprehensive Scheme of “Treating Both Body and Spirit” in Traditional Chinese Medicine Clinical Observation

摘要: 目的：观察中医“形神共治”综合疗法治疗心肾不交型围绝经期综合征的临床疗效。方法：将80例心肾不交型围绝经期综合征患者随机分为治疗组和对照组，每组40例。治疗组予以“形神共治”综合疗法(中药辨证论治联合八段锦功法、诉说疏泄法及五行音乐疗法)，对照组采用单纯中药辨证论治，两组均连续治疗3个月，比较两组治疗前后中医证候积分、改良Kupperman评分、围绝经期生存质量量表(MENQOL)评分、焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分差异。结果：治疗组总有效率高于对照组(P < 0.01)，治疗组治疗后中医证候积分、改良Kupperman评分、MENQOL评分、SDS评分、SAS评分均明显低于对照组(P < 0.01)，治疗组能改善多梦易惊(P < 0.05)及失眠、心烦、眩晕耳鸣、心悸、腰酸等症状(P < 0.01)，治疗组改善烘热汗出、手足心热、健忘、精神涣散等症状与对照组比较无显著差异(P > 0.05)。结论：中医“形神共治”综合疗法是一种治疗心肾不交型围绝经期综合征的有效方法，在改善患者躯体症状、消除负面情绪、提高患者生活质量方面具有明显优势，值得临床推广。

Abstract: Objective: To observe the clinical effect of the “combined treatment of form and spirit” comprehensive scheme in the treatment of perimenopausal syndrome with cardiac renal disjunction. Methods: 80 patients with perimenopausal syndrome with cardiac renal disjunction were randomly divided into experimental group and control group, with 40 patients in each group. The observation group was treated with a comprehensive program of “Form and Spirit Therapy” by combining traditional Chinese herbal drugs with Ba Duan Jin and Emotional and Mental Treatment, while the control group was treated with traditional Chinese herbal drugs alone for 3 months. The changes in the TCM symptoms score, Kupperman score, MEN-QOL score, SAS score and SDS score of the patients in both groups were measured before and after the intervention. Results: The total effective rate of the treatment group was higher than that of the control group (P < 0.01). After treatment, the TCM syndrome score, improved Kupperman score, MENQOL score, SDS score and SAS score in the treatment group were significantly lower than those in the control group (P < 0.01). The treatment group can improve the symptoms of dreaminess (P < 0.05), insomnia, upset, dizziness, tinnitus, palpitation and backache (P < 0.01). Compared with the control group, there was no significant difference between the treatment group and the control group in improving symptoms such as sweating, hand and foot fever, forgetfulness and mental distraction (P > 0.05). Conclusion: TCM comprehensive therapy of “treating body and mind together” is an effective method to treat perimenopausal syndrome of heart-kidney disharmony, which has obvious advantages in improving patients’ physical symptoms, eliminating negative emotions and improving patients’ quality of life, and is worthy of clinical promotion.