| Menopausal syndrome refers to appear before and after menopause hormones fluctuations or decrease caused by a series of physical and mental symptoms,also known as"menopause syndrome","perimenopausal syndrome(PMS)".After the 1960 s,the traditional Chinese medicine teaching materials will be this kind of disease of department of gynaecology named "all CARDS before and after the broken" or "before and after the menopause syndrome":refers to the women in the before and after menopause,menstrual disorders,baking hot sweat,irritability,insomnia,forgetfulness,dizziness,tinnitus palpitations,back ache,hand,foot and hot heart,floating face limb swelling,mental tired,or frequency incontinence symptoms associated with menopause.These symptoms effect to the whole body,can indirectly cause sleep disorders that a systemic symptom,and the extent of the sleep disorders and may,in turn,enhance other symptoms,form a vicious circle,increased menopausal women.Now it’s not clear the mechanism of sleep disorder,little research on menopausal sleep disorder,lack of moderm medicine is safe and effective treatment lasting,and sleeping pills and antidepressants on liver and kidney function damage is very big,not for the majority of the people to accept.kun Ma researcher through many years of clinical observation points out that "the kidney and blood stasis,heart kidney not pay" is the main etiology and pathogenesis of menopausal insomnia Traditional Chinese medicine therapy,such as TCM decoction,acupuncture and moxibustion,combined with the patient’s own situation and various forms,often can achieve the unexpected effect,and the majority of patients are easily convinced.RESEARCH PURPOSES:this study by observing the kidney invigorate the circulation of nerves with acupuncture therapy to treat menopausal sleep sleep disturbances on the typical symptoms of menopause,PSQI index,the influence of TCM symptoms,the effectiveness of the method of kidney invigorate the circulation of menopause sleep disorders,and discusses the effective mechanism for the intervention of the disease of kidney and activating blood method.METHODS:The patients were assigned to the Chinese medicine group and the acupuncture group according to the patients’ wishes.Patients into groups before the blood routine,urine routine,biochemical and blood FSH,LH,E2,coagulation of four,and fill out the PSQI scale of sleep,improved kupperman sleep scale,from the traditional Chinese medicine symptom scale,respectively,from the date of the two groups are to see a doctor to kidney invigorate the circulation of the traditional Chinese medicine and acupuncture treatment.The completion of the scale was completed in January,February and montli,and the treatment was repeated after 3 months of treatment.Finally,the safety and therapeutic effects of the two groups were observed and the effects of FSH,LH,E2 and coagulation were observed.RESEACH RESULTS:1.The treatment group and control group can ease the sleep disorders and improve TCM symptoms of menopause syndrome,improve Kupperman,group comparison between traditional Chinese medicine and acupuncture group ha-ve no obvious difference(P<0.01).PSQI sleep effect index:the treatment group,control group total effective rate were 62.5%,62.5%,markedly effective rate was 22%and 15%respectively,compared between groups in treatment group is better than that of control group(P<0.01),markedly effective rate of traditional Chinese medicine group than the treatment group(P<0.05);Syndromes curative effect:the treatment group and control group total effective rate was 100%,markedly effective rate was 0%and 5%respectively,the comparison between group total effective rate has no obvious difference(P>0.05),markedly effective rate of acupuncture is superior to the traditional Chinese medicine group(P<0.01);Improved Kupperman symptoms integral:the treatment group,control group total effective rate were 56.25%,56.25%,markedly effective rate was 0%,comparison between groups in treatment group is better than that of control group(P>0.05),markedly effective rate are not ideal.2.The treatment group could not significantly reduce the serum FSH level(P>0.05),but there was no significant difference in the control group(P>0.05).Neither group significantly reduced the serum LH level(P>0.05),and there was no significant difference between the two groups(P>0.05).Neither group significantly increased serum E2 level(P>0.05),and there was no significant difference between the two groups(P>0.05).3.The treatment could significantly extend PT level(P<0.05),the control group could not significantly extend PT level,and the treatment group was better than the control group(P<0.05).The APTT level(P>0.05)was not significantly altered in the treatment group and the control group,and there was no significant difference between the groups(P>0.05).The TT level was not significantly altered in the treatment group,the TT level was significantly prolonged in the control group(P<0.05),and the control group was better than the treatment group(P>0.05).Both the treatment group and the control group could not significantly change the Fib level(P>0.05),and there was no significant difference between the groups(P>0.05).4.Before and after treatment,the treatment group and the control group underwent safety examination,and the two groups of patients had no obvious abnormalities.CONCLISION:1.Invigorating the kidney and invigorating the blood anshen and acupuncture can significantly reduce the symptoms of menopausal symptoms,improve menopausal symptoms and improve TCM syndromes.2.No significant reduction in serum FSH,LH level,and serum E2 levels in patients with invigorating kidney and invigorating blood and acupuncture were not significant,and other effective mechanisms should be explored.3.To prolong the PT time and prolong the exogenous coagulation time;The acupuncture group could extend the TT time and the total coagulation time was prolonged.Both the traditional Chinese medicine group and the acupuncture group can improve the blood clotting time and the function of activating blood. |
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