舌针结合体针治疗围绝经期失眠及对血清E2、FSH、LH水平的影响

目的]观察舌针结合体针对围绝经期失眠患者症状及血清雌二醇(E2)、促卵泡生成素(FSH)、促黄体生成素(LH)水平的影响。方法]选取25例围绝经期失眠患者采用舌针结合体针治疗,操作时先取体针针刺穴位:百会、太阳、印堂、神门、内关等常规针刺,留针30 min,每隔10 min行针1次,然后取舌针穴位:心穴、肝穴、肾穴等,进针0.5～1 mm,进针后进行小幅度(90°)捻转3次,快速出针,不留针,尽量避免出血。针刺疗程为每日1次,5 d为1个疗程,共4个疗程。观察治疗前后患者匹兹堡睡眠质量指数(PSQI)各项因子成分评分及总评分、Kupperman总评分、血清E2、FSH、LH水平的变化情况。结果]治疗后患者PSQI各项因子成分评分及总评分、Kupperman总评分、血清FSH、LH水平均低于治疗前(P0.05),血清E2水平较治疗前升高(P0.05),总有效率为92%(23/25)。结论]舌针结合体针针刺治疗能明显改善围绝经期失眠患者的入睡困难、睡眠质量、日间功能、围绝经期症状,同时能使血清FSH、LH水平下降,血清E2水平升高。

Effect of tongue acupuncture combined with body acupuncture on perimenopausal insomnia and serum E2,FSH and LH levels

Objective] To observe the effect of tongue acupuncture combined with body acupuncture on the symptoms of perimenopausal insomnia and the levels of serum estradiol(E₂),follicle stimulating hormone(FSH) and luteinizing hormone (LH).Methods] The 25cases of perimenopausal insomnia were treated with tongue acupuncture combined with body acupuncture. During the operation,body acupuncture points were taken first,such as Baihui,Taiyang,Yintang,Shenmen,Neiguan and other conventional acupuncture points,needle for 30 min,to analogue for once 10 min. Then tongue acupuncture points were taken,such as Heart point,Liver point,Kidney point,etc. The needles were inserted for 0.5~1 mm,and then the needles were twirled for 3 times in a small range (<90°),and the needles were out quickly without leaving the needle,not bleeding. Once a day,5 days as a course of treatment,one course after the rest of two days,a total of 4 courses of treatment. The changes of PSQI,Kupperman,E₂,FSH and LH were observed before and after treatment.Results] After treatment,the scores of PSQI,Kupperman,FSH and LH in serum were lower than those before treatment (P<0.05),the E₂ level was higher than that before treatment(P<0.05),and the total effective rate was 92%(23/25).Conclusion] The treatment of tongue acupuncture combined with body acupuncture can significantly improve the sleep difficulty,sleep quality,daytime function and symptoms of perimenopausal insomnia patients,and at the same time,it can reduce the serum FSH,LH levels and raise the E₂ levels.