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目的：观察八段锦联合督脉熏蒸对围绝经期失眠患者睡眠质量改善的效果及负性情绪的影响。方法：选择株洲市妇幼保健院2023年12月~2024年8月期间收治的围绝经期失眠患者80例。采用随机数字表法将患者分为对照组（督脉熏蒸治疗）和研究组（八段锦联合督脉熏蒸治疗），各为40例。对比两组治疗前后临床疗效、睡眠质量[匹兹堡睡眠质量指数量表（PSQI）]、负性情绪[焦虑自评量表（SAS）、抑郁自评量表（SDS）]、临床症状（Kupperman评分）、生活质量改善情况[健康调查简表（SF-36）评分]和不良反应发生情况。结果：研究组的临床总有效率高于对照组（P<0.05）。治疗2周后、治疗4周后，研究组的PSQI、SAS、SDS、Kupperman评分低于对照组，SF-36评分高于对照组（P＜0.05）。两组均未见明显的不良反应。结论：八段锦联合督脉熏蒸治疗围绝经期失眠患者，可有效改善睡眠质量，减轻负性情绪，提高生活质量，且未见明显不良反应发生。

英文摘要:

Objective: To observe the effect of Ba Duan Jin combine with Du Mai fumigation on improving sleep quality and negative emotions in perimenopausal insomnia patients. Method: 80 perimenopausal insomnia patients who were admitted to Zhuzhou Maternal and Child Health Hospital from December 2023 to August 2024 were selected. Patients were randomly divided into control group (treated with Du Mai fumigation) and study group (treated with Ba Duan Jin combined with Du Mai fumigation) used random number table method, with 40 cases in each group. The clinical efficacy, sleep quality [Pittsburgh Sleep Quality Index (PSQI)], negative emotions [Self Rating Anxiety Scale (SAS), Self Rating Depression Scale (SDS)], clinical symptoms (Kupperman score), improvement in quality of life [Health Survey Brief (SF-36) Score], and incidence of adverse reactions between two groups were compared before and after treatment. Result: The clinical total efficiency rate in the study group was higher than that in the control group (P<0.05). 2 weeks and 4 weeks after treatment, PSQI, SAS, SDS and Kupperman scores in the study group were lower than those in the control group, and SF-36 score was higher than that in the control group (P<0.05). Neither group showed significant adverse reactions. Conclusion: Ba Duan Jin combine with Du Mai fumigation on improving sleep quality and negative emotions in perimenopausal insomnia patients, can effectively improve sleep quality, alleviate negative emotions, and enhance quality of life, without any significant adverse reactions.

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