ความก้าวหน้าด้านงานวิจัยทางคลินิกในการรักษาอาการนอนไม่หลับในสตรีวัยใกล้หมดประจำเดือนด้วยการฝังเข็ม

Main Article Content

ฐิตินันต์ ศรีเดช
เป้า ชุนหลิง

บทคัดย่อ

อาการนอนไม่หลับเป็นอาการที่พบได้บ่อยในสตรีวัยใกล้หมดประจำเดือน ช่วงอายุระหว่าง 45-55 ปี ซึ่งหากมีอาการนอนไม่หลับเป็นระยะเวลานานอาจส่งผลกระทบต่อสภาพจิตใจ การทำงานและคุณภาพชีวิต โดยบทความนี้เป็นการวิเคราะห์ความเข้าใจเกี่ยวกับสาเหตุ กลไกการเกิดโรค และแนวทางการรักษาตามศาสตร์แพทย์แผนปัจจุบันและแพทย์แผนจีน รวมทั้งรวบรวมบทความที่รายงานเกี่ยวกับความก้าวหน้าด้านงานวิจัยทางคลินิกในการรักษาอาการนอนไม่หลับในสตรีวัยใกล้หมดประจำเดือนด้วยการฝังเข็มช่วง 10 ปีที่ผ่านมา โดยศึกษาจากฐานข้อมูล PubMed และ CNKI เพื่อนำมาเป็นแนวทางในการพัฒนาและปรับปรุงวิธีการรักษาเพื่อให้มีประสิทธิภาพดียิ่งขึ้น

Article Details

บท
บทปริทัศน์

References

Zhang YZ. Gynecology of traditional Chinese medicine. 2nd ed. Beijing: China Press of Traditional Chinese Medicine; 2006. (in Chinese)

Li XY, Wang TR, Tian XH. Analysis of perimenopausal syndrome and recognition of menopausal hormone therapy in some perimenopausal women in the post-mountain areas in Haidian, Beijing. Shanxi Med J. 2019;48(12):1404-6. (in Chinese)

Madrid-Valero JJ, Martínez-Selva JM, Ribeiro do Couto B, Sánchez-Romera JF, Ordoñana JR. Age and gender effects on the prevalence of poor sleep quality in the adult population. GAC Sanit. 2017;31(1):18-22.

Tang RY, Luo M, Li JY, Peng YJ, Wang YC, Liu B, et al. Symptoms of anxiety and depression among Chinese women transitioning through menopause: findings from a prospective community-based cohort study. Fertil Steril. 2019;112(6):1160-71.

Luo M, Li JY, Tang RY, Li HJ, Liu B, Peng Y, et al. Insomnia symptoms in relation to menopause among middle-aged Chinese women: findings from a longitudinal cohort study. Maturitas. 2020;141:1-8.

Zhang Y, Huang JS, Wu SY, Yu AC, Huang ZH, Zhao HH, et al. Sleep quality and related influencing factors among the patients with perimenopausal syndrome in Fujian. Chinese Journal of Gerontology. 2014;34(13):3714-8. (in Chinese)

Li D, Fang YH. Analysis of sex hormone levels and their correlation with sleep quality in perimenopausal women. Internal Medicine. 2016;11(6):871-2. (in Chinese)

Xu PP, Qiao HX, Geng JW. Progress in the treatment of menopausal insomnia with traditional Chinese medicine and Western medicine. Cardiovascular Disease Journal of Integrated Traditional Chinese and Western Medicine. 2019;7(1):48-9. (in Chinese)

Lu YJ, Yang WY, Yu XG, Li YD. Research progress of traditional Chinese and Western medicine on climacteric insomnia. Chinese Community Doctors. 2021;37(19):6-7. (in Chinese)

Gao TT. Expression of serum sex hormone and serotonin in patients with menopausal depression and its clinical value. Chinese Medical Journal of Metallurgical Industry. 2017;34(6):630-1. (in Chinese)

Ren XY, Xie W, Dong HQ, Tao CN, Yang WF. Research progress of perimenopause period insomnia treatment. World Journal of Sleep Medicine. 2019;6(5):691-2. (in Chinese)

Li HQ, Chen X. Climacteric syndrome and neurotransmitters (5-HT) correlation of clinical research. Chinese Archives of Traditional Chinese Medicine. 2011;29(2):375-7. (in Chinese)

Slopien R, Meczekalski B, Warenik-Szymankiewicz A. Relationship between climacteric symptoms and serum serotonin levels in postmenopausal women. Climacteric. 2003;6(1):53-7.

Chen ZF. An fMRI study of acupuncture improve vasomotorial symptoms at perime nopausal syndrome for the central response characteristics [dissertation]. Chengdu: Chengdu University of Traditional Chinese Medicine; 2016. (in Chinese)

Cray L, Woods NF, Mitchell ES. Symptom clusters during the late menopausal transition stage: observations from the Seattle Midlife Women's Health study. Menopause. 2010;17(5):972-7.

Sun D, Shao H, Li C, Tao M. An analysis of the main reasons that perimenopausal and postmenopausal women in China have for seeking outpatient treatment and factors influencing their symptoms: a single-center survey. Clin Exp Obstet Gynecol. 2015;42(2):146-51.

Pan SX. Clinical effect of abdominal acupuncture on menopausal insomnia [dissertation]. Taiyuan: Shanxi University of Traditional Chinese Medicine; 2020. (in Chinese)

Ruan XY, Zhang LY, Gu MQ. Menopausal hormone therapy risk assessment for breast caner. Chinese Journal of Practical Gynecology and Obstetrics. 2020;36(3):212-7. (in Chinese)

Zeng Y, Li QR, Wang HL, Yan SY. Trends in prescribing of sedative-hypnotic drugs in elderly patients with insomnia in nine cities of China from 2016 to 2020. Chin J Pharmacoepidemiol. 2022;31(5):321-7. (in Chinese)

Han XQ, Li HH. Advance in non-drug therapy of insomnia (review). Chinese Journal of Pharmacoepidemiology. 2013;19(6):541-3. (in Chinese)

Trahan T, Durrant SJ, Mullensiefen D, Williamson VJ. The music that helps people sleep and the reasons they believe it works: a mixed methods analysis of online survey reports. PLoS One. 2018;13(11):e0206531.

Loewy J. Music therapy as a potential intervention for sleep improvement. Nat Sci Sleep. 2020;7(12):1-9.

Tan Y. Gynecology of traditional Chinese medicine. Beijing: People's Health Publishing House; 2007. (in Chinese)

Ma K, Liu F, Zhou SQ, Zhou CJ, Liu ZY. TCM master LIU Zu-yi’s experience in treating peri-menopausal insomnia with invigorating the kidney, dispersing stagnated liver Qi, and tranquillization method. China Journal of Traditional Chinese Medicine and Pharmacy. 2020;35(3):1242-4. (in Chinese)

Wen LD, Ma JW. Thinking of TCM differentiation and treatment for insomnia during menopause. Beijing Journal of Traditional Chinese Medicine. 2018;37(5):423-6. (in Chinese)

Zhu YM, Lu SM, Ren RB, Wang L. TCM master Lu Shao Min’s experience in treating perimenopausal insomnia with heart-kidney imbalance. Guangming Journal of Chinese Medicine. 2023;38(19):3737-9. (in Chinese)

Yang WS, Zhang PH, Ni SF, Cao DY. Cao Dongyi’s experience in treating perimenopausal insomnia from correlation of five zang-organs. China’s Naturopathy. 2023;31(8):41-4. (in Chinese)

Zhang XP. Efficacy of acupuncture on women with menopausal insomnia. Clinical Journal of Chinese Medicine. 2019;11(19):39-40. (in Chinese)

Li SS. A randomized controlled study of acupuncture with Tiao Du An Shen method in the treatment of perimenopausal insomnia [dissertation]. Shanghai: Shanghai University of Traditional Chinese Medicine; 2020. (in Chinese)

Shi W. A randomized controlled trial of electro-acupuncture for treating perimenopausal sleep disorders. Chengdu: Chengdu University of Traditional Chinese Medicine; 2017. (in Chinese)

Xu H. Clinical observation on the treatment of perimenopausal insomnia by salt-separated moxibustion of Wuzangshu and routine acupuncture [dissertation]. Harbin: Heilongjiang University of Traditional Chinese Medicine; 2023. (in Chinese)

Zhang WR, Guo H, Tan SH, Min Y, Yang C. Moxibustion therapy is superior to manual acupuncture in the treatment of perimenopausal insomnia: a randomized controlled trial. Acupuncture Research. 2019;44(5):358-62. (in Chinese)

Lu HQ, Li S, Hu J. Analysis on the effect of acupuncture combined with auricular acupuncture in treatment of menopausal insomnia of imbalance between heart-Yang and kidney-Yin. Maternal and Child Health Care of China. 2020;35(10):1865-9. (in Chinese)

Meng F, Gong WJ, Liao YX, Xu HW, Wang X. Effect of auricular intradermal needling combined with erjian (HX6, 7i) bloodletting on sleep quality and neuroendocrine level in patients with perimenopausal insomnia. Chinese Acupuncture & Moxibustion. 2018;38(6):575-9. (in Chinese)

Pan SX, Niu QQ. Thirty-five cases with perimenopausal insomnia treated by abdominal acupuncture and acupuncture. China’s Naturopathy. 2020;28(7):36-7. (in Chinese)

Mao LL. Clinical study on navel acupuncture therapy for insomnia in perimenopausal period [dissertation]. Hangzhou: Zhejiang University of Traditional Chinese Medicine; 2020. (in Chinese)

Li XH, Xie PH, Ou WL. Effect of acupuncture and moxibustion combined with Bushen Ningxin decoction on female climacteric insomnia. China Health Standard Management. 2023;14(17):140-3. (in Chinese)

Ping HQ. Clinical study on the treatment of menopausal insomnia with modified Guizhi Gancao Longgu Muli decoction combined with acupuncture. Harbin Medical Journal. 2022;42(5):131-2.(in Chinese)