Research Progress on Clinical Application and Mechanisms of Acupuncture and Moxibustion in Treating Perimenopausal Insomnia in the Past Five Years

失眠是围绝经期女性最常见病症，严重影响围绝经期女性的身心健康。本文对近5年国内外针灸治疗围绝经期失眠的临床研究及作用机制作一综述。总结了单纯针刺、针灸、针药结合等多种方法临床治疗本病取得的临床疗效、证型疗效及相关量表疗效的进展；归纳了针灸改善围绝经期失眠患者睡眠质量，延长睡眠时间，平缓焦虑、抑郁情绪等作用在调控内分泌激素、神经递质、细胞因子、血管舒缩等的作用机制；也指出当前本病研究存在的一些不足。Insomnia is the most common disease in perimenopausal women, which seriously affects their physical and mental health. This article reviews the clinical research and mechanism of acupuncture and moxibustion in the treatment of perimenopausal insomnia in recent 5 years. The progress of clinical curative effect, syndrome type curative effect and related scale curative effect obtained by acupuncture alone, acupuncture, combination of acupuncture and medicine were summarized. The mechanism of acupuncture and moxibustion in the regulation of endocrine hormones, neurotransmitters, cytokines and vasomotor in perimenopausal insomnia patients was summarized. It also points out some deficiencies in the current research of this disease.