【摘 要】 目的：观察加味逍遥散联合经颅磁刺激治疗围绝经期失眠的疗效。方法：选取46例围绝经期失眠患者，随机分成对照组和治疗组各23例。对照组口服地西泮片，治疗组予加味逍遥散配合经颅磁刺激治疗，治疗3周后比较两组PSQI评分、改良Kupperman积分，3个月后随访PSQI评分。结果：两组治疗后PSQI评分、改良Kupperman积分均明显较治疗前改善(P<0.05)，且治疗组优于对照组；随访3个月后治疗组PSQI评分较对照组显著降低(P<0.01)。结论：加味逍遥散结合经颅磁刺激治疗围绝经期失眠疗效显著，不易复发，值得临床推广应用。

    【关键词】 逍遥散；经颅磁刺激；围绝经期综合征；失眠

    【中图分类号】R271.11+6 【文献标志码】 A【文章编号】1007-8517(2018)04-0060-03

    Abstract：Objective To observe the clinical efficacy of combining The Modified Xiaoyaosan and the rTMS(repetitive Transcranial Magnetic Stimulation) in treating the perimenopausal insomnia. Methods 46 patients with the perimenopausal insomnia were randomly divided into control group and treatment group of 23 cases. The control group only received oral Diazepam treatment ......