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更年期神經(jīng)官能癥的治療與一般神經(jīng)官能癥處理原則相同,但應(yīng)注意糾正內(nèi)分泌失調(diào)。<br />(1)鎮(zhèn)靜劑、催眠劑及抗焦慮藥物治療:一般選擇應(yīng)用利眠寧10mg、安定2.5mg、安寧0.2g、安他樂(lè)25mg等藥物的其中一種，均每日3次口服。對(duì)伴有焦慮和過(guò)度緊張者,要延長(zhǎng)用藥時(shí)間,一般以半個(gè)月為1療程。為防止依賴(lài)或成癮,上述藥物可交替輪換服用。<br /> (2)內(nèi)分泌治療:一般多選用乙烯雌酚0.25～0.5mg,每晚口服1次,連服20～22天,停藥8～10天后,可再重復(fù)使用。有主張用甲基睪丸素治療,5mg,舌下含化,每日1～2次。也可將以上兩種藥物聯(lián)合應(yīng)用,則更能發(fā)揮互補(bǔ)效果。<br /> (3)中藥治療:運(yùn)用中藥治療本病要按證型的不同辨證施治。<br />①心腎陰虛:癥見(jiàn)心悸、虛煩、不寐、驚恐、健忘、盜汗、五心煩熱、腰酸腿軟、口干。舌紅少苔、脈細(xì)數(shù)。治宜滋陰安神,交通心腎。方用天王補(bǔ)心丹合六味地黃丸加減。生地30g,麥冬、丹參、柏子仁、炒棗仁、當(dāng)歸各15g,黨參、遠(yuǎn)志、茯苓、山萸肉各10g,丹皮、五味子各6g。水煎服,每日1劑。<br />②肝陽(yáng)上亢:癥見(jiàn)頭暈、頭痛、耳鳴、健忘、心悸、易怒、失眠、腰背酸痛、肢麻、震顫、目澀、咽干。舌紅少苔,脈弦數(shù)或細(xì)數(shù)。治宜滋陰清熱,平肝潛陽(yáng)。方用杞菊地黃湯加減。生地、熟地、炒酸棗仁、柏子仁各15g,山萸肉、枸杞、菊花、沙參、麥冬各10g,丹皮12g。水煎服,每日1劑。<br />③氣郁痰結(jié):癥見(jiàn)精神抑郁,情緒不寧,胸肋脹痛,脘悶噯氣,神疲食少,苔薄白膩,脈象弦滑。治宜理氣化痰,解郁降逆。方用逍遙散加減。柴胡、當(dāng)歸、白芍、遠(yuǎn)志、半夏各10g,生牡蠣、炒棗仁、珍珠母、生龍骨各30g,枳殼、茯苓、白術(shù)各12g。水煎服,每日1劑。<br />另外,有些簡(jiǎn)易的單方、驗(yàn)方,對(duì)本病也有一定療效,如吃朱砂蒸豬心、合歡花代茶飲、酸棗樹(shù)根煮湯喝等均可斟酌選用
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<td width="787"><li>上一篇文章： <a class='LinkPrevArticle' href='/Article/756.html' title='文章標(biāo)題：更年期類(lèi)偏執(zhí)狀態(tài)的治療
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更新時(shí)間：2008-6-18 20:02:35'>更年期類(lèi)偏執(zhí)狀態(tài)的治療</a></li><br>
<li>下一篇文章： <a class='LinkNextArticle' href='/Article/758.html' title='文章標(biāo)題：蜂膠與婦女更年期障礙
作 者：admin
更新時(shí)間：2008-6-18 20:02:43'>蜂膠與婦女更年期障礙</a></li></td>
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<p> 上海市婦女康復(fù)專(zhuān)業(yè)委員會(huì)委員，農(nóng)工民主黨黨員，曾先后擔(dān)任浙醫(yī)大婦幼保健院婦產(chǎn)科醫(yī)師、湖州市中心醫(yī)院婦產(chǎn)科主任、湖州市第二屆計(jì)劃生育協(xié)會(huì)副會(huì)長(zhǎng)，現(xiàn)任湖州陽(yáng)光女子醫(yī)院名譽(yù)院長(zhǎng)、婦科主任。</p></td>
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