应用多学科合作诊疗系统治疗女性更年期心身障碍的临床探索
1. 德保县妇幼保健院, 妇产科心身调适门诊, 广西百色 533700
2. 肇东市妇幼保健计划生育服务中心, 妇产科心身调适门诊, 黑龙江绥化 151199
3. 天津市滨海新区妇幼保健计划生育服务中心大港分中心, 心身调适门诊, 天津 300270
4. 更年期心身调适门诊总课题组, 北京 100160
| 摘 要： | 目的：验证生理调控、心理调节、音乐调理（PPM）多学科合作模式的临床诊疗系统，在女性更年期心身障碍（MPSD）中的临床效果。方法：选取2025年5月至11月，在德保县妇幼保健院和肇东市妇幼保健计划生育服务中心妇产科心身调适门诊招募的30例MPSD患者为研究对象。采用单臂临床试验法，应用PPM对患者以一项或多项同时发生的入睡困难、易醒、头晕、胸闷、便秘、尿频、潮热7项主诉躯体功能障碍症状进行治疗，经门诊治疗3周及患者10周家庭调理后对上述7项症状疗效进行观察。结论： 应用PPM多学科合作模式的临床诊疗系统，治疗MPSD患者常见的躯体功能障碍症状疗效显著，且无吃药、给药和介入风险，在安全管理上具有显著优势。 |
| 关 键 词： | 更年期综合症; MPS; 围绝经期综合症、心理生理性障碍; 躯体型障碍 |
| DOI： | 10.57237/j.mrf.2026.02.001 |
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收稿日期: 2026-05-07
接受日期: 2026-05-27
在线出版日期: 2026-05-30
Clinical Exploration of the Application of Multidisciplinary Collaborative Diagnosis and Treatment System in Treating Menopausal Psychosomatic Disorders in Women
1. Psychosomatic Clinic, Department of Obstetrics and Gynecology, Debao County Maternal and Child Health Hospital, Baise 533700, China
2. Psychosomatic Clinic, Department of Obstetrics and Gynecology, Zhaodong Maternal and Child Health and Family Planning Service Center, Suihua 151199, China
3. Psychosomatic Clinic, Dagang Branch of Tianjin Binhai New Area Maternal and Child Health and Family Planning Service Center, Tianjin 300270, China
4. General Research Group of Menopausal Psychosomatic Adjustment Clinic, Beijing 100160, China
| Abstract: | Objective: To validate the clinical efficacy of the multidisciplinary collaborative diagnosis and treatment system based on the Physiological Regulation, Psychological Adjustment, and Music Conditioning (PPM) model in treating menopausal psychosomatic disorders (MPSD) in women. Methods: Thirty patients with MPSD enrolled in Psychosomatic Clinics of Debao County Maternal and Child Health Hospital and the Department of Obstetrics and Gynecology of Zhaodong Maternal and Child Health and Family Planning Service Center between May and November 2025 were selected as study subjects. A single-arm clinical trial was conducted, in which the PPM model was adopted to treat patients with one or more of the seven complaints of somatic dysfunction symptoms: difficulty falling asleep, easy awakening, dizziness, chest tightness, constipation, frequent urination, and hot flashes. Furthermore, the efficacy of the treatment for the above seven symptoms was observed after 3 weeks of outpatient treatment and 10 weeks of home-based conditioning. Conclusion: The application of the PPM model-based multidisciplinary collaborative clinical diagnosis and treatment system exhibits remarkable efficacy in treating common somatic dysfunction symptoms in patients with MPSA, and no risks of medication, drug administration, or invasive intervention are observed, thereby demonstrating significant advantages in safety management. |
| Keywords: | Menopausal Syndrome; MPS; Perimenopausal Syndrome; Psychophysiological Disorders; Somatoform Disorders |
参考文献
| [1] | 《围绝经期综合征 (更年期综合征) 重点人群治未病干预指南》编写组, 中国医学科学院北京协和医院. 围绝经期综合征 (更年期综合征) 重点人群治未病干预指南 [N]. 北京中医药大学学报, 2023, 46(08): 1048-1062. |
| [2] | 中国医师协会中西结合医师分会内分泌与代谢病专业委员会, 北京中西医结合学会内分泌专业委员会, 北京中医糖尿病防治办公室, 等. 更年期综合症 (围绝经期综合症) 病证结合诊疗指南 [J]. 世界中医药, 2025, 20(10): 1633-1643. |
| [3] | 中国中西医结合学会妇产科专业委员会. 更年期综合症中西医结合诊治指南 (2023版) [J]. 中国实用妇科与产科杂志, 2023, 39(8): 799-808. |
| [4] | 秦峰, 郑军, 李丽娟, 等. 孕产期心身障碍临床诊疗路径 (2020修订版) [J/CD]. 中华妇幼临床医学杂志 (电子版), 2020, 16(5): 535-542. |
| [5] | 朱德琴, 谭细凤. 围绝经期综合征患者更年期症状评分与心理情绪状况的相关性和干预策略分析 [J]. 中国妇幼保健, 2021, 36(16): 3851-3854. |
| [6] | 郑洁, 贾碎林, 方春霞, 等. 更年期女性情绪障碍心理社会因素调查及两者相关性研究 [J]. 中国妇幼保健, 2021, 36(17): 3905-3908. |
| [7] | 李阳美, 李光亚, 陈怡帆, 等. 基于"一日门诊"的持续性管理模式对改善更年期综合征的可行性研究 [J]. 中华预防医学杂志, 2021, 55(8): 1006-1010. |
| [8] | Uehara M, Wada-Hiraike O, Hirano M, et al. Relationship between bone mineral density and ovarian function and thyroid function in perimenopausal women with endometriosis: a prospective study [J]. BMC Womens Health, 2022, 22(1): 134. |
| [9] | GARCÍA-SÁNCHEZJ, MAFLA-ESPAÑAMA, TEJEDOR-CABRERAC, et al. Plasma aromatase activity index, gonadotropins and estrone are associated with frailty syndrome in post-menopausal women with breast cancer [J]. Curr Oncol, 2022, 29(3): 1744-1760. |
| [10] | 邱思凡, 陈子萌, 罗春梅, 等. 中国围绝经期女性抑郁症现状及其影响因素研究 [J]. 现代医学, 2026, 54(1): 125-132. |
| [11] | SCHMIDTPJ, HAQN, RUBINOWDR. A longitudinal evaluation of the relationship between reproductive status and mood in perimenopausal women [J]. Am J Psychiatry, 2004, 161(12): 2238-2244. |
| [12] | 谷婷, 王瑞辉, 吴涛, 等. 针刺十三鬼穴联合开心散治疗围绝经期轻度抑郁症疗效观察 [J]. 中国针灸, 2020, 40(3): 267-271. |
| [13] | SOARESCN. Tailoring strategies for the management of depression in midlife years [J]. Menopause [J]. Menopause, 2017, 24(6): 699-701. |
| [14] | 潘锋. 医疗干预可有效缓解更年期综合征症状 [J]. 妇儿健康导刊. 2025, 4(19): 1-4. |
| [15] | GIBBSZ, LEES, KULKARNIJ. Factors associated with depression during the perimenopausal transition [J]. Women's Health Issues, 2013, 23(5): e301-e307. |
| [16] | 黄华丹, 黎中用, 郭静, 等. 更年期综合症患者实施心理干预疗法的临床效果 [J]. 中国当代医药, 2024, 31(23): 84-87. |
| [17] | 秦峰, 肖利军, 李丽娟, 等. 应用多学科合作诊疗系统治疗孕妇常见躯体功能障碍症状临床研究 [J/CD]. 中华妇幼临床医学杂志 (电子版), 2018, 14(1): 45-51. |
| [18] | 胡祥蓉. 健康教育联合心理护理对更年期综合症患者心理状态、睡眠质量及生活质量的影响 [J]. 妇幼护理, 2025, 31(24): 166-168. |
