Objective  To analyze the research status, hotspots and development trends of insomnia in perimenopausal women both at home and abroad based on bibliometrics, and to provide references for further research.

Methods  CNKI and Web of Science Core Collection database were retrieved for the literature related to insomnia in perimenopausal women from the establishment of the databases to December 2024. VOSviewer 1.6.20 and R 4.4.2 softwares were used to visually analyze the publication volume, authors, journals and keywords.

Results  A total of  1 681 Chinese articles and 422 English articles were included. The volumes of publications in the field of insomnia in perimenopausal women showed increasing trends both domestically and internationally. Although foreign research started earlier, domestic research had more publications, and collaborations between domestic and foreign authors were insufficient. Maternal and Child Health Care of China (59 articles) and Menopause-the Journal of The North American Menopause Society (67 articles) were the Chinese and English journals which published the most articles, respectively. Chinese research focused on traditional Chinese medicine treatment, while English research is more inclined to adopt the multidisciplinary comprehensive treatment method with gynecology as the core to implement individualized and precise treatment regimens.

Conclusion  In recent years, the research on insomnia in perimenopausal women has continued to rise. The future research may focus on integrated traditional Chinese and Western medicine therapy and evidence-based high-quality research. In China, it is necessary to promote the development of multi-field and interdisciplinary collaboration, improve research quality, learn from international diagnosis and treatment experience, and improve the sleep quality of perimenopausal  women.

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