摘要
多囊卵巢综合征(Polycystic ovarian syndrome,PCOS)是一类妇科常见内分泌疾病,以雄激素过高的生化或临床征象、持续的无排卵状态、卵巢呈多囊样改变为特点,常伴有胰岛素抵抗和肥胖。体内性激素改变特征为血清促黄体素升高,雄激素升高,雌一醇/雌二醇比值>1。临床上治疗多囊卵巢的方案较多,西医药物治疗主要包括降低血清雄激素水平、调整月经周期、有生育要求患者则需促进排卵,以及近几年来倡导的改善胰岛素抵抗及改善伴有肥胖的患者体内的慢性炎症状态。中医虽无多囊卵巢综合征病名,但根据望闻问切及临床症状运用中医辨证施治的方法对本病进行治疗也有一定临床疗效。本文从临床理论、实践出发,加以归纳总结,对PCOS的治疗进行较全面的阐述。
Polycystic ovarian syndrome（PCOS） is a common endocrine disease of gynecology. It is characterized by biochemical or clinical signs of excessive androgen, persistent anovulation, and polycystic changes in the ovary, often accompanied by insulin resistance and obesity. Changes in sex hormones in the body are characterized by elevated serum luteinizing hormone, elevated androgen levels, and an estradiol/estradiol ratio of 〉1. There are many programs for the treatment of polycystic ovary in clinical practice. The Western medicine treatment mainly includes the reduction of serum androgen levels, adjustment of the menstrual cycle, the need for ovulation in patients with fertility requirements, and the improvement of insulin resistance and chronic inflammation status of patients with obesity advocated in recent years. Although there is no name for polycystic ovary syndrome in Chinese medicine, there are also certain clinical effects in the treatment of this disease using the methods of TCM syndrome differentiation treatment based on the look, listen, question and feel the pulse and clinical symptoms. This article starts with the clinical theory and practice, and summarizes the treatment of PCOS.
作者
单丽华
叶利群
SHAN Lihua;YE Liqun(Department of Gynecology,Ningbo Traditional Chinese Medicine Hospital,Ningbo 315020,China)
出处
《中国现代医生》
2018年第31期150-153,159,共5页
China Modern Doctor
基金
浙江省中医药科技计划项目(2016ZB112)
浙江省宁波市中医重点学科中西医结合妇科学(2016-Z03)
关键词
多囊卵巢综合征
临床
治疗
进展
Polycystic ovary syndrome
Clinical
Treatment
Progress
