摘要
目的观察补肾活血清肺法治疗多囊卵巢综合征高雄激素血症的疗效。方法选取2017年11月—2019年10月收治的92例多囊卵巢综合征(PCOS)合并高雄激素血症患者,随机分为观察组(46例)和对照组(46例),对照组给予达英-35治疗,观察组在此基础上加用补肾活血清肺法治疗。对2组治疗前后的性激素水平和卵巢体积进行统计分析。结果治疗前2组血清T、LH、FSH、SHBG水平差异无统计学意义(P>0.05);治疗后2组的T、LH、FSH水平显著降低(P<0.05),SHBG水平显著升高(P<0.05)。治疗后,观察组血清T、LH、FSH水平显著低于对照组(P<0.05),SHBG水平显著较高(P<0.05)。2组治疗前卵巢体积差异无统计学意义(P>0.05);治疗后观察组卵巢体积明显小于治疗前(P<0.05),治疗后2组卵巢体积均明显小于治疗前(P<0.05)。结论对于多囊卵巢综合征患者加用补肾活血清肺法中药比单用达英-35对高雄激素血症有更好的调整作用,而且能减轻西药的不良作用。
Objective To observe the effect of tonifying kidney and activating blood and clearing lung method on hyperandrogenemia of polycystic ovary syndrome(PCOS).Methods From November 2017 to October 2019,92 patients with PCOS complicated with hyperandrogenemia were randomly divided into observation group(n=46)and control group(n=46).Sex hormone levels and ovarian volume were statistically analyzed before and after treatment in both groups.Results There was no significant difference in serum T,LH,FSH and SHBG level between the two groups before treatment(P>0.05).The T,LH,FSH level of the two groups decreased significantly(P<0.05)and the SHBG level increased significantly(P<0.05).The serum T,LH and FSH level in the observation group was significantly lower than that in the control group(P<0.05),and the SHBG level was significantly higher(P<0.05).And there was no significant difference in ovarian volume between the two groups before treatment(P<0.05).The ovarian volume in the observation group was significantly smaller than that in the control group(P<0.05),and that in the two groups after treatment was significantly smaller than that in the control group(P<0.05).Conclusion For patients with PCOS,the tonifying kidney and activating blood and clearing lung method has a better adjustment effect on hyperandrogenemia than that of Daying-35 alone,and can alleviate the side effects of western medicine.
作者
张艳萍
赵芳
朱光丽
石占荣
吕玉珍
ZHANG Yanping;ZHAO Fang;ZHU Guangli;SHI Zhanrong;LYU Yuzhen(Reproductive Medicine Center,Jiaozuo Women and Children’s Hospital,Henan Province,Jiaozuo 454150,China)
出处
《光明中医》
2021年第20期3482-3484,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
补肾活血清肺法
多囊卵巢综合征
高雄激素血症
tonifying kidney and activating blood and clearing lung method
polycystic ovarian syndrome
hyperandrogenemia
