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温肾化痰祛瘀汤联合常规西药治疗多囊卵巢综合征

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目的 探析温肾化痰祛瘀汤联合常规西药治疗对多囊卵巢综合征(PCOS)患者激素水平及胰岛素抵抗水平的影响.方法 选取 124 例多囊卵巢综合征患者,采用随机信封法分为对照组与研究组,各 62 例.对照组行常规西药达英-35 联合二甲双胍治疗,研究组在对照组基础上服用温肾化痰祛瘀汤治疗,2 组均治疗 3 个月经周期.比较 2 组治疗前后中医证候积分、性激素水平、胰岛指标变化情况,比较2 组临床疗效结果与不良反应发生情况.结果 研究组治疗总有效率(96.77%,60/62)高于对照组(85.48%,53/62)(P<0.05);治疗后,2 组中医证候积分、黄体生成素(LH)、促睾酮(TT)、游离睾酮(FT)等激素水平以及空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)水平均降低(P<0.05),且研究组均低于对照组(P<0.05),促卵泡激素(FSH)、雌二醇(E2)水平升高,且研究组均高于对照组(P<0.05);2 组用药不良反应发生率比较,差异无统计学意义(P>0.05).结论 温肾化痰祛瘀汤联合常规西药治疗多囊卵巢综合征疗效显著,可以减轻症状,改善患者的激素和胰岛素抵抗水平,安全性高.
Therapeutic effect of Wenshen Huatan Quyu decoction combined with conventional Western medicine on polycystic ovary syndrome
Objective To explore and analyze the effect of Wenshen Huatan Quyu decoction combined with conventional Western medicine treatment on levels of hormones and insulin resistance in patients with polycystic ovarian syndrome(PCOS).Methods A total of 124 patients with PCOS were selected and divided into the control group and the study group according to random envelope method,with 62 cases in each group.The control group was treated with conventional Western medicine Diane-35+metformin,while the study group was treated with Wenshen Huatan Quyu decoction on the basis of the treatment of the control group.The treatment lasted for 3 menstrual cycles.Traditional Chinese medicine(TCM)syndrome scores,sex hormone levels,and islet indicator levels were compared between two groups.The therapeutic efficacy and the incidence of adverse reactions were compared between two groups.Results The total effective rate in the study group(96.77%,60/62)was higher than that in the control group(85.48%,53/62)(P<0.05).After treatment,the scores of TCM syndromes,and levels of luteinizing hormone(LH),testosterone(TT),free testosterone(FT),fasting blood glucose(FBG),fasting insulin(FINS),and homeostasis model assessment of insulin resistance(HOMA-IR)in two groups were decreased,and the study group was lower than the control group(P<0.05);The levels of follicle stimulating hormone(FSH)and estradiol(E2)were increased,and the study group was higher than the control group(P<0.05);There was no statistically significant difference in the incidence of adverse drug reactions between two groups(P>0.05).Conclusion Wenshen Huatan Quyu decoction combined with conventional Western medicine has significant clinical efficacy in the treatment of PCOS,can alleviate symptoms,improve hormone levels and insulin resistance levels of patients,and has high safety.

Wenshen Huatan Quyu decoctionpolycystic ovarian syndromehormone levelinsulin resistance

朱秀娟、郝秀芳、赵秀萍

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北京中医药大学第三附属医院妇科,北京 100011

温肾化痰祛瘀汤 多囊卵巢综合征 激素水平 胰岛素抵抗

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(12)