首页|加用健脾益肾化浊方治疗多囊卵巢综合征的疗效及对血清性激素水平的影响

加用健脾益肾化浊方治疗多囊卵巢综合征的疗效及对血清性激素水平的影响

扫码查看
目的:探究加用健脾益肾化浊方治疗多囊卵巢综合征(PCOS)的疗效及对血清性激素水平的影响。方法:选取110例脾肾阳虚型PCOS患者作为研究对象,采用随机数字表法分为两组,每组55例。对照组采用常规基础治疗,试验组在对照组基础上采用健脾益肾化浊方治疗,两组疗程均为6个月。比较两组疗效、中医证候积分、血清性激素水平、卵巢体积及排卵情况。结果:试验组治疗总有效率为96。36%,对照组为85。45%,两组疗效差异有统计学意义(P<0。05);治疗后两组中医证候积分较治疗前下降,且试验组低于对照组(P<0。05);治疗后两组雌二醇(E2)水平较治疗前上升,睾酮(T)以及黄体生成素(LH)水平较治疗前下降,且试验组E2水平高于对照组,T、LH水平低于对照组(P<0。05);两组卵泡刺激素(FSH)治疗前及治疗后比较差异均无统计学意义(P>0。05);治疗后两组双侧卵巢体积均较治疗前缩小,且试验组双侧卵巢体积显著小于对照组(P<0。05);试验组排卵率为78。05%,对照组为70。19%,两组比较差异无统计学意义(P>0。05)。结论:加用健脾益肾化浊方治疗PCOS可改善患者临床症状,提升疗效,同时改善患者血清性激素水平,缩小卵巢体积,值得进一步研究。
Efficacy of the combination with Jianpi Yishen Huazhuo formula in treating polycystic ovary syndrome and its effects on serum sex hormone levels
Objective:To explore the efficacy of the medication combination with Jianpi Yishen Huazhuo formula in the treatment of polycystic ovary syndrome(PCOS)and its effects on serum sex hormone levels.Methods:110 pa-tients with PCOS(yang deficiency of spleen and kidney type)were collected and randomly divided into two groups us-ing the random number table method,with 55 cases in each group.The control group received conventional basic treat-ment,while on this basis,the observation group received the administration of Jianpi Yishen Huazhuo formula.Then the data about clinical efficacy,the scoring of TCM syndrome,serum sex hormone levels,ovarian volume,and ovula-tion status in these two groups were collected and compared.Results:The total effective rate in the observation group was 96.36%,compared to 85.45%in the control group(P<0.05).After treatment,the TCM syndrome scoring in both groups decreased compared to those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,levels of estradiol(E2)increased compared to those before treatment,while testosterone(T)and luteinizing hormone(LH)levels decreased.Additionally,the E2 levels in the experimental group were higher,and the T and LH levels were lower than those in the control group(P<0.05).There was no signifi-cant difference in follicle-stimulating hormone(FSH)level between the two groups before and after treatment(P>0.05).After treatment,the bilateral ovarian volume of both groups was reduced compared to that before treatment,and the ovarian volume in the observation group was significantly smaller than that in the control group(P<0.05).The ovulation rate was 78.05%in the observation group,compared to 70.19%in the control group(P>0.05).Conclusion:The combi-nation with Jianpi Yishen Huazhuo formula in the treatment of PCOS can not only improve clinical symptoms and effica-cy,but also ameliorate serum sex hormone levels,and reduce ovarian volume.Further research is warranted.

Polycystic ovary syndrome(PCOS)Jianpi Yishen Huazhuo formulaclinical efficacy observationsex hormone levels

杜玉洁、徐晓萌、卢利娟

展开 >

平顶山市中医医院,河南 平顶山 467000

多囊卵巢综合征 健脾益肾化浊方 疗效观察 性激素水平

2024

广西中医药
广西中医学院 中国中医药学会广西分会

广西中医药

影响因子:0.611
ISSN:1003-0719
年,卷(期):2024.47(5)