围青春期多囊卵巢综合征中医诊疗模式探索
Exploration of TCM Diagnosis and Treatment Mode of Polycystic Ovary Syndrome during Peripubertal Period
邹姝 1任青玲2
作者信息
- 1. 南京中医药大学附属医院(江苏 南京 210029)
- 2. 江苏省中医妇产生殖临床医学创新中心(江苏南京 210029)
- 折叠
摘要
多囊卵巢综合征(PCOS)多于围青春期发病,且易合并肥胖症、血脂异常、胰岛素抵抗等,病因不明,机制不清,不可治愈,影响女性全生命周期健康,需早期关注,终身管理.体重增加是加速围青春期PCOS发展的主因,若不及时干预,会影响育龄期生殖健康,增加远期并发症发生风险.生活方式干预是PCOS首选的基础治疗,可有效减轻体重,改善胰岛素抵抗和恢复月经周期.基于此,可将多学科协作诊疗与生活方式医学相结合,开设生活方式中医(LCM)门诊,对围青春期PCOS患者进行一体化诊疗与全生命周期管理,以探索中医诊疗模式下的PCOS综合管理方案.
Abstract
Polycystic ovary syndrome(PCOS)mostly develops during the peripubertal period and is prone to be complicated by obesity,dyslipidemia,and insulin resistance.The etiology of the disease is unknown,and the mechanism is unclear.Therefore,the disease is incurable,affecting women's health throughout the life cycle and requiring early attention and lifelong management.Weight gain is the main cause of the accelerated development of PCOS during the peripubertal period.If not intervened in a timely manner,it will affect reproductive health during the childbearing years and increase the risk of long-term complications.Lifestyle treatment is the preferred primary treatment for PCOS,which can effectively reduce weight,improve insulin resistance,and restore menstrual cycles.On this basis,it is necessary to combine multidisciplinary collaborative diagnosis and treatment with lifestyle medicine,set up a lifestyle traditional Chinese medicine(LCM)clinic,and conduct integrated diagnosis and treatment and whole-life cycle management for PCOS patients during the peripubertal period,so as to explore a comprehensive management plan for PCOS under the TCM diagnosis and treatment mode.
关键词
多囊卵巢综合征/青春期/合病/生活方式/中医药Key words
polycystic ovary syndrome/adolescent/combined disease/lifestyle/TCM引用本文复制引用
基金项目
江苏省中医妇产生殖临床医学创新中心(苏中医科教[2021]6号)
江苏省研究生实践创新计划(SJCX23-0776)
江苏省中医院临床医学创新中心(省中科[2023]66号)
国家自然科学基金项目(82074478)
出版年
2024
国家科技期刊平台
NSTL
万方数据