首页|消囊调经汤联合达英-35对多囊卵巢综合征患者性激素、脂代谢和卵巢间质血流的影响

消囊调经汤联合达英-35对多囊卵巢综合征患者性激素、脂代谢和卵巢间质血流的影响

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目的:观察消囊调经汤联合达英-35对多囊卵巢综合征(PCOS)患者性激素、脂代谢和卵巢间质血流的影响。方法:选择2020年7月~2022年12月期间河南省中医院收治的PCOS患者117例。按照随机数字表法分为对照组(达英-35,58例)和研究组(消囊调经汤联合达英-35,59例)。对比两组性激素指标[促黄体生成素(LH)、雌二醇(E2)、促卵泡生成素(FSH)、睾酮(T)]、中医证候积分、脂代谢[高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、甘油三酿(TG)、总胆固醇(TC)]和卵巢间质血流情况[子宫动脉搏动指数(PI)、子宫动脉阻力指数(RI)]。结果:研究组治疗后主症积分、次症积分、总积分低于对照组(P<0。05)。研究组治疗后LH、E2、FSH、T低于对照组(P<0。05)。研究组治疗后HDL-C高于对照组;TC、TG、LDL-C低于对照组(P<0。05)。研究组治疗后PI、RI低于对照组(P<0。05)。结论:消囊调经汤联合达英-35治疗PCOS患者,可改善患者的临床症状,调节机体性激素、脂代谢和卵巢间质血流,疗效较好。
Effects of Xiaonang Tiaojing Decoction Combined with Diane-35 on Sex Hormones,Lipid Metabolism and Ovarian Stromal Blood Flow in Patients with Polycystic Ovary Syndrome
Objective:To observe the effects of xiaonang tiaojing decoction combined with diane-35 on sex hormones,lipid metabolism and ovarian stromal blood flow in patients with polycystic ovary syndrome(PCOS).Methods:117 patients with PCOS who were admitted to Henan Provincial Hospital of Traditional Chinese Medicine from July 2020 to December 2022 were selected.Patients were divided into control group(diane-35,58 cases)and study group(xiaonang tiaojing decoction combined with diane-35,59 cases)according to the random number table method.The sex hormone indexes[luteinizing hormone(LH),estradiol(E2),follicle stimulating hormone(FSH),testosterone(T)],chinese medicine syndrome scores,lipid metabolism[high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),triglyceride(TG),total cholesterol(TC)]and ovarian stromal blood flow[uterine artery pulsation index(PI),uterine artery resistance index(RI)]were compared between two groups.Results:The main symptom score,secondary symptom score and total score in study group were lower than those in control group after treatment(P<0.05).LH,E2,FSH and T in study group were lower than those in control group after treatment(P<0.05).HDL-C in study group was higher than that in control group;TC,TG and LDL-C were lower than those in control group after treatment(P<0.05).PI and RI in study group were lower than those in control group after treatment(P<0.05).Conclusion:Xiaonang tiaojing decoction combined with diane-35 in the treatment of PCOS patients,which can improve the clinical symptoms of patients,regulate the body's sex hormones,lipid metabolism and ovarian stromal blood flow,and the curative effect is good.

Xiaonang tiaojing decoctionDiane-35Polycystic ovary syndromeSex hormoneLipid metabolismOvarian stromal blood flow

李曌洋、李潇、吴梦瑶、余晓依、周艳艳

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河南中医药大学第二临床医学院 河南郑州 450053

新郑市公立人民医院中医妇科 河南新郑 451150

河南省中医院(河南中医药大学第二附属医院)妇科 河南郑州 450053

消囊调经汤 达英-35 多囊卵巢综合征 性激素 脂代谢 卵巢间质血流

河南省科技攻关计划

212102311138

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(5)
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