首页|中医药治疗多囊卵巢综合征合并胰岛素抵抗患者的临床研究

中医药治疗多囊卵巢综合征合并胰岛素抵抗患者的临床研究

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目的 探讨中医药治疗多囊卵巢综合征(PCOS)合并胰岛素抵抗(IR)患者的临床疗效.方法 前瞻性选取55例PCOS合并IR患者,根据随机数字表法分为治疗组(27例)和对照组(28例).治疗组采用中医药治疗,对照组采用二甲双胍联合优思明治疗.比较两组各临床指标.结果 治疗组治疗6个月促黄体生成素(LH)、空腹血糖、餐后2 h血糖、空腹胰岛素、餐后2 h胰岛素、胰岛素抵抗指数(HOMA-IR)均较对照组下降(P<0.05).结论 中医药治疗可改善PCOS合并IR患者的胰岛素抵抗状态,与二甲双胍联合优思明的治疗效果相当,可作为PCOS合并IR的一种替代治疗方案.
Clinical study on the treatment of polycystic ovary syndrome with insulin resistance by traditional Chinese medicine
Objective To investigate the clinical effect of traditional Chinese medicine on patients with polycystic ovary syndrome(PCOS)complicated with insulin resistance(IR).Methods 55 patients with PCOS combined with IR were prospectively selected and divided into treatment group(27 cases)and control group(28 cases)according to random number table method.The treatment group was treated with traditional Chinese medicine,and the control group was treated with metformin combined with Yasmin.The clinical indexes of the two groups were compared.Results Luteinizing hormone(LH),fasting blood glucose,2 h postprandial blood glucose,fasting insulin,2 h postprandial insulin and insulin resistance index(HOMA-IR)in the treatment group were all decreased after 6 months of treatment compared with the control group(P<0.05).Conclusion Traditional Chinese medicine treatment can improve the insulin resistance status of PCOS patients with IR,and the therapeutic effect is comparable to that of metformin combined with Yasmin,which can be used as an alternative treatment for PCOS combined with IR.

Polycystic ovary syndromeInsulin resistanceTraditional Chinese medicine

杨炜炜、郑凤雀、林佳静、姚德珊、李晶晶

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广西医科大学第四附属医院妇科,广西柳州 545000

柳州市妇幼保健院妇科,广西柳州 545001

多囊卵巢综合征 胰岛素抵抗 中医药

国家自然科学基金柳州市科技计划广西壮族自治区中医药局自筹经费科研课题

813031372020NBABOR23GZZC2019200

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(1)
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