首页|中医药治疗青春期多囊卵巢综合征的现代机制研究进展及优势

中医药治疗青春期多囊卵巢综合征的现代机制研究进展及优势

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多囊卵巢综合征(PCOS)是与内分泌异常、生殖功能障碍关系密切的一种疾病,以雄激素过高、持续无排卵或胰岛素抵抗为重要特征。PCOS多于青春期起病,青春期PCOS患病率逐年升高,发病年龄逐渐提前,患者除了有闭经、肥胖、痤疮、多毛等常见的症状外,还有可能产生焦虑、自卑等心理障碍,这给许多青春期女性带来困扰,应积极地予以临床干预。传统医学认识青春期PCOS注重脏腑,认为本病病机为肾虚,兼以脾虚、肝郁;现代医学的认识则进展为信号通路靶向的细胞进程,主要涉及Wnt/β-catenin、PI3K/Akt/mTOR等信号通路。目前,对于青春期PCOS目前尚无统一标准的诊疗方案,在临床中,除常用的西药治疗外,可以采用中药及中医特色治疗进行积极、及时的干预。本文对青春期PCOS的中医药治疗方法及现代机制研究进展进行综述,以期对青春期PCOS的治疗提供多种途径的治疗方法。
Progress and advantages of modern mechanism research on the treatment of adolescent polycystic ovary syndrome with traditional Chinese medicine
Polycystic ovary syndrome(PCOS)is a disease closely associated with endocrine abnormalities and reproductive dysfunction,it is characterized by hyperandrogen,persistent anovulation,or insulin resistance.According to the epidemiological reports in recent years,the incidence of PCOS in adolescence has been progressively rising,and the age of onset is gradually advancing,which has caused a lot of problems to many adolescent females.In addition to obesity,hirsutism,acne,amenorrhea,and other common symptoms,it may also produce low self-esteem,anxiety,and other psychological disorders,which should be actively intervened clinically.Traditional medicine recognizes the prevalence of PCOS focusing on internal organs and considers the disease mechanism to be kidney deficiency with spleen deficiency and liver depression;modern medicine's understanding has progressed to a signaling pathway-targeted cellular process,mainly involving multiple signaling pathways such as Wnt/β-catenin,PI3K/Akt/mTOR,and so on.At the present time,there is no unified standard diagnosis and treatment plan for adolescent PCOS.Besides the commonly used western medicine,Chinese medicine and its traditional treatment techniques can be used for active and timely intervention.This article reviews the advantages of traditional Chinese medicine treatment of adolescent PCOS and the progress of modern mechanism research,in order to provide multiple therapeutic pathway for this disease.

AdolescentPolycystic ovary syndromeMechanismResearch progressChinese medicineTherapeutic ad-vantage

张春兰、侯丽辉、李威、孙淼、王伟明

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黑龙江中医药大学附属第一医院妇科,黑龙江哈尔滨 150040

黑龙江省中医药科学院中药研究所,黑龙江哈尔滨 150036

青春期 多囊卵巢综合征 机制 研究进展 中医中药 治疗优势

国家自然科学基金黑龙江省中医药科研项目

82174195ZHY18-004

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(9)
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