卵巢早衰临床特征探析  

Clinical features of premature ovarian failure

作　　者：陆启滨[1] 陈聪 

机构地区：[1]江苏省中医院,南京210029

出　　处：《吉林中医药》2015年第5期449-452,共4页Jilin Journal of Chinese Medicine

基　　金：江苏省中医药领军人才研修项目课题(LJ200910)

摘　　要：从卵巢早衰的病因病机、症状体征、性激素检查以及治疗探析本病的临床特征。结果表明,卵巢早衰的病因与家族遗传、性生活匮乏、过度操劳、不良生活习惯、失血性贫血、卵巢自身疾病以及医源性因素等相关;病机主要为肾亏脾虚,其次与心肾不交、肝脾失调、痰湿瘀浊等因素相关。症状以月经早闭为主,伴随绝经综合征的临床表现;体征为生殖器官的提前萎缩,促性腺激素水平升高,雌激素水平下降。治疗以补肾健脾为主,调理心肝为辅,配合理气活血,祛湿化痰,或中西医结合治疗。Analysis of the clinical characteristics of premature ovarian failure etiology and pathogenesis,symptoms and signs,sex hormone examination and treatment. Draw the conclusion that the etiological factor of premature ovarian failure is related with the genetic family,lack of sexual life,overwork,unhealthy living habits,hemorrhagic anemia,ovarian autoimmunity diseases and iatrogenic factors; The TCM pathogenesis mainly lies in deficiency of spleen and kidney,disharmony between heart and kidney,imbalance with the liver and spleen,turbid phlegm and other factors. The main clinical manifestations are menopause,the reproductive organs atrophy,the high level of gonadotrophic hormone and the low level of estrogen. The treatment of premature ovarian failure is invigorating spleen and kidney,regulating with heart and liver,regulating qi and activating blood circulation,removing phlegm,or combined treatment of traditional Chinese and Western Medicine.

关 键 词：卵巢早衰 闭经 促性腺激素 生殖器官 雌激素 理气活血 祛湿化痰 

分 类 号：R711.75[医药卫生—妇产科学]