从中医虚痰瘀角度论治多囊卵巢综合征并发子宫内膜病变  

Treating PCOS concurrent endometrial lesions from the point of Deficrency Phlegm and stusis in TCM

作　　者：闵璐 刘逸超 满玉晶[3] 韩凤娟[3] MIN Lu LIU Yi-chao MAN Yu-jing HAN Feng-juan(Heilongjiang University of Chinese Medicine, Heilongjiang Harbin 150040, China Harbin Second Hospital, Heilongjiang Harbin 150056, China First Affiliated Hospital of Heilong, jiang Province Medical University, Heilongjiang Harbin 150040, China)

机构地区：[1]黑龙江省中医药大学,哈尔滨150040 [2]哈尔滨市第二医院,哈尔滨150056 [3]黑龙江省中医药大学附属第一医院,哈尔滨150040

出　　处：《中国中医基础医学杂志》2017年第3期440-442,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2012038)-小檗碱防治PCOS患者子宫内膜病变的临床研究

摘　　要：现代医学认为多囊卵巢综合征(polycystic ovary syndvome,PCOS)子宫内膜病变的关键因素是胰岛素抵抗。中医认为,PCOS子宫内膜病变的临床特点与痰瘀致病相吻合。通过从中医虚、痰、瘀角度研究PCOS子宫内膜病变,认为脾肾两虚是促成PCOS子宫内膜病变的病机根本,痰瘀互结是其病机核心。在治疗上应"补益脾肾,痰瘀同治",同时配合中药治疗,在临床上往往取得显著疗效。应用中医"治未病"及"已病防变"的思想,为早期干预和改善PCOS子宫内膜病变提供重要的指导思想。Modern medicine considers that the key factor of PCOS concurrent endometrial lesions is insulin resistance. Traditional Chinese Medicine considers that the clinical features of PCOS concurrent endometrial lesions coincide with phlegm and stasis pathogenic. By TCM deficiency, phlegm, blood stasis angle the PCOS concurrent endometrial lesions were studicd, spleen and kidney deficiency is the pathogenesis fundamental of PCOS concurrent endometrial lesions,and its pathogenesis core is phlegm, the treatment should benefit Spleen and kidney, theating phlegm and stasis together. At the same time clinically significant effect is often achieved with traditional Chinese medicine. Applying the Chinese medicine thoughts of ＂preventire treating disease＂ , ＂ disease prevention, ＂ to provide important guideline for early intervention and imorove PCOS concurrent endometrial lesions.

关 键 词：虚、痰、瘀 PCOS子宫内膜病变 胰岛素抵抗 

分 类 号：R717.71[医药卫生—妇产科学]