健牌祛痰利湿法治疗多囊卵巢综合征高雄激素血症30例  

Clinical Study on Hyperandrogenism due to Polycystic Ovary Syndrome Treated with Jianpi Qutan Lishi

作　　者：王针织 杨文 蔡勤华 俞超芹[2] 温洁 胡萍 Zhen-zhi WANG Wen YANG Qin-hua CAI Chao-qin YU Jie WEN Ping HU(Shanghai Pudong New Area Hospital of Traditional Chinese Medicine,Shanghai 201200, China Changhai Hospital of Traditional Chinese Medlcine,Second Military Medical University, Shanghai 200433,China)

机构地区：[1]上海市浦东新区中医医院妇科,上海201200 [2]第二军医大学长海医院中医系,上海210433

出　　处：《内蒙古中医药》2017年第5期3-4,共2页Inner Mongolia Journal of Traditional Chinese Medicine

基　　金：上海市中医药发展办公室胡氏中医妇科临床经验传承建设项目(ZY3-JSFC-1-1012);上海市卫生和计划生育委员会,课题编号(201640394)

摘　　要：目的:采用上海市名老中医经验方,通过健脾祛痰利湿法治疗脾虚痰湿型多囊卵巢综合征高雄激素血症,观察其治疗效果,及停药3个月后患者激素水平变化情况。方法:依据标准收集脾虚痰湿型PCOS高雄激素血症患者30例,采用上海市名老中医经验方之健脾调经方,通过健脾祛痰利湿法治疗,连续治疗6个月,观察患者治疗前后,停药3个月后,其血黄体生成激素、卵泡刺激素、睾酮、胰岛素抵抗的变化情况。结果:治疗后患者的血黄体生成激素、卵泡刺激素、睾酮、胰岛素抵抗指数均明显下降,(P<0.05或P<0.01),停药3个月后,上述指标水平虽均上升,但与治疗前和治疗后6个月水平比较,均无统计学差异(P>0.05)。结论:采用健脾祛痰利湿法治疗脾虚痰湿型多囊卵巢综合征有较好的临床效果,其机制可能跟该方能明显降低患者的血黄体生成激素、睾酮、胰岛素水平,促进卵泡发育环境改良有关。Aim：Through the way of Jianpi Lishi Qutan, to observe the effect of treating in Hyperandrogenism due to Polycystic Ovary Syndrome （PCOS） of Pixu Tanshi,and explore the mechanism. Methods：According to the standard, Thirty women of PCOS with Hyperandrogenism of Pixu Tanshi were enrolled in the study. Through Jianpi tiaojing Recipe（JPTJR）, the patiets were treated for six months. Before and after treatment, three months after treatment , the serum levels of testosterone（T）, insulin（INS）, luteotrophic hormoneLH）,and follicle stimulating hormone（FSH）were detected. Results ：JPTJR can significantly reduce the serum levels ofT, INS and LH in PCOS women（P 〈0.05）.Three months after drug withdrawal, there was no difference among them（P 〉0.05）. Conclusions： JPTJR has significant positive effect on PCOS.

关 键 词：多囊卵巢综合征 健脾祛痰利湿法 脾虚痰湿型 高雄激素血症 

分 类 号：R274[医药卫生—中医骨伤科学]