多囊卵巢综合征的中医证型研究  

Research Progress on Syndrome Types of Polcystic Ovary Syndrome in Chinese Medicine

作　　者：许甜甜 卢敏[1] 董莉[1] XU Tiantian;LU Min;DONG Li(Yueyang Hospital of Integrative Medicine Affiliated to Shanghai University of Chinese Medicine,Shanghai China 200437)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《中医学报》2020年第1期86-89,共4页Acta Chinese Medicine

基　　金：国家中医药管理局“朱南孙国医大师传承工作室”建设项目(DSGZS-2017001);上海市进一步加快中医药事业发展三年行动计划“海派中医朱氏妇科流派诊疗中心建设”项目[ZY(2018-2020)-CCCX-1008];上海市科学技术委员会科研计划项目(16401931900);上海市自然科学基金项目(6ZR1438000);上海申康医院发展中心三年行动计划项目(16CR3040A);上海中医药大学附属岳阳中西医结合医院科研项目(2017YJ06)。

摘　　要：多囊卵巢综合征在现代中医临证中证型多样,尚无统一的辨证分型标准,病机以肾虚为主,与痰湿瘀有关,临床上医家多依据各自的临床经验,采用复合证型,结合患者临床症状,对证候要素进行组合。多囊卵巢综合征中医证型与内分泌指标、超声参数等现代医学指标有较强的相关性。同时,临床辨证论治还需考虑地域方面的因素,因地制宜,因人而治。但目前医者对多囊卵巢综合征辨证分型各有侧重,缺乏统一标准,局限了中医规范化诊疗,且研究多为单中心、小样本,缺乏全国范围内大样本的流行病学调查,分型结果的适用性、权威性相对较差。因此,以循证医学为依据,开展全国范围内大样本、多中心的流行病学调查,结合现代医学手段研究多囊卵巢综合征证型分布特点,促使其标准化、客观化应是今后的努力方向。此外,不同证型的多囊卵巢综合征患者中医体质分布存在些许差异,这也应是未来该病中医证型标准化的研究方向之一。Polcystic ovary syndrome(PCOS)has various types in modern Chinese medicine clinical syndromes.There is no unified standard for syndrome differentiation and classification.The pathogenesis is mainly kidney deficiency,which is related to phlegm,dampness and stasis.In clinical practice,doctors usually adopt complex syndrome type according to their own clinical experience,and combined with the clinical symptoms of patients,the syndrome elements were combined.There is a strong correlation between the TCM syndrome type of PCOS and the modern medical indexes such as endocrine index and ultrasonic parameter.At the same time,the clinical differentiation and treatment should also consider the regional factors,adjust measures to local conditions,and treat according to people.However,at present,the doctors have different emphasis on the syndrome differentiation and classification of PCOS,lack of unified standards,which limit the standardized diagnosis and treatment of Chinese medicine,and most of the studies are single center,small sample,lack of national epidemiological survey of large sample,the applicability and authority of the classification results are poor.Therefore,based on evidence-based medicine,we should carry out a nationwide epidemiological survey of large samples and multi centers,and combine modern medical means to study the distribution characteristics of syndrome types of PCOS,so as to promote its standardization and objectification.In addition,there are some differences in the distribution of TCM Constitution in patients with PCOS of different syndrome types,which should be one of the research directions of TCM syndrome type standardization in the future.

关 键 词：多囊卵巢综合征 中医证型 内分泌指标 超声参数 研究进展 

分 类 号：R271.9[医药卫生—中西医结合]