基于伏邪理论探讨青春期多囊卵巢综合征的证素特点及防治研究  

Exploration of Syndrome Elements Characteristics and Prevention and Treatment of Adolescent Polycystic Ovary Syndrome Based on the Theory of Fuxie

作　　者：王亚娟 方毅 尚平 Wang Yajuan;Fang Yi;Shang Ping(Department of Traditional Chinese Medicine,Chongqing Health Center for Women and Children·Women and Children's Hospital of Chongqing Medical University,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院·重庆医科大学附属妇女儿童医院中医科,重庆401147

出　　处：《成都医学院学报》2024年第6期997-1000,共4页Journal of Chengdu Medical College

基　　金：重庆市科学技术局联合重庆市卫生健康委员会中医药科研项目(No:2023QNXM062)。

摘　　要：目的基于伏邪理论探讨青春期多囊卵巢综合征(PCOS)的中医证素特点,为临床防治本病提供参考依据。方法选择2023年1月至2024年1月在重庆市妇幼保健院·重庆医科大学附属妇女儿童医院就诊的青春期PCOS患者103例,收集中医证素资料并建立数据库,应用SPSS 25.0软件统计分析其中医证素特点。结果青春期PCOS病位证素依次为肾(91.26%)、肝(71.84%)、脾(43.69%)、心(0.97%),肾以Ⅱ、Ⅲ级为主,肝以Ⅰ、Ⅲ级为主,脾以Ⅰ、Ⅱ级为主。青春期PCOS病性证素为阳虚(71.84%)、痰(58.25%)、血瘀(47.57%)、气滞(47.57%)、气虚(17.48%)、热(0.97%),阳虚、痰、血瘀、气滞、气虚与热比较,差异有统计学意义(P<0.05)。结论青春期PCOS的中医证素主要有肾、肝、脾、阳虚、血瘀、痰、气滞。基于伏邪理论,临床应遵循“未病先防,已病防变,瘥后防复”的原则,重视并积极防治青春期PCOS。Objective To explore the characteristics of traditional Chinese medicine(TCM)syndrome elements in adolescent polycystic ovary syndrome(PCOS)based on the theory of Fuxie,so as to provide reference for clinical prevention and treatment of this disease.Methods A total of 103 patients with adolescent PCOS in Chongqing Health Center for Women and Children(also known as Women and Children's Hospital of Chongqing Medical University)from January 2023 to January 2024 were selected.The data of TCM syndrome elements were collected and the database was established.SPSS 25.0 software was used for statistical analysis of the characteristics of TCM syndrome elements.Results The disease locations of syndrome elements of adolescent PCOS were kidney(91.26%),liver(71.84%),spleen(43.69%)and heart(0.97%).The kidney was mainly of gradeⅡandⅢ,the liver was mainly of gradeⅠandⅢ,and the spleen was mainly of gradeⅠandⅡ.The disease properties of syndrome elements of adolescent PCOS were Yang deficiency(71.84%),phlegm(58.25%),blood stasis(47.57%),Qi stagnation(47.57%),Qi deficiency(17.48%)and heat(0.97%).Yang deficiency,phlegm,blood stasis and Qi stagnation were statistically different from Qi deficiency and heat(P<0.05).Conclusion The TCM syndrome elements of adolescent PCOS mainly include kidney,liver,spleen,Yang deficiency,blood stasis,phlegm and Qi stagnation.Based on the theory of Fuxie,we should follow the principle of"preventing diseases before occurrence,preventing the progression of a disease after its onset,and preventing the recurrence after recovery",pay attention to and actively prevent and treat adolescent PCOS.

关 键 词：青春期多囊卵巢综合征 伏邪 中医证素 防治 

分 类 号：R781.63[医药卫生—口腔医学]