多囊卵巢综合征的中西医药物疗法
发布时间：2018-11-03 19:48
【摘要】：文章旨在复习相关报道,整理分析多囊卵巢综合征的中西医药物疗法及其特点和进展。近年来中西医学者分别对本病的治疗展开深入探讨,西医主要通过降低血雄激素水平、降低LH水平、改善PCOS的胰岛素抵抗和诱发排卵等治疗改善症状。中医治疗根据辨证论治通过补肾填精,调补冲任;或燥湿除痰,理气行滞;或疏肝解郁,清热泻火;或行气导滞,活血化瘀等治则,结合月经气血阴阳变化用药,改善机体的内在环境,重建正常月经周期,提高受孕率。中西医结合治疗多囊卵巢综合征可以发挥中医改善身体受孕内环境和西医促排卵的互补优势,提高临床疗效,越来越受到重视。目前,比较常用的中西医结合方法有中药联合达英-35;中药联合克罗米芬;中药周期疗法联合克罗米芬;中药联合二甲双胍等。
[Abstract]:The purpose of this article is to review the relevant reports and analyze the characteristics and progress of Chinese and western medicine therapy for polycystic ovary syndrome. In recent years, the treatment of this disease has been deeply discussed by traditional Chinese and western medicine. Western medicine can improve the symptoms of PCOS by reducing the level of androgen, lowering the level of LH, improving the insulin resistance of PCOS and inducing ovulation. Traditional Chinese medicine treatment according to differentiation of symptoms and signs through tonifying kidney filling essence, regulating tonifying chong; or dryness, phlegm, qi stagnation; or soothe the liver, relieve depression, clear heat and reduce fire; Or Qi guide stagnation, activating blood stasis and other treatment principles, combined with menstrual Qi and blood yin and yang change medication, improve the internal environment of the body, rebuild the normal menstrual cycle, improve pregnancy rate. The treatment of polycystic ovary syndrome with combination of traditional Chinese medicine and western medicine can improve the internal environment of pregnancy and the complementary advantages of Western medicine to promote ovulation, increasing the clinical efficacy, more and more attention has been paid to it. At present, the commonly used methods of combination of traditional Chinese and western medicine are Chinese medicine combined with diphenyl-35; traditional Chinese medicine combined with clomiphene; Chinese medicine cycle therapy combined with clomiphene; Chinese medicine combined with metformin, and so on.
【作者单位】： 上海中医药大学基础医学院;上海中医药大学附属岳阳中西医结合医院;
【基金】：上海市重点学科建设项目(S30303) 上海浦东新区社会发展局浦东新区卫生科技项目(PW2006D-4) 上海市卫生局课题(2006098)
【分类号】：R711.75
[Abstract]:The purpose of this article is to review the relevant reports and analyze the characteristics and progress of Chinese and western medicine therapy for polycystic ovary syndrome. In recent years, the treatment of this disease has been deeply discussed by traditional Chinese and western medicine. Western medicine can improve the symptoms of PCOS by reducing the level of androgen, lowering the level of LH, improving the insulin resistance of PCOS and inducing ovulation. Traditional Chinese medicine treatment according to differentiation of symptoms and signs through tonifying kidney filling essence, regulating tonifying chong; or dryness, phlegm, qi stagnation; or soothe the liver, relieve depression, clear heat and reduce fire; Or Qi guide stagnation, activating blood stasis and other treatment principles, combined with menstrual Qi and blood yin and yang change medication, improve the internal environment of the body, rebuild the normal menstrual cycle, improve pregnancy rate. The treatment of polycystic ovary syndrome with combination of traditional Chinese medicine and western medicine can improve the internal environment of pregnancy and the complementary advantages of Western medicine to promote ovulation, increasing the clinical efficacy, more and more attention has been paid to it. At present, the commonly used methods of combination of traditional Chinese and western medicine are Chinese medicine combined with diphenyl-35; traditional Chinese medicine combined with clomiphene; Chinese medicine cycle therapy combined with clomiphene; Chinese medicine combined with metformin, and so on.
【作者单位】： 上海中医药大学基础医学院;上海中医药大学附属岳阳中西医结合医院;
【基金】：上海市重点学科建设项目(S30303) 上海浦东新区社会发展局浦东新区卫生科技项目(PW2006D-4) 上海市卫生局课题(2006098)
【分类号】：R711.75
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