多囊卵巢综合征胰岛素抵抗的中医药治疗进展

发布时间：2018-01-22 13:50

本文关键词： 多囊卵巢综合征胰岛素抵抗中医药治疗　出处：《辽宁中医杂志》2017年07期 　论文类型：期刊论文

【摘要】：多囊卵巢综合征是育龄期女性常见的生殖内分泌——代谢紊乱性疾病,临床以稀发或无排卵、高雄激素血症、卵巢多囊样变及代谢异常如腹型肥胖和胰岛素抵抗为主要特征。目前西医多采用胰岛素增敏剂如二甲双对此病进行治疗,但其最适宜的用药剂量、用药持续时间等问题尚需要进一步探讨,且存在着恶心、呕吐、胃肠胀气和腹泻等不良反应,中医要治疗方法多样,文章就近10年中医辨证及经典方剂治疗多囊卵巢综合征胰岛素抵抗进行总结,文献显示中医药在此病的治疗中疗效明显,前景广泛。
[Abstract]:Polycystic ovary syndrome (PCOS) is a common reproductive endocrine-metabolic disorder in women of reproductive age. It is characterized by rare or anovulation hyperandrogenemia. Ovarian polycystic degeneration and metabolic abnormalities such as abdominal obesity and insulin resistance are the main characteristics. At present, western medicine used insulin sensitizer such as dimethylate to treat this disease, but its most appropriate dosage. The duration of medication needs to be further explored, and there are nausea, vomiting, gastrointestinal flatulence and diarrhea and other adverse reactions, Chinese medicine should be treated with a variety of methods. This article summarized the treatment of insulin resistance of polycystic ovary syndrome with traditional Chinese medicine syndrome differentiation and classic prescription in recent 10 years. The literature shows that Chinese medicine has obvious curative effect and broad prospect in the treatment of polycystic ovary syndrome.
【作者单位】：中国中医科学院广安门医院妇科;
【基金】：国家自然科学基金资助项目(81072839) 中国博士后科学基金资助项目(2011M5000503) 中国中医科学院第三批优势病种资助项目(CACMS08Y006)
【分类号】：R271.9
【正文快照】： 多囊卵巢综合征(polycystic ovary syndrome,P-COS)是育龄期妇女常见疾病,发病率占育龄期女性的5%~10%,50%~70%的PCOS患者合并胰岛素抵抗(IR)[1],而IR在PCOS的发病过程及远期并发症中均起重要作用[2],因此对PCOS的治疗要同时兼顾生殖内分泌和代谢异常两个方面。中医学没有PCOS

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