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。
This paper seeks to Polycystie Ovary Syndrome drug therapy aspects of medication in Chinese and Western medicine, and pays more comprehensive attention to the characteristics of various treatments in recent years. According to the literature reports, in recent years, Western medicine mainly through reducing serum androgen levels, decreasing LH level, to improve insulin resistance and induce ovulation methods to alleviate the symptoms. According to syndrome differentiation, TCM treat PCOS mainly via filling kidney essence, regulating and supplementing the Chong and Ren, dissipating phlegm and dampness, moving qi and promoting blood, soothing liver and relieving qi depression, clearing away heat. Many gynecologists cure PCOS combining yirdyang and qi/blood changes in the menstrual cycle to achieve better effect. However, no matter Chinese or Western medicine clinical applications in the treatment of PCOS have some limitations. Combining Chinese and Western medicine in treating polycystic ovary syndrome, can improve the physical environment for pregnancy by traditional Chinese medicine and promote ovulation by Western conception. By complementary strengths of Traditional Chinese Medicine and Western medicine, it improves the clinical efficacy. Currently, the more commonly used methods of combined Chinese and Western medicine are TCM combined dyne -35, TCM combined clomiphene citrate; TCM cycle-therapy in combination with clomiphene citrate, TCM combined Mefformin. The following we will discuss the various treatment methods.
出处
《辽宁中医药大学学报》
CAS
2011年第3期37-41,共5页
Journal of Liaoning University of Traditional Chinese Medicine
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)
关键词
多囊卵巢综合征
药物疗法
中医
西医
中西医结合
Polycystic Ovary Syndrome
drug therapy
traditional Chinese medicine
western medicine
combined Chinese and western medicine
