摘要
目的探讨参芪调体汤在脾虚痰湿证多囊卵巢综合征(Polycystic ovarian syndrome,PCOS)治疗中的应用价值。方法选择2017年3月—2019年1月接受治疗的PCOS患者共80例,以随机数字表法分为观察组及对照组,每组40例。常规干预基础上,对照组采用枸橼酸氯米芬片治疗,观察组在对照组基础上联合参芪调体汤治疗。对比2组治疗前后的中医证候积分与性激素指标[促卵泡生成素(Follicle stimulating hormone,FSH)、促黄体生成素(Luteinizing hormone,LH)、睾酮(Testosterone,T)、雌二醇(Estradiol,E2)]水平。结果治疗后,观察组中医证候积分(4.06±0.65)分比对照组(6.89±1.37)分低,差异有统计学意义(P<0.05);观察组FSH、LH、T、E2分别为(5.05±0.87)U/L、(7.78±1.16)U/L、(2.64±0.42)nmol/L、(119.76±14.72)pmol/L,对照组分别为(6.62±1.02)U/L、(9.65±2.44)U/L、(3.07±0.70)nmol/L、(133.08±16.74)pmol/L,差异有统计学意义(P<0.05)。结论参芪调体汤在脾虚痰湿证PCOS治疗中的应用价值较高,有利于促进中医证候改善,恢复性激素水平。
Objective To investigate the clinical value of Shenqi Tiaoti decoction in the treatment of polycystic ovary syndrome(PCOS)of spleen deficiency and phlegm-dampness.Methods A total of 80 PCOS patients who received treatment in our hospital from March 2017 to January 2019 were selected and divided into observation group and control group according to the random number table method,with 40 cases in each group.On the basis of routine intervention,the control group was treated with clomiphene citrate tablets,and the observation group was treated with Shenqi Tiaoti decoction on the basis of the control group.The levels of Chinese hormone syndromes(FSH),Luteinizing hormone(LH),Testosterone(T)and Estradiol(E2)in the two groups before and after treatment were compared.Results After treatment,the TCM syndrome score of the observation group[(4.06±0.65)points]was lower than that of the control group[(6.89±1.37)points],and the difference was statistically significant(P<0.05).The levels of FSH,LH,T,E2[(5.05±0.87)U/L,(7.78±1.16)U/L,(2.64±0.42)nmol/L,(119.76±14.72)pmol/L]in the observation group were lower than those in the control group[(6.62±1.02)U/L,(9.65±2.44)U/L,(3.07±0.70)nmol/L,(133.08±16.74)pmol/L],and there had statistically significant differences(P<0.05).Conclusion The application value of Shenqi Tiaoti decoction in the treatment of spleen deficiency and phlegm-dampness syndrome PCOS is high,which is helpful to promote the improvement of TCM syndrome and restore the sex hormone level.
作者
李娜
姜景玉
LI Na;JIANG Jingyu(Department of Gynecology,Tongbai Central Hospital,Henan Province,Tongbai 474750,China)
出处
《光明中医》
2020年第13期2006-2008,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
多囊卵巢综合征
脾虚痰湿证
参芪调体汤
中医药疗法
polycystic ovary syndrome
Spleen deficiency phlegm-dampness syndrome
Shenqi body soup
therapy of TCM
