[1]林岚,林晴.多囊卵巢综合征中医证素规律的临床研究[J].甘肃中医药大学学报,2012,(06):45-48.
 Lin Lan,Lin Qing.Clinical research on regular of TCM syndrome elements of polycystic ovary syndrome[J].Journal of Gansu University of Chinese Medicine,2012,(06):45-48.
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多囊卵巢综合征中医证素规律的临床研究()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
期数:
2012年06期
页码:
45-48
栏目:
临床研究与报道
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical research on regular of TCM syndrome elements of polycystic ovary syndrome
作者:
林岚1 林晴2
1. 福建省人民医院, 福建 福州 350004;
2. 福建中医药大学, 福建 福州 350108
Author(s):
Lin Lan1 Lin Qing2
1. Fujian People’s Hospital, Fuzhou 350004, China;
2. Fujian University of TCM, Fuzhou 350108, China
关键词:
多囊卵巢综合征证素中医辨证
Keywords:
polycystic ovary syndromesyndromes elememtssyndrome differentiation
分类号:
R271.917.5
摘要:
目的 探讨多囊卵巢综合征(PCOS)的中医证素规律。方法 选择83例PCOS患者作为观察对象,采用证素辨证及积分方法进行临床观察。结果 PCOS患者的病位主要在胞宫、肾,其次为肝、脾、肺;PCOS虚证证素积分从高到低依次为气虚、阴虚、阳虚、血虚,气虚积分显著高于阴虚、阳虚、血虚积分(P<0.01);实证证素积分从高到低依次为气滞、痰、湿、血瘀、热,气滞积分显著高于痰、湿、血瘀、热积分(P<0.01)。结论 PCOS的病位以胞宫、肾为先,从胞宫、肾论治本病具有重要意义;虚证证素以气虚为主,实证证素以气滞为主,病性多为本虚标实,单纯虚及单纯实的证素均较少。
Abstract:
Objective To explore the regular of TCM syndrome elements of polycystic ovary syndrome(PCOS). Methods 83 PCOS patients were observed by syndrome elements differentiation and integral methods in clinic. Results The main locations of disease of PCOS patient were uterus, kidney and then in liver, spleen and lungs;in asthenia syndromes of PCOS,the integrals of syndromes elememts were gradually reduced from Qi deficiency to Yin deficiency to Yany deficiency to blood deficiency,the integrals of syndromes elememts of Qi deficiency were significantly higher than that of Yin deficiency, Yang deficiency and blood deficiency respectively(P<0.01);in sthenia syndromes of PCOS,the integrals of syndromes elememts were gradually reduced from Qi stagnation to phlegm to dampness to blood stasis to heat,the integrals of syndromes elememts of Qi stagnation were significantly higher than that of phlegm, dampness, blood stasis and heat respectively(P<0.01). Conclusion In PCOS,the main locations of disease were uterus and kidney,it was most important that polycystic ovary syndrome patients should be treatment through uterus and kidney;in asthenia syndromes of PCOS is mainly of Qi deficiency,in sthenia syndromes of PCOS is mainly of Qi stagnation,the nature of disease of PCOS was mixture of asthenia and sthenia,and simple asthenia syndromes and simple sthenia syndromes of PCOS were more little.

参考文献/References:

[1] The Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group.Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome[J].Fertility and Sterility,2004,81(1):19-25.
[2] 朱文锋.中医主证鉴别诊断学[M].长沙:湖南科学技术出版社,2000:316-331.
[3] 张婧婧,韩庆春,侯丽辉.中医"肾主生殖"理论对多囊卵巢综合征生殖功能障碍的认识[J].世界中西医结合杂志,2010,5(5):374-375.
[4] 温勤坚,王芳,李英勇.补肾中药对不孕症治疗机制的研究进展[J].生殖与避孕,2008,28(5):304-307.

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备注/Memo

备注/Memo:
收稿日期:2012-07-09;改回日期:2012-07-10。
作者简介:林岚(1971-),女,副主任医师,医学硕士,主要从事月经病及妇科杂病的中西医治疗。
更新日期/Last Update: 1900-01-01