苍附导痰汤对多囊卵巢综合征患者性激素水平及卵巢体积的影响
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R711.75

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Effect of Cangfu Daotan Tang on Sex Hormone Levels and Ovarian Volume in Patients with Polycystic Ovary Syndrome
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    摘要:

    目的:观察苍附导痰汤对多囊卵巢综合征(PCOS) 患者性激素水平及卵巢体积的影响。方法:将106 例PCOS 患者按照治疗方式不同分为西药组和联合组各53 例。西药组口服枸橼酸氯米芬片,联合组给予苍附导痰汤联合枸橼酸氯米芬片治疗。比较2 组治疗前后中医证候积分、性激素水平[雌二醇(E2)、促黄体生成素(LH)、促卵泡生成素(FSH)]、卵巢体积,并比较2 组临床疗效及排卵率。结果:治疗前,2 组E2、LH、FSH 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组E2 水平均升高(P<0.05),LH 水平均降低(P<0.05),且联合组E2 水平高于西药组(P<0.05),LH 水平低于西药组(P<0.05)。治疗后,2 组FSH水平比较,差异无统计学意义(P>0.05)。治疗后,联合组治疗总有效率92.45%,高于西药组73.58%(P<0.05);联合组排卵率90.57%,高于西药组71.70%(P<0.05)。治疗前,2 组中医证候积分比较,差异无统计学意义(P>0.05);治疗后,2 组中医证候积分均降低(P<0.05),且联合组低于西药组(P<0.05)。治疗前,2 组卵巢体积比较,差异无统计学意义(P>0.05);治疗后,2 组卵巢体积均减小(P<0.05),且联合组小于西药组(P<0.05)。结论:苍附导痰汤治疗PCOS 可有效改善患者临床症状,调节性激素水平,缩小卵巢体积,提高排卵率,疗效显著。

    Abstract:

    Abstract:Objective:To observe the effect of Cangfu Daotan Tang on sex hormone levels and ovarian volume in patients with polycystic ovary syndrome(PCOS). Methods:A total of 106 cases of PCOS patients were divided into the western medicine group and the combination group according to different treatment methods, with 53 cases in each group. The western medicine group was given oral administration of Clomiphene Citrate Tablets, and the combination group was treated with Cangfu Daotan Tang combined with Clomiphene Citrate Tablets. Before and after treatment,traditional Chinese medicine(TCM) syndrome scores, sex hormone levels including estrogen(E2), luteinizing hormone(LH) and follicle stimulating hormone(FSH), and ovarian volume in the two groups were compared. The clinical effects and ovulation rates were compared between the two groups. Results: Before treatment, there was no significant difference being found in the comparison of levels of E2,LH and FSH between the two groups(P>0.05). After treatment,the E2 levels in the two groups were increased(P<0.05),and LH levels were decreased (P<0.05); the E2 level in the combination group was higher than that in the western medicine group(P< 0.05),and LH level was lower(P<0.05). After treatment,there was no significant difference being found in the comparison of FSH levels between the two groups(P>0.05). After treatment,the total effective rate of treatment was 92.45% in the combination group,higher than that of 73.58% in the western medicine group (P<0.05); the ovulation rate was 90.57% in the combination group, higher than that of 71.70% in the western medicine group(P<0.05). Before treatment,there was no significant difference being found in the comparison of TCM syndrome scores between the two groups(P>0.05). After treatment, the TCM syndrome scores in the two groups were decreased(P<0.05),and the one in the combination group was lower than that in the western medicine group(P<0.05). Before treatment, there was no significant difference being found in the comparison of ovarian volume between the two groups(P>0.05). After treatment,the ovarian volume in the two groups was decreased(P<0.05),and the one in the combination group was smaller than that in the western medicine group(P<0.05). Conclusion:Cangfu Daotan Tang for PCOS can effectively improve clinical symptoms,regulate sex hormone levels,decrease ovarian volume, and enhance ovulation rates with a significant curative effect.

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曹晓春,仲英华.苍附导痰汤对多囊卵巢综合征患者性激素水平及卵巢体积的影响[J].新中医,2022,54(23):48-51

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  • 在线发布日期: 2022-12-11
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