中西医结合法治疗多囊卵巢综合症的临床疗效观察(1)
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【摘要】 目的：观察中西医结合法治疗多囊卵巢综合症的临床疗效。方法：选取我院自2006年4月~2009年5月收治的120例多囊卵巢综合症患者随机分为观察组(中西医结合治疗组)和对照组(常规西药治疗组)各60例，连续治疗2个月后比较两组患者的治疗效果。结果：观察组与对照组治疗前后血清促卵泡素(FSH)、黄体生成素(LH)、泌乳素(PRL)、雌二醇(E2)水平均有明显变化(P<0.05)，观察组FSH、LH、PRL水平较对照组变化明显(P<0.05)，具有统计学意义。两个疗程结束后对两组患者进行为期6个月的随访观察，观察组患者妊娠32例，妊娠率为53.3%；对照组患者妊娠18例，妊娠率为30.0%。两组比较差异显著(P<0.01)，具有统计学意义。结论：中西医结合法治疗多囊卵巢综合症效果理想，值得临床推广应用。
【关键词】 中西医结合；多囊卵巢综合症；疗效
【Abstract】 Objective: Treatment of Integrated Traditional and Western clinical effect of polycystic ovary syndrome. Methods: in our hospital from April 2006 ~ May 2009 120 cases were treated with polycystic ovary syndrome were randomly divided into two groups (in the combination therapy group) and control group (conventional western medicine group) 60 cases Continuous treatment for 2 months after treatment of two groups were compared. Results: The observation group and control group before and after treatment of serum follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), estradiol (E2) levels changed significantly (P <0.05), the observation group FSH, LH , PRL levels than the control group changed significantly (P <0.05), with statistical significance. After two courses of two groups of patients for a 6-month follow-up observation, the observation group were 32 cases of pregnancy, pregnancy rate was 53.3%; control group were 18 cases of pregnancy, pregnancy rate was 30.0%. Significant difference between the two groups (P <0.01), with statistical significance. Conclusion: Integrative treatment of polycystic ovary syndrome, successful, worthy of clinical application.
【Key words】Integrative Medicine; polycystic ovary syndrome; effect
多囊卵巢综合症(PCOS)是一种多因性临床表现多态性的综合症。主要症状表现为闭经、不育、多毛和肥胖。临床特征是雄激素过多和持续无排卵。西医认为该病是由垂体促性腺激素的分泌失调、卵巢类固醇生成所需酶系统的功能缺陷[1]、肾上腺皮质功能紊乱等因素造成。而中医认为该病由多种因素引起气滞血瘀、痰湿阻滞等造成。我院自近年来采用中西医结合的方法治疗多囊卵巢综合症取得了较为理想的治疗效果，报告如下：
1资料与方法
1.1一般资料选取我院自2006年4月~2009年5月收治的120例多囊卵巢综合症患者随机分为观察组(中西医结合治疗组)和对照组(常规西药治疗组)各60例，所有患者均符合多囊卵巢综合症的临床诊断标准[2]，且排除先天性肾上腺增生症、严重肝肾功能不全者、库欣综合征和肾上腺肿瘤患者，两组患者均表现为不同程度的月经稀发或闭经、肥胖、卵巢增大及多毛症状。观察组60例患者中年龄24~39岁，平均28.3岁；病程1~8年，平均3.9年；原发性不孕症45例，继发性不孕症15例。对照组60例患者中年龄23~41岁，平均29.5岁；病程1~6年 ......
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