世界中医药
文章摘要
引用本文:刘新敏1,刘睿1,2,徐信1,2,马兰1,2,文胜1.滋肾泻火中药治疗多囊卵巢综合征高睾酮血症30例[J].世界中医药,2015,10(07):.  
滋肾泻火中药治疗多囊卵巢综合征高睾酮血症30例
Clinical Observation of Tonifying Kidney-yin and Fire-clearing Medicine in Treating 30 Cases of Polycystic Ovary Syndrome with High Testosterone
投稿时间:2014-11-03  
DOI:10.3969/j.issn.1673-7202.2015.07.012
中文关键词:  多囊卵巢综合征  高睾酮血症  滋肾泻火  中医疗法
English Keywords:Polycystic ovarian syndrome  Hyperandrogenism  Tonifying kidney-yin and clearing fire method  Traditional Chinese Medicine Treatment
基金项目:国家自然科学基金项目(编号:81072839);中国博士后科学基金项目(编号:2011M5000503);中国中医科学院第三批优势病种项目(编号:CACMS08Y006)
作者单位
刘新敏1,刘睿1,2,徐信1,2,马兰1,2,文胜1 1 中国中医科学院广安门医院北京100053 2 北京中医药大学针灸推拿学院北京100029 
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中文摘要:
      目的:观察滋肾泻火中药治疗肾阴虚火旺型多囊卵巢综合征(Polycystic Ovary Syndrome,PCOS)高睾酮血症的临床疗效。方法:选取30例肾阴虚火旺型PCOS高睾酮血症患者,予加减知柏地黄汤口服,1剂/d,连服3个月。观察治疗前后血清睾酮(T)、卵泡刺激素(FSH)、促黄体生成素(LH)、雌二醇(E2)、泌乳素(PRL)、空腹胰岛素(FINS)以及月经周期、症状、痤疮评分、基础体温(BBT)双相率、卵巢体积、血常规、丙氨酸氨基转移酶、肌酐、尿素氮等。结果:治疗后,患者血清T和月经周期、中医症状及痤疮评分等均较治疗前明显降低(P<0.01;P<0.05),46.7%的患者基础体温出现双相,FSH、LH、E2、PRL、FINS、卵巢体积、血常规、肝肾功能与疗前相比差异无统计学意义(P>0.05)。结论:滋肾泻火中药能有效降低肾阴虚火旺型PCOS高睾酮血症,改善高雄激素的临床表现,有一定促进患者恢复自发排卵作用。
English Summary:
      To observe the efficacy of tonifying Kidney-yin and fire-clearing prescription in treating polycystic ovary syndrome (PCOS) with high testosterone. Methods:Thirty patients with PCOS accompanied high testosterone were recruited and treated with Zhibai Dihuang Formula for 3 months. The efficacy was evaluated after treatment. The serum testosterone (T) and follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen (E2), prolactin (PRL), Fasting insulin (FINS), the scores of menstruation, the scores of TCM symptoms, the scores of acne, the basal body temperature (BBT), the volume of ovarian, routine blood test, alanine aminotransferase (ALT), creatinine (CR) and urea nitrogen (BUN) were compared between before and after treatment. Results: 3 months later, the serum testosterone level,the scores of menstruation, the scores of TCM symptoms and the scores of acne were lower after treatment than that of before treatment (P<0.01; P<0.05=. 46.7% of the patients manifested bipolar order on basal body temperature, but FSH, LH, E2, PRL, FINS, the volume of ovarian, routine blood test, ALT, CR and BUN had no obvious change(P>0.05). Conclusion: Tonifying kidney-yin and clearing fire method proved efficient on lowering serum T, improving the clinical manifestations of hyperandrogenism of PCOS, and promoting patients recovery of spontaneous ovulation.
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