[1]肖彩兰,周伟慢,姜昭敏,等.补肾活血汤合养宫汤治疗多囊卵巢综合征临床研究[J].陕西中医,2021,(11):1561-1564.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.015]
 XIAO Cailan,ZHOU Weiman,JIANG Zhaomin,et al.Treatment of polycystic ovary syndrome with Bushen Huoxue decoction combined with Yanggong decoction[J].,2021,(11):1561-1564.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.015]
点击复制

补肾活血汤合养宫汤治疗多囊卵巢综合征临床研究
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年11期
页码:
1561-1564
栏目:
临床研究
出版日期:
2021-11-05

文章信息/Info

Title:
Treatment of polycystic ovary syndrome with Bushen Huoxue decoction combined with Yanggong decoction
作者:
肖彩兰1周伟慢1姜昭敏1张浩琳2
(1.定州市人民医院,河北 定州 073000; 2.北京大学第三医院,北京 100083)
Author(s):
XIAO CailanZHOU WeimanJIANG ZhaominZHANG HaolinJIA Ming
(Dingzhou City People's Hospital,Dingzhou 073000,China)
关键词:
多囊卵巢综合征 补肾活血汤 养宫汤 抗苗勒管激素 性激素结合球蛋白
Keywords:
Polycystic ovary syndrome Bushen Huoxue decoction Yanggong decoction Anti-mullerian hormone Sex hormone binding globulin
分类号:
R 711.75
DOI:
DOI:10.3969/j.issn.1000-7369.2020.11.015
文献标志码:
A
摘要:
目的:探讨补肾活血汤合养宫汤治疗多囊卵巢综合征的效果。方法:选取80例多囊卵巢综合征患者,依照随机数字表分为两组。对照组给予达英-35治疗,观察组在对照组的基础上另给予补肾活血汤合养宫汤治疗,两组均治疗3个月。对比两组中医症状评分,血清抗苗勒管激素(AMH)、性激素结合球蛋白(SHBG)水平,临床疗效、性激素水平以及用药不良反应情况。结果:两组患者治疗后肾虚血瘀型症状评分均降低,且观察组更低(P<0.05); 观察组和对照组总有效率分别为95.00%和80.00%,与对照组相比,观察组总有效率更高(P<0.05); 治疗后两组血清AMH水平均降低,且观察组低于对照组,血清SHBG水平均升高,且观察组更高(P<0.05); 治疗后两组患者血清LH、T、FSH水平均降低(P<0.05),且观察组低于对照组(P<0.05); 两组患者用药不良反应比较,差异无统计学意义(P>0.05)。结论:多囊卵巢综合征患者采用补肾活血汤合养宫汤治疗能够改善临床症状,疗效确切,同时能够改善血清AMH、SHBG水平和性激素水平。
Abstract:
Objective:To explore the effect of Bushen Huoxue decoction combined with Yanggong decoction in the treatment of polycystic ovary syndrome.Methods:80 patients with polycystic ovary syndrome were selected,and they were randomly divided into two groups.The control group was treated with Diaing-35 treatment,and in addition to the control group,the observation group was treated with Bushen Huoxue decoction combined with Yanggong decoction,both groups were treated for 3 months.Two groups of TCM symptom scores,serum anti-Müllerian hormone(AMH),sex hormone binding globulin(SHBG)levels,clinical efficacy,sex hormone levels and adverse drug reactions were compared.Results:After treatment,the scores of symptoms of kidney deficiency and blood stasis in the two groups were decreased,observation group was lower(P<0.05).Two groups had a significant difference in the distribution of curative effect grades after treatment(P<0.05),the total effective rates of the observation group and the control group were 95.00% and 80.00%,respectively,compared with the control group,the observation group has a higher total effective rate,and the difference was obvious(P<0.05).The serum AMH level of the two groups of patients were decreased,and the observation group was lower,and the serum SHBG level were increased,observation group was higher,and the difference was obvious(P<0.05).After treatment,the levels of serum LH,T and FSH of the two groups were decreased(P<0.05),observation group were lower(P<0.05).Adverse drug reactions of the two groups of patients,no significant difference(P>0.05).Conclusion:The treatment of patients with polycystic ovary syndrome with Bushen Huoxue decoction combined with Yanggong decoction can improve the clinical symptoms,with definite curative effect,and at the same time can improve the serum AMH,SHBG levels and sex hormone levels,which is safe and reliable.

参考文献/References:

[1] Meier RK.Polycystic ovary syndrome[J].Nurs Clin North Am,2018,53(3):407-420.
[2] 庞苗苗,庞 羽,贺丰杰.荷叶瓜蒌汤联合炔雌醇环丙孕酮片治疗多囊卵巢综合征临床研究[J].陕西中医,2020,41(10):1373-1375.
[3] 杨 超,胡莹茹,熊家瑶,等.胰高血糖素样肽-1受体激动剂治疗多囊卵巢综合征疗效及安全性的Meta分析[J].临床药物治疗杂志,2019,17(5):32-38.
[4] Tata B,Mimouni NE,Barbotin AL,et al.Elevated prenatal anti-Müllerian hormone reprograms the fetus and induces polycystic ovary syndrome in adulthood[J].Nat Med,2018,24(6):834-846.
[5] Deswal R,Yadav A,Dang AS.Sex hormone binding globulin-an important biomarker for predicting PCOS risk:A systematic review and meta-analysis[J].Syst Biol Reprod Med,2018,64(1):12-24.
[6] 徐立平,谢海平,王 萍,等.补肾活络方治疗青春期多囊卵巢综合征肾虚血瘀证的临床观察[J].中医药导报,2018,24(7):75-77.
[7] 何秀宣,甘群英.自拟补肾活血汤联合定坤丹治疗多囊卵巢综合征(肾虚血瘀型)临床疗效观察[J].四川中医,2019,37(7):164-167.
[8] 中华医学会妇产科学分会内分泌学组及指南专家组.多囊卵巢综合征中国诊疗指南[J].中华妇产科杂志,2018,53(1):2-6.
[9] 程 龙.中药新药临床有效性研究的一般原则[J].中国中医基础医学杂志,2012,18(4):437-438,440.
[10] 韩延华,胡国华.妇科名家诊治多囊卵巢综合征临证经验[M].北京:人民卫生出版社,2014:98-101.
[11] 王 萍,林 辉,黄 群,等.补肾活络方治疗青春期多囊卵巢综合征肾虚血瘀证的临床观察[J].中医药导报,2018,28(9):63-65,70.
[12] Flores AE,Ramirez M,Morreale HF.Polycystic ovary syndrome in adult women[J].Med Clin(Barc),2019,152(11):450-457.
[13] 李丽丽,师萍萍.血黄体生成素检测,经阴道超声卵泡监测联合不同促排卵方案对多囊卵巢综合征患者妊娠结局的影响[J].陕西医学杂志,2020,49(1):64-67.
[14] 王厚梅,陈 琨,翁宇红,等.腹腔镜下卵巢打孔数目对枸橼酸氯米芬抵抗多囊卵巢综合征疗效的影响[J].贵阳医学院学报,2020,45(4):482-485,490.
[15] 崔艳辉,范宏玲,武玉巧,等.达英-35治疗多囊卵巢综合征合并不孕症的疗效及对患者血清FSH、LH、TOS、TAS水平的影响[J].现代生物医学进展,2020,20(21):174-177.
[16] 梁洁莎,骆赟韵,黎小斌,等.补肾活血法对多囊卵巢综合征致不孕的Meta分析[J].海南医学院学报,2020,26(3):64-70.
[17] 杨艳婷,侯丽辉,李 妍.多囊卵巢综合征伴高雄激素血症患者中医体质分布及与临床指标的相关性分析[J].现代中医临床,2020,27(1):30-34.
[18] 谭 婧,周国君,王秋毅,等.两种胰岛素增敏剂二甲双胍与罗格列酮治疗胰岛素抵抗的非肥胖PCOS患者效果比较[J].中华妇产科杂志,2021,56(7):467-473.
[19] 江 敏.补肾活血汤联合定坤丹序贯治疗育龄期肾虚血瘀型PCOS的临床观察[D].武汉:湖北中医药大学,2017.
[20] 张洪涛,翁冬莉.防粘连膜联合助膜养宫汤对肾虚血瘀型重度宫腔粘连术后患者宫腔再粘连、凝血功能及血清TGF-β和TIMP-1的影响[J].现代中西医结合杂志,2018,27(14):1509-1512.
[21] 徐 珊,裴巧丽,袁宁霞,等.补肾养宫汤治疗肾虚血瘀型多囊卵巢综合征疗效及对卵巢间质血流的影响[J].现代中西医结合杂志,2020,29(11):1176-1180,1254.
[22] 徐彩炎,翟建军,欧阳卓.疏肝补肾汤联合双丹养血胶囊治疗多囊卵巢综合征对卵巢储备功能和受孕功能的影响[J].中华中医药学刊,2020,38(1):233-236.
[23] 姜晓琳,刘 静,张 阳,等.苍附导痰汤加二甲双胍联合穴位埋线对肥胖型多囊卵巢综合征不孕症患者免疫功能及肠道菌群的影响[J].临床误诊误治,2020,33(8):57-62.
[24] Dilaver N,Pellatt L,Jameson E,et al.The regulation and signalling of anti-Müllerian hormone in human granulosa cells:Relevance to polycystic ovary syndrome[J].Hum Reprod,2019,34(12):2467-2479.
[25] Liu Y,Zhao XX,Hu XJ,et al.Effect of sex hormone-binding globulin polymorphisms on the outcome of in vitro fertilization-embryo transfer for polycystic ovary syndrome patients:A case-control study[J].J Cell Biochem,2019,120(3):4675-4686.
[26] 丁永芬,程 玲,赖 娟,等.补肾活血方治疗肾虚血瘀型多囊卵巢综合征80例[J].西部中医药,2019,32(4):97-99.
[27] 张春玲,刘志杰.补肾调经汤多方分段给药对多囊卵巢综合征患者促排卵结局、症状及性激素水平的影响[J].世界中医药,2019,14(4):970-973.

相似文献/References:

[1]欧丽芬,张莹轩,周英.葛根汤合四逆散在多囊卵巢综合征型痤疮中的应用[J].陕西中医,2017,(06):791.
[2]王改梅,李 晶,张 励,等.苍附导痰方联合法地兰对PCOS合并不孕症患者性激素水平 及子宫内膜容受性的影响*[J].陕西中医,2019,(2):201.
 WANG Gaimei,LI Jing,ZHANG Li,et al.Effect of Cangfu Daotan prescription combined with Fadiland on sex hormone level and endometrial receptivity in PCOS patients with infertility[J].,2019,(11):201.
[3]袁社霞.补肾促排方治疗多囊卵巢综合征排卵障碍性不孕临床研究*[J].陕西中医,2019,(1):12.
 YUAN Shexia..Clinical observation on the therapeutic effect of Bushen Cupai recipe on ovulation disorder infertility in polycystic ovary syndrome[J].,2019,(11):12.
[4]高翠霞,宋红湘.补肾调经汤联合温针灸督脉治疗多囊卵巢综合征疗效及对患者内分泌系统和排卵的影响*[J].陕西中医,2019,(1):21.
[5]石小哲,张大伟.温肾健脾汤治疗多囊卵巢综合征及对患者胰岛素抵抗、 激素水平的影响*[J].陕西中医,2019,(5):637.
 SHI Xiaozhe,ZHANG Dawei..Curative effect of Wenshen Jianpi decoction in the treatment of polycystic ovary syndrome and the influence on insulin resistance and hormone levels[J].,2019,(11):637.
[6]马志宾,陈 燕,苏 永.促排卵汤对多囊卵巢综合征患者血清淀粉样蛋白P、脂肪因子 与白介素-18的影响研究*[J].陕西中医,2019,(5):651.
 MA Zhibin,HU Xiaohua,SU Yong ..Effect of Cupailuan decoction combined with life style on serum SAP, Apelin and IL-18 in women with polycystic ovary syndrome[J].,2019,(11):651.
[7]刘彩娜,李佳佳,李林林,等.温针灸督脉联合克罗米芬治疗肾虚血瘀型多囊卵巢综合征不孕临床研究*[J].陕西中医,2019,(6):803.
[8]李海霞,史秀英,王璀瑛,等.益肾化痰方治疗肥胖型多囊卵巢综合征不孕临床研究[J].陕西中医,2019,(7):839.
 LI Haixia,SHI Xiuying,WANG Cuiying,et al.Clinical study of Yishen Huatan decoction in the treatment of obese polycystic ovarian syndrome infertility[J].,2019,(11):839.
[9]冯亚宏,许 昕△.许昕教授治疗多囊卵巢综合征经验探析*[J].陕西中医,2020,(3):374.
[10]庞苗苗,庞 羽,贺丰杰△.荷叶瓜蒌汤联合炔雌醇环丙孕酮片治疗多囊卵巢综合征临床研究[J].陕西中医,2020,(10):1373.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.008]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年科学基金资助项目(81603446)
更新日期/Last Update: 2021-11-10