多囊卵巢综合征中医辨证治疗的临床观察

Therapeutic effect of traditional Chinese medicine on polycystic ovary syndrome

目的观察温肾养血、祛瘀通利法治疗肾阳不足、湿阻下焦型多囊卵巢综合征(PCOS)的临床疗效。方法将60例肾阳不足、湿阻下焦型PCOS患者随机分为治疗组和对照组,治疗组30例采用温肾养血、祛瘀通利法治疗,对照组30例用克罗米芬治疗。均治疗3个周期,观察2组的治疗效果。结果治疗组总有效率为86.67%,高于对照组的76.67%,但差异无统计学意义(P>0.05),中医临床症状改善方面治疗组优于对照组,差异有统计学意义(P<0.01)。治疗后2组LH、T值较治疗前降低,且治疗组低于对照组(P<0.05或P<0.01)。结论中医药能明显改善PCOS患者的临床症状,提高患者的生活质量。

Objective To observe the therapeutic effect of the traditional Chinese Wenshenyangxue and Qieyutoagli treatment on polycystic ovary, syndrome（ PCOS）. Methods In the clinical trials, 60 patients with PCOS were divided into treatment group and control group randomly, The treatment group was underwent the traditional Chinese Wenshenyangxue and Qieyutongli treatment, while the control group was treated by clomiphen. After 3 months, compared the therapeutic effect of two groups. Results After 3 months, the total efficacy ratio was 86.67 % in treatment group and 76. 67 % in control group, although there was no statistical difference between two groups （ P 〉 0. 05）. Furthermore, significant difference was shown in aspects of traditional Chinese clinical symptoms （ P 〈 0. 01 ）. The levels of LH and T were decreased in both two groups, and the treatment group was lower than control group （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusion According to the research, it provided that traditional Chinese medicine could improve the symptoms of PCOS and make the quality of life better.