围青春期多囊卵巢综合征中医诊疗模式探索

Exploration of TCM Diagnosis and Treatment Mode of Polycystic Ovary Syndrome during Peripubertal Period

多囊卵巢综合征(PCOS)多于围青春期发病,且易合并肥胖症、血脂异常、胰岛素抵抗等,病因不明,机制不清,不可治愈,影响女性全生命周期健康,需早期关注,终身管理。体重增加是加速围青春期PCOS发展的主因,若不及时干预,会影响育龄期生殖健康,增加远期并发症发生风险。生活方式干预是PCOS首选的基础治疗,可有效减轻体重,改善胰岛素抵抗和恢复月经周期。基于此,可将多学科协作诊疗与生活方式医学相结合,开设生活方式中医(LCM)门诊,对围青春期PCOS患者进行一体化诊疗与全生命周期管理,以探索中医诊疗模式下的PCOS综合管理方案。

Polycystic ovary syndrome(PCOS)mostly develops during the peripubertal period and is prone to be complicated by obesity,dyslipidemia,and insulin resistance.The etiology of the disease is unknown,and the mechanism is unclear.Therefore,the disease is incurable,affecting women's health throughout the life cycle and requiring early attention and lifelong management.Weight gain is the main cause of the accelerated development of PCOS during the peripubertal period. If notintervened in a timely manner, it will affect reproductive health during the childbearing years andincrease the risk of long-term complications. Lifestyle treatment is the preferred primary treatment forPCOS, which can effectively reduce weight, improve insulin resistance, and restore menstrual cycles.On this basis, it is necessary to combine multidisciplinary collaborative diagnosis and treatment withlifestyle medicine, set up a lifestyle traditional Chinese medicine (LCM) clinic, and conduct integrateddiagnosis and treatment and whole-life cycle management for PCOS patients during the peripubertalperiod, so as to explore a comprehensive management plan for PCOS under the TCM diagnosis andtreatment mode.