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青春期多囊卵巢综合征性激素和血生化水平与中医情志证素的相关性研究

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[摘要] 目的 探讨青春期多囊卵巢综合征患者情志证素的分布特点及与性激素、血糖血脂指标的相关性,为中医规范化治疗青春期多囊卵巢综合征提供新思路。 方法 收集2014年11月~2016年6月至宁波市中医院妇科门诊就诊的165例青春期多囊卵巢綜合征患者的一般资料、证素相关四诊信息与血液生化指标,采用'证素辨证“及积分的方法进行计算,观察肝、气滞证素与西医客观指标之间的相关性。 结果 肝证素积分、气滞证素积分与睾酮(T)、泌乳素(PRL)、空腹胰岛素相关,差异有统计学意义(P<0.05或P<0.01)。 结论 中医情志相关的肝郁气滞是青春期多囊卵巢综合征的重要病机。

[关键词] 证素;性激素;多囊卵巢综合征;情志

[中图分类号] R271.9 [文献标识码] A [文章编号] 1673-9701(2016)33-0034-03

[Abstract] Objective To investigate the correlation of distribution characteristics of emotional syndrome and indicators like the sex hormone, blood glucose and blood lipid of patients with adolescent polycystic ovarian syndrome and provide new perspective for standard treatment of adolescent polycystic ovarian syndrome by traditional Chinese medicine. Methods The general materials, four diagnostic information of syndrome element and blood biochemical indicators of 165 patients with adolescent polycystic ovarian syndrome who were treated in the gynecological clinics of Ningbo Hospital of Traditional Chinese Medicine from November 2014 to June 2016 were collected and calculated with "syndrome elements differentiation" and integral. The correlation of syndrome element of liver and Qi stagnation and the objective indicators in Western medicine were observed. Results The syndrome elements of liver and Qi stagnation were related with the testosterone (T), prolactin (PRL) and fast...

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