|本期目录/Table of Contents|

[1]苏恒香 刘雁峰 赵岑等.多囊卵巢综合征在女性各生理阶段病机特点概述[J].环球中医药,2014,7(01):63-0.
　SU Heng xiang,LIU Yan feng,ZHAO Ceng,et al.Overview on the pathomechanism features of PCOS in each physiological stage in females[J].,2014,7(01):63-0.
点击复制

多囊卵巢综合征在女性各生理阶段病机特点概述()
     
分享到：

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第7卷
期数:
2014年01期
页码:
63-0
栏目:
综述
出版日期:
2014-01-06

文章信息/Info

Title:
Overview on the pathomechanism features of PCOS in each physiological stage in females
作者:
苏恒香 刘雁峰 赵岑等
Author(s):
SU Hengxiang;  LIU Yanfeng;  ZHAO Ceng;  et al.
Department of gynaecology,Dong zhi men Hospital,Beijing University of Chinese Medicine ，Beijing 100700, China
关键词:
多囊卵巢综合征; 肾虚; 脾虚; 肝郁
Keywords:
Polycystic ovarioan sydrome; Kidney deficiency; Spleen deficiency; Stagnation of the liver
分类号:
R71175
DOI:
-
文献标志码:
A
摘要:
多囊卵巢综合征在青春期和育龄期均可见发病，青春期女性肾气尚未充盛，加之学习压力比较大，易肝郁化火，中医认为其病机为肾虚肝郁。而育龄期多囊卵巢综合征患者的临床表现不一，轻重程度差异较大，中医辨证宗肾虚、脾虚、肝郁、痰湿、瘀血等，各家各说，各有侧重。故多囊卵巢综合征在青春期女性和育龄期女性的病机特点需要加以区别，另外多囊卵巢综合征患者妊娠后流产率相对较高，也有其一定的病机特点。现就多囊卵巢综合征在女性这三个时期的发病特点及中医病因病机作一概述。
Abstract:
Polycystic ovary syndrome can occur in both adolescence and reproductive age. In adolescence, the Kidneyqi of females has not been sufficient, plus the study pressure is comparatively big, so the depression of the liver is prone to generate pathogenic fire. In this case, TCM considers its pathomechanism as kidney deficiency and liver stagnation. As in reproductive age, the clinical symptoms are in diversity, the severity is also at different levels. The TCM pattern differentiation involves kidney deficiency, spleen deficiency, stagnation of the liver, phlegmdampness and blood stasis. Doctors of different schools hold different views. Therefore, it is necessary to distinguish the pathomechanism features of PCOS between adolescence and reproductive age. The abortion rate of females suffering from polycystic ovary syndrome is relatively high and this abortion has its own pathomechamism features. This paper aims to provide an overview on clinical characters, cause and pathomechanism of PCOS in those stages in females from TCM perspective.

参考文献/References:

[1]肖承悰.中医妇科临床研究［M］.北京：人民卫生出版社，2009：270.
[2］Dominguez M A, Petre M A, Neal M S, et al. Bisphenol A concentrationdependently increases human granulosalutein cell matrix metalloproteinase9 (MMP9) enzyme output［J］. Reproductive Toxicology,2008,25(4): 420425.
[3］杜尚明,马梦君,林淡钰,等.PCOS对女性健康影响的共识: ESHRE/ASRM 在阿姆斯特丹发起的第三届PCOS共识研讨会(上)［J］.国际生殖健康/计划生育杂志, 2013, 32(3): 222224.
[4］Homburg R, Lambalk C B. Polycystic ovary syndrome in adolescencea therapeutic conundrum［J］. Human Reproduction, 2004, 19(5): 10391042.
[5］Van Hooff M H A, Voorhorst F J, Kaptein M B H, et al. Predictive value of menstrual cycle pattern, body mass index, hormone levels and polycystic ovaries at age 15 years for oligo‐amenorrhoea at age 18 years［J］. Human Reproduction, 2004, 19(2): 383392.
[6］McCartney C R, Prendergast K A, Chhabra S, et al. The association of obesity and hyperandrogenemia during the pubertal transition in girls: obesity as a potential factor in the genesis of postpubertal hyperandrogenism［J］. Journal of Clinical Endocrinology & Metabolism, 2006, 91(5): 17141722.
[7］梁婧,金季玲.金季玲治疗青春期多囊卵巢综合征经验［J］.江西中医药,2011,42(344): 2021.
[8］梁雪雯,苏建芬.益肾疏肝,活血调经法治疗青春期多囊卵巢综合征42例疗效观察［J］. 贵州医药,2007,31(10):937938.
[9］桑霞,张玉珍.青春期多囊卵巢综合征从肝论治体会［J］.湖南中医杂志,2008,24(1): 5152.
[10］柴丽宏.疏肝清解汤治疗肝经郁热型青春期多囊卵巢综合征临床观察［J］.北京中医, 2006,25(6):323326.
[11］陈小平,谢波,陈靓芬.补肾疏肝汤治疗肾虚肝郁型青春期多囊卵巢综合征21例临床观察［J］.云南中医中药杂志,2008,29(4):910.
[12］Kalra A, Nair S, Rai L. Association of obesity and insulin resistance with dyslipidemia in Indian women with polycystic ovarian syndrome［J］. Indian Journal of Medical Sciences,2006,60(11):447.
[13］梅本华.辨证分型治疗多囊卵巢综合征20例［J］.中医药临床杂志,2013(2):152153.
[14］祁冰,郝松莉,吴效科,等.从“痰瘀胞宫”理论认识多囊卵巢综合征［J］.中国中医基础医学杂志,2011,17(4):375376.
[15］沈丹.章勤治疗多囊卵巢综合征不孕之临床经验［J］.陕西中医学院学报,2013(2):3132.
[16］郭瑞,李玲玲,何春晖.褚玉霞教授治疗痰湿型多囊卵巢综合征经验［J］.中医学报, 2010(6):10871088.
[17］许华云,付金荣.蔡小荪治疗多囊卵巢综合征不孕症的临床经验［J］.辽宁中医杂志, 2012,8:12.
[18］刘新敏,李光荣.从古代文献探讨多囊卵巢综合征的病因病机［J］.中国中医基础医学杂志,2009(4):249249.
[19］李莹,卢苏.从“肾为生痰之本”探讨多巢卵囊综合征的病因病机［J］.吉林中医药,2010, 30(12):10131014.
[20］王东红.肖承悰教授治疗肾虚痰瘀型多囊卵巢综合征经验［J］.环球中医药,2011,4(4):297299.
[21］宋丽娜,齐聪.齐聪治疗多囊卵巢综合征不孕症经验［J］.辽宁中医杂志, 2013,40(6): 10911092.
[22］陈彦乐,王旭.周仲瑛辨治多囊卵巢综合征经验［J］.中医杂志,2012,53(19): 16351637.
[23］王昕,陈旭.“补肾健脾,祛痰化瘀”法辨治多囊卵巢综合征［J］.中华中医药学刊, 2012, 30(11):24492451.
[24］徐冬艳.羊菊芬辨治多囊卵巢综合征所致不孕的经验［J］.吉林中医药,2010,30(2): 101102.
[25］闫和平.多囊卵巢综合征性不孕中医病机及治疗思路探析［J］.吉林中医药, 2009, 29(8): 658659.
[26］黄金燕,魏绍斌.从“肾虚肝郁,湿瘀内阻” 辨治多囊卵巢综合征［J］.辽宁中医杂志, 2011,38(11):21632165.
[27］华苓.柴松岩治疗多囊卵巢综合征经验［J］.北京中医药, 2011,30(7):494498.
[28］张红梅,谈勇.从阴阳失衡观论治多囊卵巢综合征［J］.江西中医学院学报,2010(5): 2123.
[29］高霖雨,李淑萍,赵鸣芳.从肝郁论治多囊卵巢综合征［J］.吉林中医药,2013, 33(2)：115117.
[30］金凤丽,曹东.从肝郁与瘀痰互结论多囊卵巢综合征中医病机及辨证实质［J］.中华中医药学刊,2011,29(8):18361837.
[31］张锁,王波,吴效科,等.多囊卵巢综合征是一种天癸节律失调病［J］.世界中西医结合杂志, 2010,5(9):807808.
[32］杨新鸣,吴效科.冲任阻滞与多囊卵巢综合征［J］.世界中西医结合杂志,2010,5(8): 645648.
[33］Wang J X,Davies M J, Norman R J.Polycystic ovarian syndrome and the risk of spontaneous abortion following assisted reproductive technology treatment［J］. Human Reproduction,2001,16(12):26062609.
[34］Jakubowicz D J,Iuorno M J,Jakubowicz S,et al.Effects of metformin on early pregnancy loss in the polycystic ovary syndrome［J］.Journal of Clinical Endocrinology & Metabolism,2002,87(2):524529.
[35］Boomsma C M, Fauser B C J M, Macklon N S. Pregnancy complications in women with polycystic ovary syndrome［C］//Seminars in reproductive medicine. Thieme Medical Publishers,2008,26(1):7284.
[36］侯智,玉建雯,李明.多囊卵巢综合征伴胰岛素抵抗对妊娠结局的影响［J］.河北医药, 2012,34(15):22972298.
[37］郭畅,樊桂玲,郭剑,等.多囊卵巢综合征和卵巢储备功能低下患者行 IVFET 的临床分析［J］.河北医药,2013,35(9):13331334.
[38］李玉梅,詹华刚,魏光平,等.体外受精胚胎移植助孕治疗难治性多囊卵巢综合征患者的妊娠结局分析［J］.中国卫生产业,2013,10(8):8687.
[39］Arredondo F, Noble L S. Endocrinology of recurrent pregnancy loss［C］//Seminars in reproductive medicine.Copyright 2006 by Thieme Medical Publishers,Inc.,333 Seventh Avenue,New York,NY10001,USA.,2006,24(1):3339.
[40］Homburg R.Pregnancy complications in PCOS ［J］.Best Practice Res，2006，20（2）：281292.
[41］樊桂玲,栗风霞,张龙月.多囊卵巢综合征患者 70 周期 IVFET 结局分析［J］.中国妇幼保健,2013,28(11):17721773.
[42］周慧萍,陈振,梁瑞宁.梁瑞宁治疗多囊卵巢综合征合并自然流产经验［J］.江西中医药, 2011,42(7):2729.
[43］刘娟,梁瑞宁,范培.补肾活血法对多囊卵巢综合征并复发性流产患者早期自然流产影响的临床观察［C］//第十一次全国中医妇科学术大会论文集,2011.
[44］张建伟,罗又嘉.多囊卵巢综合征患者妊娠后先兆流产的病因病机探讨［J］.湖南中医杂志,2013,20(6):67.

相似文献/References:

[1]张永兴 李静云.温肾祛痰调周法与西药结合治疗多囊卵巢综合征45例[J].环球中医药,2014,7(03):222.
[2]刘新敏,刘睿,艾莉,等.基于血清异常激素的多囊卵巢综合征中医证候研究[J].环球中医药,2013,6(01):12.
　LIU Xin min,LIU Rui,AI li,et al.Research of polycystic ovarian syndrome TCM syndromes based on serum abnormal hormones[J].,2013,6(01):12.
[3]全青山,江媚,刘雁峰,等.安任固胎饮联合黄体酮胶囊治疗肾虚型胎动不安40例[J].环球中医药,2013,6(01):28.
[4]胡敏,张跃辉,侯丽辉,等.多囊卵巢综合征“冲任停滞”的内涵探讨[J].环球中医药,2013,6(02):111.
[5]王利芬.围绝经期综合征中西医临床研究进展[J].环球中医药,2013,6(02):151.
　WANG Li fen..Progress on clinical research of traditional Chinese medicine and western medicine for perimenopausal syndrome[J].,2013,6(01):151.
[6]刘新敏,赵一鸣.降胃气在治疗多囊卵巢综合征中的作用[J].环球中医药,2014,7(05):357.
[7]马兰,刘新敏.多囊卵巢综合征高雄激素血症的中医药治疗进展[J].环球中医药,2012,5(08):633.
　MA Lan,LIU Xin-min..Progress on treatment of PCOS with hyperandrogenism with traditional Chinese medicine[J].,2012,5(01):633.
[8]王秀霞,宋玉林.中药治疗多囊卵巢综合征所致不孕的研究进展[J].环球中医药,2012,5(10):797.
　MWANG Xiu xia,SONG Yu lin..Research progress of treatment of infertility resulted from PCOS with TC[J].,2012,5(01):797.
[9]朱秀芬 王惠琴.近5 年多囊卵巢综合征临床研究进展[J].环球中医药,2014,7(06):497.
　ZHU Xiu fen,WANG Hui qin..Progress of polycystic ovary syndrome in the past five years of clinical studies: a clinical research[J].,2014,7(01):497.
[10]辛喜艳 李东 郭佳 刘承 姬晓兰.多囊卵巢综合征中医证候特征及中医药治疗思路评述[J].环球中医药,2015,8(06):679.[doi: A doi:10.3969/j.issn.1674-1749.2015.06.010]
　XIN Xi-yan,LI Dong,GUO Jia,et al.A brief summary of TCM syndromes characteristics and treatment ideas on polycystic ovary syndrome[J].,2015,8(01):679.[doi: A doi:10.3969/j.issn.1674-1749.2015.06.010]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81273789）；北京中医药大学证候规范化标准化创新团队基金（2011CXTD08）
作者单位： 100700北京中医药大学东直门医院妇科［苏恒香(硕士研究生)、刘雁峰、赵岑(硕士研究生)、贾超敏(硕士研究生)\]；作者简介:苏恒香(1986- )，女，2011级在读硕士研究生。研究方向:多囊卵巢综合征的中医药防治。Email:suhengxiang@gmail.com通讯作者: 刘雁峰(1963- ) ，女，博士，主任医师，教授，博士生导师。研究方向:中医药治疗月经不调、更年期综合征、不孕症。Email: liuyaf888@ sina.com
更新日期/Last Update: 1900-01-01