陈莉;张勤华;唐敏洁;姚馨怡;

• 1:上海中医药大学附属曙光医院

摘要(Abstract)：

多囊卵巢综合征(PCOS)不孕症的治疗方法仍无统一标准。多数研究认为,调整不良的生活方式极为重要。西医治疗以促排卵和手术治疗为主。中医药治疗多以补肾为主辨证治疗或使用中药周期疗法及针灸疗法。中西医结合治疗多以促排卵药物结合中医周期疗法或针药并用。中医药治疗因其不良反应小,改善患者月经周期、排卵状况以及生活质量效果显著逐渐得到医学界的重视。

关键词(KeyWords)： 多囊卵巢综合征;不孕症;中药周期疗法;促排卵

Abstract:

Keywords:

基金项目(Foundation): 上海市重点学科建设项目(编号:S30303)

作者(Author): 陈莉;张勤华;唐敏洁;姚馨怡;

Email:

DOI: 10.13463/j.cnki.jlzyy.2013.01.041

参考文献(References)：

• [1]Ghazeeri G,Kutteh WH,Bryer- Ash M,et al.Effect of rosiglitazone on spontaneous and clomiphene citrate-induced ovulation in women polycystic ovary syndrome[J].Fertil Steril,2003,79(3):562- 566.
• [2]Boomsma CM,Eijkemans MJ,Hughes EG,et al.A meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome [J].Hum Reprod Update,2006,12(6):673-683.
• [3]Moran L.J,Noakes M,Cliftong P.M.,et al.Ghrelin and Measures of Satiety Are Altered in Polycystic Ovary Syndrome But Not Differentially Affected by Diet Composition[J].The Journal of Clinical Endocrinology & Metabolism,2004,89(7):3337-3344.
• [4]The Thessaloniki ESHRE/ASRM-sponsored PCOS consensus workshop group.Consensus on infertility treatment related to polycystic ovary syndrome[J].Human Reprod,2008,23(3):462-477.
• [5]夏和霞,张炜.饮食因素在多囊卵巢综合征治疗中的作用[J].国际妇产科学杂志,2008,35(3):215-218.
• [6]Rich-Edwards JW,Spiegelman D,Garland M,et al.Physical activity, body mass index,and ovulatory disorder infertility[J].Epidemiology, 2002,13(2):184-190.
• [7]Shaveta M Malik,Michael L Traub.Defining the role of bariatric surgery in polycystic ovarian syndrome patients[J].World Journal of Diabetes,2012,3(4):71-79.
• [8]Jayagopal V,Kilpatrick ES,Holding S,et al.Orlistat is as beneficial as metformin in the treatment of polycystic ovarian syndrome [J].Clin Endocrinol Metab,2005,90(2):729-733.
• [9]Imani B,Eijkomans MJ,te-Velde ER,et al.A nomogram to predict the probability of live birth after clomiphene citrate induction of ovulation in normogonadotropic oligoamenorrheic infertility[J]. Fertil Steril,2002,7(1):91-97.
• [10]肖劲松,陈双陨.来曲唑促排卵治疗有效性的系统性评价[J].Chin J Evid-based Med,2010,10(6):718-723.
• [11]Christin-Maitre S,Hugues JN.A comparative randomized multicentric study comparing the step-up versus step-down protocol in polycystic ovary syndrome[J].Hum Reprod,2003,18(8)1626- 1631.
• [12]Practice Committee of the American Society for Reproductive Medicine.Ovarian hyperstimulation syndrome[J].Fertil Steril, 2006,86(5):178-183.
• [13]姚逸,时燕萍.多囊卵巢综合征诱发排卵的中西医研究进展[J].吉林中医药,2011,31(9):921-924.
• [14]Seow KM,Juan CC,Hwang JL,et al.Laparoscopic surgery in polycystic ovary syndrome:reproductive and metabolic effects [J].Semin Reprod Med,2008,26(1):101-110.
• [15]刘莹,李光荣.中医辨证治疗多囊卵巢综合征62例临床观察[J].新中医,2009,41(12):30-32.
• [16]倪晓荣,孙卓君.孙卓君教授治疗多囊卵巢综合征的临床经验[J].陕西中医,2012,33(4):465-467.
• [17]蔡平平.补肾活血调经汤治疗。肾虚血瘀型多囊卵巢综合征的临床研究[D].山东中医药大学,2003.
• [18]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.
• [19]许华云,付金荣.中药人工周期疗法治疗多囊卵巢综合征的研究[J].吉林中医药,2010,30(8):668-680.
• [20]郑姜钦,吕绍光,李红.中药人工周期治疗多囊卵巢综合征45例[J].中国中医药杂志,2008,23(5):458-459.
• [21]马仁海,冀萍,沙桂娥,等.针灸治疗多囊卵巢综合征98 例临床观察[J].中国针灸,1996,16(11):18-19.
• [22]贾文惠.中医分段周期疗法为主治疗多囊卵巢综合征42例[J].中国实用医药,2012,7(7):167-168.
• [23]赵琰,胡丽莎,王长华,等.针灸联合二甲双胍对多囊卵巢综合征患者应用克罗米酚促排卯疗效观察[J].江西医药,2007,42(12):1089-1092.