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目的:观察中药结合运动疗法治疗多囊卵巢综合征(PCOS)的临床疗效。方法:以2011年1月至2012年12月间曙光医院妇科门诊就诊的PCOS患者50例为研究对象,内服化痰活血中药,配合规范化运动疗法,3个月为1个疗程,观察患者服药前后临床症状和体征、血清学指标、排卵率,并随访半年内妊娠率。结果:与治疗前比较,治疗后,患者BMI降低,差异具有统计学意义(P<0.05),WHR、多毛(F-G分值)变化无统计学意义;中医主要症候有明显改善(P<0.01);血清学指标(LH/FSH比值、血清睾酮)改善(P<0.05);排卵率为84.44%,半年内妊娠率为46.67%。结论:中药结合运动疗法可以改善PCOS患者症状和体征,调节激素水平,提高排卵率和妊娠率。
Objective: To observe the clinical efficacy of traditional Chinese medicine combined with exercise therapy in the treatment of polycystic ovary syndrome (PCOS). Methods: From January 2011 to December 2012, 50 patients with PCOS in Gynecology outpatient department of Shuguang Hospital were enrolled in this study. Oral Chinese medicine for phlegm and blood circulation followed by standardized exercise therapy was given for 3 months as a course of treatment. Before and after taking the medicine Clinical symptoms and signs, serological indicators, ovulation rate, and follow-up within six months of pregnancy. Results: Compared with before treatment, the BMI of patients decreased after treatment, the difference was statistically significant (P <0.05), WHR and hirsutism (FG score) had no statistical significance; the main symptoms of TCM were significantly improved (P <0.01) Serum testosterone (LH / FSH ratio, serum testosterone) was improved (P <0.05). The ovulation rate was 84.44%. The pregnancy rate in six months was 46.67%. Conclusion: Chinese medicine combined with exercise therapy can improve the symptoms and signs of PCOS patients, regulate hormone levels, improve ovulation rate and pregnancy rate.