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目的:探讨中医辨证论治联合手术治疗多囊卵巢综合征的临床疗效。方法:选取88例多囊卵巢综合征患者,随机分为观察组与对照组各44例。对照组患者采取单纯中医辨证疗法,观察组患者在对照组治疗基础上加用腹腔镜下穿刺放液术。比较两组患者临床疗效及术前、术后的FSH、LH、T、E2及PRL等水平。结果:观察组患者总有效率明显高于对照组,差异有统计学意义(P<0.05)。两组患者术前LH、FSH、LH/FSH、E2、T及PRL等指标比较差异无统计学意义(P>0.05);观察组多囊卵巢综合征患者术后的LH、T及PRL指标降低程度优于对照组,差异有统计学意义(P<0.05)。结论:中医辨证论治联合手术治疗多囊卵巢综合征,治疗效果优于单纯应用中医辨证治疗,可有效调节患者体内激素水平。
Objective: To investigate the clinical effect of TCM syndrome differentiation and surgery combined with surgical treatment of polycystic ovary syndrome. Methods: Eighty-eight patients with PCOS were randomly divided into observation group (44 cases) and control group (44 cases). Patients in the control group were treated with simple TCM syndrome differentiation. Patients in the observation group were treated with laparoscopic paracentesis in addition to the control group. Clinical efficacy and preoperative and postoperative FSH, LH, T, E2 and PRL levels were compared between the two groups. Results: The total effective rate of observation group was significantly higher than that of control group, the difference was statistically significant (P <0.05). There was no significant difference in the indexes of LH, FSH, LH / FSH, E2, T and PRL between the two groups before operation (P> 0.05). The indexes of LH, T and PRL in the patients with polycystic ovary syndrome in the observation group were decreased The degree of superiority than the control group, the difference was statistically significant (P <0.05). Conclusion: TCM syndrome differentiation combined with surgical treatment of polycystic ovary syndrome, the treatment effect is better than the simple application of traditional Chinese medicine syndrome differentiation treatment, which can effectively regulate the hormone levels in patients.