痰湿证多囊卵巢综合征不孕患者临床体征及生化指标的分析

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Abstract Objective To explore the clinical signs, sex hormones and glycolipid metabolism characteristics of patients with phlegm-dampness polycystic ovary syndrome (PCOS) infertility. Methods From January 2017 to January 2019, 126 patients with PCOS infertility first diagnosed in the gynecology clinic of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine were retrospectively analzed, including 65 cases of phlegm-dampness syndrome and 61 cases of non-dampness syndrome. The general clinical characteristics and biochemical parameters of the patients were recorded, and the clinical specificity of patients with phlegm-dampness syndrome PCOS infertility was analyzed. Results General clinical features: systolic blood pressure, diastolic blood pressure, body weight, body mass index (BMI), waist circumference and hip circumference were significantly higher in the phlegm-dampness syndrome group than those in the non-dampness syndrome group, and the incidence of overweight or obesity (BMI>24 kg/m2) in the phlegm-dampness syndrome group was significantly greater than that in the non-dampness syndrome group, and the differences were statistically significant (P < 0.05). Sex hormones index: luteinizing hormone and luteinizing hormone/follicle-stimulating hormone in the phlegm-dampness syndrome group were significantly lower than those in the non-dampness syndrome group, and the differences were statistically significant (P < 0.05). Glucose and lipid metabolism index: fasting glucose, fasting insulin and insulin resistance index in the phlegm-dampness syndrome group were significantly higher than those in the non-dampness syndrome group, and the incidence of insulin resistance in the phlegm-dampness syndrome group was significantly higher than that in the non-dampness syndrome group, and the differences were statistically significant (P < 0.05). Conclusion Patients with phlegm-dampness PCOS infertility may have significant insulin resistance and higher BMI. Therefore, it is important to pay attention to the screening of glucose and lipid metabolism in patients, so as to prevent and cure long-term complications such as impaired glucose tolerance and diabetes as early as possible.

Key words： Phlegm-dampness syndrome Polycystic ovary syndrome Infertility Clinical features

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	YANG Yanting1 HOU Lihui2 SUN Miao2 HAO Songli2

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YANG Yanting1 HOU Lihui2 SUN Miao2 HAO Songli2. Analysis of clinical signs and biochemical indexes of patients with phlegm-dampness polycystic ovary syndrome infertility[J]. 中国医药导报, 2020, 17(15): 92-95.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I15/92

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