中医治疗青春期多囊卵巢综合征的研究进展

Research Progress of Chinese Medicine in the Treatment of Polycystic Ovary Syndrome in Adolescence

摘要: 青春期多囊卵巢综合征是一种临床上常见的青春期女性内分泌代谢失调的妇科疾病。青春期女性由于性腺轴下丘脑–垂体–卵巢尚未发育完全，月经不能规律来潮，常表现为月经不规律伴肥胖、多毛、面部痤疮、黑棘皮征等症状，如果不及时干预可能会导致育龄期不孕、先兆流产、复发性流产，疾病进行性发展为糖尿病、血脂异常、高血压及心脑血管疾病等，长期单一雌激素刺激可增加子宫内膜癌和乳腺癌的风险，对青春期女性生长发育造成严重影响。目前西医对其主要采用激素疗法治疗，但患者及其家属依从性较差，因此中医治疗在临床中受到了越来越多关注，本文主要阐述了中医治疗青春期多囊卵巢综合征研究进展，为临床治疗提供新思路。

Abstract: Adolescent polycystic ovary syndrome (PCOS) is a common clinical gynaecological disorder of endo-crine metabolic disorders in adolescent women. As the gonadal axis of hypothalamus-pituitary- ovary is not yet fully developed, adolescent females cannot have regular menstruation, which is of-ten manifested as irregular menstruation with obesity, hirsutism, facial acne, acanthosis nigricans, and other symptoms, and if not intervened in a timely manner, it may lead to infertility in childbearing age, preeclampsia, recurrent miscarriage, and the disease progressively develops into diabetes mellitus, dyslipidemia, hypertension, and cardio-cerebral and cerebral vascular disease, and the prolonged single-estrogen stimulation can increase the risk of endometrial cancer and breast cancer, and have a serious impact on the growth and development of adolescent females. At present, western medicine mainly adopts hormone therapy for its treatment, but the compliance of patients and their families is poor, so Chinese medicine treatment has received more and more at-tention in the clinic. This paper mainly describes the research progress of Chinese medicine treat-ment of pubertal polycystic ovary syndrome, which provides a new way of thinking for clinical treatment.