Clinical Observation And Evaluation Of Treatment Of "Kidney And Phlegm Decoction "to Phlegm Dampness Type Polycystic Ovary Syndrome Based On Clinical Path Of Traditional Chinese Medicine

Objective:To summary of the clinical path of traditional Chinese medicine clinic diagnosis and treatment of experimental work through implementation of phlegm damp type PCOS patients, before and after the comparison of the routes of patients in the observation indicators to improve the situation, the evaluation of Bushen Huatan Decoction curative effect and TCM clinical pathway implementation. After the disease in medical clinical pathway gradually improved, further development and popularization of the provide clinical basis.Methods:in accordance with the standard of formulation and implementation of clinical pathway, met the inclusion criteria of path of phlegm dampness type PCOS patients 32 cases, giving Kidney and Phlegm Decoction three treatment cycles, each cycle determination of 22 days blood progesterone values, and fill in the TCM clinical pathway observation, observation index include path patients before and after clinical signs (black thorn skin, hirsutism, acne, BMI, WHR), sex hormone, sugar metabolism, ovulation, pregnancy, variability, patient satisfaction and follow up, the system evaluation of Kidney and Phlegm Decoction curative effect and the Chinese medicine clinical pathway.Results:1. clinical path of traditional Chinese medicine treatment of phlegm damp type PCOS significant effect, evaluation of clinical curative effect of 32 cases 6 cases markedly effective, effective rate was 18.75%, effective 19 cases, effective 59.38%, invalid 7 cases, no efficiency was 21.87%, the total clinical effective rate was 78.13%. Menstrual cycles returned to normal in 3 cases, improvement in dilute ovulation menstrual cycle occurred in 8 cases of patients with ovulation rate was 25.56%. There are 14 cases with fertility requirements, through the treatment of 3 cases of pregnancy, the pregnancy rate was 21.43%.2. clinical symptom improvement after treatment in 3 cases:the path of normal menstrual cycle of PCOS patients and normal ovulation. Before and after the treatment of BMI pathway decreased significantly (P<0.05),acanthosis nigricans, hirsutism, acne, there was no significant difference of WHR score, but the improvement.3. serum endocrine, blood LH, P<0.05 and LH/FSH value of the path, there are significant differences; a significant change before and after the blood P<0.05 T path, there was statistically significant difference.4. the level of glucose metabolism before and after FPG, FINS, HOMA-IR path has improved, has not yet reached statistical significance (P>0.05).5.Patients satisfaction was higher on the path of implementation, on treatment costs and treatment satisfaction are a majority, of treatment effects on total satisfaction was 78.2% of path accept satisfaction was 93.8%, for diagnosis and treatment evaluation of service satisfaction reached 87.5%.Conclusion:1. Kidney and Phlegm Decoction in the treatment of phlegm dampness type PCOS has better curative effect, can improve the ovulation and pregnancy; significantly decreased in patients with BMI, effectively reduce the levels of LH, LH/FSH and T; improve glucose metabolism in patients with the index.2. TCM clinical pathway implementation in good condition, with the variation of less, the satisfaction is higher, less adverse reaction, for the future in the treatment of polycystic ovary syndrome, implementation of TCM clinical pathway provides a reference value.