Treatment Of Phlegm Dampness Type Polycystic Ovarian Syndrome With Combination Of TCM And Western Medicine

ObjectiveThe increasing range of clinical patients with PCOS, what make me feel special is that a significant number of patients are obese phlegmy wet body constitution. The randomized controlled clinical research method is adopted to study pale attached guide phlegm pill patients with polycystic ovary syndrome type phlegm wet resistance, the clinical effect and safety of better play to the advantages of Chinese medicine treatment. Improve the female menstrual disorder, achieving its ovulation rate and pregnancy rate of infertility patients. Method1. Collection of information: Selected from March 2014 to January 2014 to Shiyan hospital of traditional Chinese medicine clinic patients comply with PCOS diagnostic criteria of traditional Chinese medicine(TCM) and western medicine phlegmy wet resistance model of 61 patients with syndrome differentiation standard. Between the ages of 19 and 40, with an average age of 28.45 + /-1.58 years old, Looking up sex hormone six see androgen significant different from those of normal, Ultrasound were visible bilaterally enlarged ovaries,coated echogenicity,interstitial, ovarian cortex has not mature follicle formed at all levels of small anechoic area, no mature follicle,continuous monitoring is not seen signs of follicular development and ovulation.Laparoscopic see both ovaries are pale,bike or bilateral ovaries increase,ovarian capsular thickening,smooth surface,a new blood vessels.Subscapular show multiple follicles,but no ovulation shrink mark,no mature follicle, blood vessels or corpus luteum.Randomly divided into 2 groups, 31 cases for the treatment group and 30 cases for control group.2.Treatment:The treatment group uses the oral Chinese medicine named Cang fu dao tan wan(ingredients:Poria cocos 15 g,Pinellia ternata15 g,pericarpium citri reticulatae6 g,rhizoma atractylo dis10 g,rhizoma cyperi10 g,fructus aurantii10 g,medicated leave n15 g,Bilenanxing15g,fresh ginger10 g,liquorice6g),According to the patient’s menstrual cycles and clinical symptoms change card to add and subtract in the changes and using Diane-35.If possible, giving patients earpins cooperate treatment therapy:selecting Kidn-ey,adrenal gland,the endocrine and ovarian,door god ect, Earpins buried cave,buried beans,each choose 4-5 places,2-3 times per week.For patients with pregnancy needs,In menstruation 14 day acupuncture guan yuan,extremely,uterus,three vaginal intercourse, once a day,a total of three times,each time retaining needle for 30 min.Control group just gives Diane-35 treatment.Each group is continuous treatment of three menstrual cycles to three months for a period of treatment,observing a period of treatment.Observed before and after treatment in patients with weight and BMI,clinical symptoms,measured before and after treatment of sex hormone six levels,contrast ultrasound before and after the treatment, men-struation,basal body temperature condition,and the curative effect of treatment group and control group differences.3.conduct: At the end of the course,according to the statis tical analysis,judge the curative effect.Using statistical software SPSS17.0 statistics: count data usingχ2-test, the level of information Ridit-test. ResultsAccording to the random distribution principle,the two groups before treatment age,weight,body mass index,the illness condition, the menstruation situation,clinical manifestation,compared the basal body temperature,etc,there is no statistically difference(P>0.05),Therefore prompt the effect of prognosis of two groups of comparable.The result follows:1.Comparison of endometrial thickness:The treatment group after treatment of endometrial thickness increases,Differences are statistically significant(P<0.05).The control group before and after treatment of endometrial thickness has no obvious change, there is no statistically difference exsist(P>0.05),After tre-atment between the two way,in comparison with endometrial thic-kness difference had statistical significance(P<0.05),Treat-ment group can increase the lining thickness.2.Comparision of weight and BMI: In terms of the treatment group compared with before treatment,weight and BMI significantly decreased,So there have statistically significant differences exsist(P<0.05),The control group after treatment of the weight and BMI, There are statistically significant differences(P<0.05)There was no statistically significant difference after treatment between the two way BMI(P>0.05),No significant differences in the two groups after treatment effect.3.Comparision of sex hormone:After treatment for 3 months review sex hormone,comparing the results of two groups before treatment were improved,Androgens,luteinizing hormone,LH/FEH was decreased, the significant statistical difference(P<0.05),After treatment compared each value no statistical difference between the two way(P>0.05).4.Comparision of ultrasound and menstruation:Treatment group and control group compared with before treatment,the situation has improved, with statistical differences(P<0.05),and have no statistically significant differences between the groups after treatment(P>0.05).5.Comparision of BBT:Treatment group and control group compared with before treatment,the situation has improved,with statistical differences(P<0.05),and have no statistically significant differences between group after treatment(P>0.05).6.Comparision of TCM syndrome:Two groups was obviously improved, the have obvious statistical significance(P<0.05),Contrast differences between the two way has the obvious statistical signi-ficance(P<0.05),Two groups can improve the clinical symptoms, but the treatment group is better than the control group.7.Comparision of the clinical total effective rate: treatme-nt group is 92%,control group is 70%,The treatment group is better than that of control group,significant statistical signifyPale attached guide phlegm pill combined taie- 35 in the treatment of phlegm wet resistance type polycystic ovary syndrome has significant curative effect, Compar-ed with the control group, not only can significantly improve the patient’s clinical symptoms,patients adjust endocrine,also can improve polycystic ovary change, promote the patient ovulation, and less adverse reaction,is worth clinical popularizing widely.