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二甲双胍联合黄连素治疗肥胖型多囊卵巢综合征的临床分析 被引量:2

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摘要 目的观察黄连素与二甲双胍联合应用治疗肥胖型多囊卵巢综合征(pcos)的临床疗效。方法采用随机数字表法,将2012年5月—2015年6月山东大学历城区妇幼保健所妇产科门诊收治的84例肥胖型多囊卵巢综合征患者分为常规组和联合组,每组各42例,常规组给予二甲双胍治疗,联合组在常规组的基础上给予黄连素治疗,所有患者均治疗3个月。结果治疗后联合组体重指数(BIM)、腰臀比(WHR)明显低于常规组,差异有统计学意义(P<0.05);两组患者治疗前卵泡刺激素(FSH)、黄体生成激素(LH)、LH/FSH比值、稳态胰岛素评估指数(HOMA-IR)和睾酮(T)比较差异无统计学意义(P>0.05)。经过3个月治疗后,联合组患者LH/FSH、LH、HOMA-IR和T均显著低于常规组,差异有统计学意义(P<0.05);治疗前两组患者排卵率较低,治疗后联合组患者排卵率明显高于常规组,差异有统计学意义(P<0.05)。结论采用二甲双胍联合黄连素治疗肥胖型多囊卵巢综合征,可以有效地改善患者肥胖体征,降低患者激素水平,提升患者排卵率。
出处 《中国初级卫生保健》 2016年第10期77-78,82,共3页 Chinese Primary Health Care
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