魏绍斌治疗青春期多囊卵巢综合征验案
WEI Shaobin's Experience in Treating Adolescent Polycystic Ovary Syndrome
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1.成都中医药大学附属医院妇科,成都 610075
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周思韵, 石玲, 魏绍斌. 魏绍斌治疗青春期多囊卵巢综合征验案[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483403&Fpath=home&index=0
ZHOU Siyun, SHI Ling, WEI Shaobin. WEI Shaobin's Experience in Treating Adolescent Polycystic Ovary Syndrome[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483403&Fpath=home&index=0
周思韵, 石玲, 魏绍斌. 魏绍斌治疗青春期多囊卵巢综合征验案[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483403&Fpath=home&index=0 DOI:
ZHOU Siyun, SHI Ling, WEI Shaobin. WEI Shaobin's Experience in Treating Adolescent Polycystic Ovary Syndrome[DB/OL].(2023-08-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=40483403&Fpath=home&index=0 DOI:
病史摘要,2,患者,女性,16岁,学生。因“月经周期推后2,+,年,现停经8,+,月”就诊。患者13岁初潮,既往月经规律,2,+,年前因治疗过敏性紫癜肾炎口服醋酸泼尼松后出现右侧股骨头坏死,并出现月经周期推后,停药后月经仍未恢复正常周期。就诊前腹部彩超提示双侧卵巢多囊样改变。生殖内分泌激素:泌乳素(PRL):222 uIU/m,促卵泡激素(FSH):4.68 mIU/mL,促黄体生成素(LH):12.9 mIU/mL,雌二醇(E2):54.2 pg/mL,孕酮(P):0.14 ng/mL,睾酮(T):83.6 ng/dL,游离睾酮(FT):4.71 pg/mL,硫酸脱氢表雄酮(DHEA-S):74.36 nmol/L。胰岛素释放试验提示高胰岛素血症。现为求中药调经来成都中医药大学附属医院就诊。四诊信息 形体肥胖,纳眠可,二便调,舌暗红,苔白,脉滑略数。中医治法 补肾活血,化痰除湿。中医诊断 闭经,肾虚血瘀夹痰湿证。西医诊断 继发性闭经;青春期多囊卵巢综合征;高胰岛素血症;高雄激素血症。干预措施 采用中医综合治疗(中药汤剂、通脉大生片、中医特色疗法)。疗效转归 单用中医药治疗1,+,月后月经来潮,共间断治疗6月,月经周期、经期、经量基本恢复正常。
Summary of case history, Patient, female, 16 years old. The main clinical manifestation was menstrual cycle delayed by more than 2 years after the drug, and now amenorrhea for 8,+, months". The patient had menarche at the age of 13 and had regular menstruation in the past. After taking prednisone acetate for treatment of anaphylactoid purpura nephritis 2 years ago, she developed necrosis of the right femoral head, and her menstrual cycle was delayed. After stopping the medication, her menstrual cycle still did not return to normal. Abdominal color ultrasound showed polycystic changes in both ovaries. Sex hormone test: prolactin (PRL): 222 uIU/mL, follicle stimulating hormone (FSH): 4.68 mIU/mL, luteinizing hormone (LH): 12.9 mIU/mL, estradiol (E2): 54.2 pg/mL, progesterone (P): 0.14 ng/mL, testosterone (T): 83.6 ng/dL, free testosterone (FT): 4.71 pg/mL, dehydroepiandrosterone sulphate(DHEA-S): 74.36 nmol/L. Insulin release test indicates hyperinsulinemia. Now she come to Hospital of Chengdu University of TCM for treatment of restore the menstrual cycle with Traditional Chinese medicine.,Symptoms and signs, Fat body, eat and sleep well, Normal urination and urination, dull-red tongue, white tongue fur, slippery and slightly rapid pulse.,TCM treatment, Nourish kidney and blood-activating, reduce phlegm and dampness.,TCM diagnosis, Amenorrhea, kidney-deficiency and blood-stasis with phlegm and dampness syndrome.,Western medicine diagnosis, Secondary amenorrhea; Adolescent polycystic ovary syndrome; Hyperinsulinemia; Hyperandrogenemia.,Therapeutic methods, Traditional Chinese comprehensive treatment (Chinese herbal decoction, Tongmai Dasheng tablet, TCM characteristic therapy),Clinical outcomes, After more than 1 months of treatment with traditional Chinese medicine alone, has resume menstruation. And after treated for a total of 6 months, the menstrual cycle, period and menstrual volume was basically returned to normal.
闭经青春期多囊卵巢综合征中药汤剂通脉大生片中医特色疗法【适合阅读专业】 中医妇科中西医结合妇科
amenorrheaadolescent polycystic ovary syndromeChinese herbal decoctionTongmai Dasheng tabletTCM characteristic therapy【Suitable majors】 gynecology of chinese medicinegynecology of integrated chinese and western medicine
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