多囊卵巢综合征伴胰岛素抵抗的中西医治疗进展

摘要

多囊卵巢综合征(PCOS)是妇科常见的生殖内分泌紊乱疾病,患者一般因月经失调、闭经、不孕等就诊.胰岛素抵抗(IR)是其发病的中心环节,也是PCOS远期并发症的重要因素,因此多囊卵巢综合征胰岛素抵抗(PCOS-IR)的治疗在整个诊治过程中尤其重要.现在Pubmed和中国知网中检索了近几年PCOS-IR的常用治疗方法,包括运动饮食疗法、西药、中医中药、针灸等方法,且不同疗法各有所长,现作一综述,以期为临床医师的诊治提供更多思路.%Polycystic ovary syndrome (PCOS)is a common reproductive endocrine disorders in gynecology.Patients with PCOS are usually treated for menstruation,amenorrhea,and infertility.Insulin resistance(IR)is the heart of its pathogenesis and also an im-portant factor in the long-term complications.Therefore,the treatment of PCOS-IR is especially important in the process of diagnosis and treatment.In order to provide more ideas for the diagnosis and treatment of clinicians ,the author retrieved the common methods of treating PCOS-IR in recent years in PubMed and CNKI and made a review ,including exercise and diet therapy ,Western medi-cines,Chinese medicines ,acupuncture and other approach ,and each one has its advantages.