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中文摘要：
目的：研究多囊卵巢综合征（PCOS）患者血清激素水平与中医证候的相关性。方法：100例PCOS患者按中医证候分为肾虚（37例）、肝郁（34例）、痰阻（29例）3组，分别用化学发光法测量卵泡刺激素（FSH）、黄体生成素（LH）、雌二醇（E2）、催乳素（PRL），比较不同中医证候之间血清激素的变化；比较各证型患者中医证候积分与血清激素的相关性。结果：痰阻型患者LH与肾虚型和肝郁型相比均有差异（P〈0．05）；而肝郁型患者的E2水平与肾虚型和痰阻型有差异（P〈0．01和P〈0．05）。肾虚型患者的证候积分与FSH有相关性（r=0．336），而肝郁型患者的证候积分与E2有密切的相关性（r=0．863）。结论：血清激素在PCOS的发生中起重要作用，从中医辩证分型来看LH与痰阻型有关，FSH与肾虚型关系密切，而E2与肝郁型关系最为密切。
英文摘要：
Objective： To research the correlation between symptom and sign of Traditional Chinese Medicine （TCM） and sexual hormones in polycystie ovary syndrome （PCOS） . Methods： 100 patients with PCOS were divided into 3 groups as kidney deficiency （ n = 37 ）, congestion of liver （ n = 34） and phlegm stagnation （ n = 29） groups according to symptom and sign of TCM, estimated FSH, LH,E2, PRL by chemiluminescence to compare hormones and the correlation between score of TCM and hormones in each group. Results： Con- tents of LH were increased in phlegm stagnation group compared with that of kidney deficiency and congestion of liver groups （ P 〈 0. 05 ） , contents of E2 were increased remarkable in congestion of liver group compared with those of kidney deficiency and phlegm stagnation groups （P 〈 0. 01 and P 〈 0. 05 ）. The score of TCM in kidney deficiency group related with FSH （ r = 0. 336）. The score of TCM in congestion of liver group related with E2 （r = 0. 863） . Conclusion： Sexual hormones play a key role in the pathogenesis of PCOS. LH has a connection with phlegm stagnation syndrome of TCM and FSH has a connection with kidney deficiency syndrome of TCM, E2 has the closest connection with congestion of liver syndrome of TCM.
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