基础医学与临床 ›› 2013, Vol. 33 ›› Issue (2): 231-234.

• 短篇综述 • 上一篇    下一篇

多囊卵巢综合征胰岛素抵抗相关治疗进展

徐洪丽1,伍学焱2   

  1. 1. 北京协和医院
    2. 北京协和医院内分泌科
  • 收稿日期:2012-03-27 修回日期:2012-06-10 出版日期:2013-02-05 发布日期:2013-01-25
  • 通讯作者: 伍学焱 E-mail:wsheyan@vip.sina.com
  • 基金资助:
    2011年国家青年自然科学基金项目

Progress in treatment of insulin resistance in polycystic ovary syndrome

  • Received:2012-03-27 Revised:2012-06-10 Online:2013-02-05 Published:2013-01-25

摘要: 胰岛素抵抗(IR)是多囊卵巢综合征(PCOS)重要发病机制之一。临床上应用二甲双胍或噻唑烷二酮类药物可改善PCOS患者IR,纠正其代谢紊乱和高雄激素血症,故有助于恢复正常月经,增加排卵率及妊娠率,且孕期应用二甲双胍可能减少流产、妊娠高血压病、妊娠糖尿病等并发症。

关键词: 多囊卵巢综合征, 胰岛素抵抗, 二甲双胍, 噻唑烷二酮类药物

Abstract: Insulin resistance plays a key role in the pathogenesis of polycystic ovary syndrome. Therefore thiazolidinediones and metformin, which have been used in clinical therapy to treat patients with polycystic ovary syndrome, can ameliorate insulin resistance,resulting in the improvement of some metabolic abnormalities, hyperandrogenic symptoms, menses, ovulation and pregnancy rates. Metformin therapy throughout pregnancy may reduce in pregnancy complications, such as miscarriage rate, gestational hypertension and gestational diabetes.

Key words: polycystic ovary syndrome, insulin resistance, metformin, thiazolidinediones

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