Clinical Study On The Effect Of Chinese Herbal Medicine Combined Aerobic Exercise On The Phlegm Type Of Women With Polycystic Ovary Syndrome And Insulin Resistance

ObjectiveThrough the clinical observation, to explore the effect of Chinese medicine of strengthening the spleep and eliminating danmpness combined with aerobic exercise on the phlegm type of women with Polycystic Ovary Syndrome and insulin resistance.MethodsCollect phlegm type of women with PCOS and IR, and randomize to two groups, the experience group 17cases, and control group 17 cases, the control group were treated with Cang Fu Dao Tan decoction, the experience group were treated with Cang Fu Dao Tan decoction and aerobic exercise, for three months of each therapy. Before and after the treatment, contrast the Clinical symptoms, body mass index(BMI), waist ratio (WHR), triglyceride(TC), totalcholestrol (TG) , high-density lipoprotein(HDL),low density lipoprotein (LDL), fasting plasma glucose(FPG), fasting insulin(FINS)level, insulin sensitivityindex(ISI) and testosterone (T)Results1. Before treatment, there’s no significant of FINS in both groups, after treatment, the two group has the lower level of FINS, compared with pretreatment (P<0.05), The experience group’s FINS scores is lower than the control group, the difference is statistically significant (P<0.05); Before treatment, there’s no significant of ISI in both groups, after treatment, the two group has the higher level of ISI, compared with pretreatment (P<0.05), The experience group’s ISI scores is higher than the control group, the difference is statistically significant(P<0.05). Before treatment, there’s no significant of FPG in both groups, after treatment, there’s no significant of FPG in control group, the experience group’s the level of FPG is lower than it before, the difference is statistically significant(P<0.05).2. Before treatment, there’s no significant of TC, TG, LDL and HDL in both groups, after treatment, the two group has the lower level of TC, TG, LDL compared with pretreatment(P<0.05), The experience group’s TC, TG, LDL scores is lower than the control group, the difference is statistically significant (P <0.05). after treatment, the two group has the higher level of HDL, compared with pretreatment (P<0.05), The experience group’s HDL scores is higher than the control group, the difference is statistically significant (P<0.05).3. Before treatment, there’s no significant of WHR and BMI in both groups, after treatment, the two group has the lower level of WHR and BMI, compared with pretreatment (P<.0.05), The experience group’s WHR and BMI scores is lower than the control group, the difference is statistically significant (P <0.05).4. Before treatment, there’s no significant of T in both groups, after treatment, the two group has the lower level of T, compared with pretreatment (P<0.05), The experience group’s T scores is lower than the control group, the difference is statistically significant (P<0.05).5. Before treatment, there’s no significant of clinic symptom scores in both groups, after treatment, the two group has the lower level of clinic symptom scores, compared with pretreatment (P<0.05), After treatment, there’s no significant of clinic symptom scores in both groups(P>0.05).ConelusionCang Fu Dao Tan decoction combined aerobic exercise to cure the patients with PCOS and IR, can get patients’ levels of ISI higher, clinic symptom scores ,T,BMI,WHR lower. It is an efficient prevention and treatment for disordered metabolism in phlegm type of women with PCOS and IR.