中醫治療卵巢過度刺激症候群之病例報告

Traditional Chinese Medicine Treatment For Ovarian Hyperstimulation Syndrome: A Case Report

陳懿湄(Yi-Mei Chen) ； 龔俐云(Li-Yun Kung) ； 楊宗翰(Tsung-Han Yang) ； 黃蘭媖(Lan-Yin Huang)

《中醫婦科醫學雜誌》 29卷1期 (2022/06) Pp. 46-56

https://doi.org/10.30030/JTCGM.202206_29(1).0005

摘要

本篇病例報告為一位39歲孕婦，於人工生殖療程後開始出現卵巢過度刺激症候群的症狀，如：動輒易喘、頭暈、胸腹腔積水，胃腹脹不舒、下肢腫脹感、排尿不暢等，西醫婦產科建議追蹤即可，但患者因上述不適尋求中醫協助。辨證為陽虛水泛，停聚成飲，經過1個月的中醫內科治療，患者的不適症狀改善，且胸腹腔積水及卵巢腫脹減緩許多。我們藉由此案例探討中西醫診斷與治療卵巢過度刺激症候群可能的機轉與方向。

關鍵字

卵巢過度刺激症候群 ； 人工生殖療程 ； 臌脹 ； 中醫

並列摘要

This article discusses a 39-year-old pregnant woman who has ovarian hyperstimulation syndrome(OHSS) after artificial reproductive technology, such as asthma, dizziness, hydrothorax, ascites, abdominal fullness, leg pitting edema, dysuria, and so on. Traditional Chinese medicine diagnosed it as water overflowing due to yang deficiency, and accumulated to phlegm-rheum. After 1 month of treatment with traditional Chinese medicine, most of the symptoms were relieved, in addition, hydrothorax and ascites decreased; furthermore, ovary swelling was also relieved. We use this case to discuss possible mechanism and thinking process of traditional Chinese medicine treatment for ovarian hyperstimulation syndrome.

並列關鍵字

ovarian hyperstimulation syndrome(OHSS) ； artificial reproductive technology ； traditional Chinese medicine

參考文獻

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