[논문]한방 치료를 통해 배란성 월경을 회복한 다낭성 난소 증후군 환자 6명의 증례보고

황보수민; 황덕상; 이진무; 이창훈; 장준복

doi:10.15204/jkobgy.2019.32.1.108

한방 치료를 통해 배란성 월경을 회복한 다낭성 난소 증후군 환자 6명의 증례보고
6 Cases of Polycystic Ovarian Disease Patients Recovering Ovulatory Menstrual Cycle with the Korean Medical Treatment : a Case Report 원문보기

大韓韓方婦人科學會誌 = The Journal of Korean obstetrics & gynecology, v.32 no.1, 2019년, pp.108 - 126

황보수민 (경희대학교 대학원 임상한의학과) , 황덕상 (경희대학교 한의과대학 부인과교실) , 이진무 (경희대학교 한의과대학 부인과교실) , 이창훈 (경희대학교 한의과대학 부인과교실) , 장준복 (경희대학교 한의과대학 부인과교실)

Abstract ▼ AI-Helper

Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of irregular menstruation (amenorrhea, oligomenorrhea) patients due to Polycystic ovarian syndrome (PCOS). There are some case reports about effectiveness of the Korean medical treatment to this disease, but cases are still deficient. And this case has significance for ascertaining PCOS patients' ovulation. Methods: 6 Amenorrhea or oligomenorrhea patients with PCOS were treated with Korean medical treatment (herbal medicine, moxibustion, acupuncture) at least 3 months. We estimated the effects of treatments through the change of menstrual pattern. Also, we checked follicles by ultrasonography for ovulation. Results: All patients recovered ovulatory menstrual cycle after taking Korean medical treatment for 3~9 months. Conclusions: These cases show the Korean medical treatment is effective on PCOS patients with irregular menstruation by recovering ovulatory menstrual cycle.

주제어

표/그림 (7)

표 Table 1. Prescription of Gwisin-hwan(Case 2)
표 Table 2. Prescription of Changbudodam-tang-gagam (Case 1, 3, 4, 5, 6)
표 Table 3. Korean Traditional Medicine Taken by Patients
표 Table 4. Overview of Patients
표 Table 5. Treatment Outcome
그림 Fig. 1. Ultrasonographic findings of polycystic ovarian & dominant follicles.
그림 Table 6. The Explanation of Figure Sonogram

질의응답

핵심어	질문	논문에서 추출한 답변
	다낭성 난소 증후군(polycystic ovarian syndrome, PCOS)은 무엇인가?	다낭성 난소 증후군(polycystic ovarian syndrome, PCOS)은 가임기 여성에서 무월경을 일으키는 주요 원인질환 중의 하나이다1). 다낭성 난소 증후군의 임상양상으로는 희발 배란 혹은 무배란(oligoanovulation), 고안드로겐혈증(hyperandrogenemia)이 특징적이며 그 외 다낭성 난소(polycystic ovary), 비만, 불임, 다모증(hirsutism)1) 등으로 다양하다.
	다낭성 난소 증후군의 임상양상으로는 어떤 것이 있는가?	다낭성 난소 증후군(polycystic ovarian syndrome, PCOS)은 가임기 여성에서 무월경을 일으키는 주요 원인질환 중의 하나이다1). 다낭성 난소 증후군의 임상양상으로는 희발 배란 혹은 무배란(oligoanovulation), 고안드로겐혈증(hyperandrogenemia)이 특징적이며 그 외 다낭성 난소(polycystic ovary), 비만, 불임, 다모증(hirsutism)1) 등으로 다양하다.
	다낭성 난소 증후군의 발생원인 중 시상하부-뇌하수체 부위의 기능이상에 대해 설명하라.	대표적인 병리 기전은 시상하부-뇌하수체 부위의 기능이상이다. 시상하부에서는 GnRH (gonadotropin releasing hormone)이 파동적으로 분비되며 이에 따라 뇌하수체에서 LH, FSH 등을 생산하게 되는데, GnRH의 파동빈도가 증가하면서 뇌하수체에서 LH 분비가 선택적으로 증가하게 된다. 증가된 LH은 난소에서의 안드로겐 생성을 자극하고, 상대적 LH의 상승은 난소에서의 안드로겐 합성 우세 상황을 유발하게 된다6). 이로 인해 다낭성 난소 증후군의 약 40~70%에서 혈중 LH 의 상승을 보인다36,37). 그 외 다낭성 난소증후군의 발생 원인으로 인슐린 작용 및 분비 이상, 유전적 소인 등이 지목되고 있다6).

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