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多囊卵巢综合征个体化临床策略的最新进展:来自临床试验和新兴药物治疗的证据

Recent Advances in Individualized Clinical Strategies for Polycystic Ovary Syndrome: Evidence From Clinical Trials and Emerging Pharmacotherapies.

作者信息

Moka Murali Krishna, Sriram Damal Kandadai, George Melvin

机构信息

Department of Clinical Research, Hindu Mission Hospital, Tambaram, Chennai, Tamil Nadu, India.

Department of Diabetology and Endocrinology, Hindu Mission Hospital, Tambaram, Chennai, Tamil Nadu, India.

出版信息

Clin Ther. 2025 Feb;47(2):158-167. doi: 10.1016/j.clinthera.2024.11.015. Epub 2024 Dec 20.

DOI:10.1016/j.clinthera.2024.11.015
PMID:39709252
Abstract

PURPOSE

Clinical trials are advancing the treatment of polycystic ovary syndrome (PCOS), an endocrine disorder affecting 8-13% of women. Lifestyle interventions, including nutritional plans, physical activity, and stress management, can improve reproductive hormones and metabolic health. Novel pharmacotherapies targeting hormonal, metabolic, and reproductive abnormalities are being explored for individualized treatment. Combination therapies and lifestyle interventions like acupuncture, high-intensity interval training, and vitamin D3 supplementation are also being explored.

METHODS

We conducted a narrative review by searching English-language studies across electronic databases such as PubMed, Science direct, and Google Scholar for articles related to the topics of PCOS and novel drug therapies such as metformin, LIK-066, elagolix, saxenda, exenatide, clomiphene, letrozole, and other diagnostic interventions. Our review excluded preclinical studies and articles not in english.

FINDINGS

In addition to pharmacological treatments, lifestyle interventions such as Tung's acupuncture, high-intensity interval training (HIIT), and vitamin D3 supplementation have proven effective in managing symptoms of PCOS and enhancing overall health outcomes. These interventions offer a complementary approach to traditional medical therapies, emphasizing the importance of integrating lifestyle modifications into the treatment plan for women with PCOS.

IMPLICATIONS

This comprehensive approach underscores the importance of tailored treatments in optimizing clinical outcomes and quality of life for women with PCOS. The aim of this review is to highlight recent advancements in the treatment of PCOS through clinical trials and emerging pharmacotherapies, emphasizing the need for individualized and multifaceted treatment approaches.

摘要

目的

临床试验正在推进多囊卵巢综合征(PCOS)的治疗,这是一种影响8%至13%女性的内分泌疾病。生活方式干预,包括营养计划、体育活动和压力管理,可以改善生殖激素和代谢健康。针对激素、代谢和生殖异常的新型药物疗法正在探索用于个体化治疗。联合疗法以及诸如针灸、高强度间歇训练和补充维生素D3等生活方式干预也在探索之中。

方法

我们通过在电子数据库(如PubMed、Science direct和谷歌学术)中搜索英文研究,对与PCOS主题以及诸如二甲双胍、LIK - 066、艾拉戈利克斯、司美格鲁肽、艾塞那肽、克罗米芬、来曲唑等新型药物疗法及其他诊断干预相关的文章进行了叙述性综述。我们的综述排除了临床前研究和非英文文章。

结果

除药物治疗外,诸如董氏针灸、高强度间歇训练(HIIT)和补充维生素D3等生活方式干预已被证明在管理PCOS症状和改善整体健康结果方面有效。这些干预为传统医学疗法提供了一种补充方法,强调了将生活方式改变纳入PCOS女性治疗计划的重要性。

启示

这种综合方法强调了为PCOS女性优化临床结果和生活质量的个性化治疗的重要性。本综述的目的是突出通过临床试验和新兴药物疗法在PCOS治疗方面的最新进展,强调需要个体化和多方面的治疗方法。

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