CAJ | 학술논문

目的：探讨护理干预对肥胖型多囊卵巢综合征不孕患者妊娠率、内分泌指标的影响。方法将40例多囊卵巢综合征不孕患者随机分为对照组和观察组，对照组仅采取药物促排卵治疗，观察组在药物治疗前给予4个月护理干预，观察比较2组的妊娠率、内分泌指数。结果观察组妊娠率为45％（9/20），显著高于对照组的15％（3/20），差异具有统计学意义（P ＜0．05）；通过护理干预，肥胖型多囊卵巢综合征不孕患者内分泌指数包括睾酮（T）、黄体生成素（LH）、LH /FSH、胰岛素抵抗指数（HOMA-IR）较干预前有所变化，差异具有统计学意义（P ＜0．05）。结论系统的护理干预对多囊卵巢综合征，特别是肥胖型的多囊卵巢综合征患者妊娠率的提高、机体内分泌代谢、生活及精神状况有积极意义，值得临床推广。
목적：탐토호리간예대비반형다낭란소종합정불잉환자임신솔、내분비지표적영향。방법장40례다낭란소종합정불잉환자수궤분위대조조화관찰조，대조조부채취약물촉배란치료，관찰조재약물치료전급여4개월호리간예，관찰비교2조적임신솔、내분비지수。결과관찰조임신솔위45％（9/20），현저고우대조조적15％（3/20），차이구유통계학의의（P ＜0．05）；통과호리간예，비반형다낭란소종합정불잉환자내분비지수포괄고동（T）、황체생성소（LH）、LH /FSH、이도소저항지수（HOMA-IR）교간예전유소변화，차이구유통계학의의（P ＜0．05）。결론계통적호리간예대다낭란소종합정，특별시비반형적다낭란소종합정환자임신솔적제고、궤체내분비대사、생활급정신상황유적겁의의，치득림상추엄。
Objective To explore the nursing intervention on pregnancy rate and endocrine indexes in obese patients with polycystic ovary syndrome(PCOS)combined with infertility.Meth-ods 40 infertile patients with polycystic ovary syndrome were randomly divided into control group and observation group.Control group was given the therapy of medication induced ovulation while the observation group was given nursing intervention before treatment for four months in advance. The pregnancy rate and endocrine index were compared.Results The pregnancy rate in the ob-servation group was 45%(9 /20)which was significantly higher than 15%(3 /20)in the control group.The difference was statistical significant(P <0.05).Through nursing interventions,obesi-ty,polycystic ovary syndrome,infertility endocrine indexes including testosterone (T),luteinizing hormone (LH),LH /FSH and insulin resistance index (HOMA-IR)had changed compared with the condition before.The difference was significant.Conclusion The systematic nursing inter-vention is significant on polycystic ovary syndrome,particularly for obese women with polycystic o-vary syndrome.It could increase pregnancy rates,endocrine metabolism,lifestyle and mental health,so it is worthy of promotion.