现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
12期
19-23
,共5页
多囊卵巢综合征%肥胖%自我体重管理
多囊卵巢綜閤徵%肥胖%自我體重管理
다낭란소종합정%비반%자아체중관리
polycystic ovary syndrome%obesity%weight self-management
目的：探讨自我体重管理对育龄期肥胖多囊卵巢综合征（polycystic ovary syndrome，PCOS）患者药物治疗的影响，为其在药物治疗中的协同作用提供科学依据。方法选择育龄期肥胖多囊卵巢综合征患者56例，随机分为对照组和实验组，每组各28例，对照组给予降脂、降糖、二甲双胍等药物治疗，实验组在对照组治疗基础上采用自我体重管理。干预6个月后比较两组患者月经稀发人数、体重指数（body mass index，BMI）、腰臀比（waist-hip ratio，WHR）、血清总胆固醇（serum total cholesterol，TC）、甘油三脂（ triglyceride，TG）、空腹血糖（fasting blood glucose，FBG）、空腹胰岛素（fasting insulin，FINS），胰岛素稳态评估模型（homeostasis model assessment，HOMA）值。结果6个月后两组患者月经稀发人数、TC、TG、FBG、FINS、HOMA值均明显下降，治疗前后比较，均P<0.05，差异具有统计学意义；实验组患者月经稀发人数、BMI、TC、HOMA值均较对照组明显下降，两组比较，均P<0.05，差异具有统计学意义。结论育龄期肥胖PCOS患者在药物治疗的基础上实施自我体重管理，能有效改善患者代谢异常，减少月经稀发，增强药物治疗效果。
目的：探討自我體重管理對育齡期肥胖多囊卵巢綜閤徵（polycystic ovary syndrome，PCOS）患者藥物治療的影響，為其在藥物治療中的協同作用提供科學依據。方法選擇育齡期肥胖多囊卵巢綜閤徵患者56例，隨機分為對照組和實驗組，每組各28例，對照組給予降脂、降糖、二甲雙胍等藥物治療，實驗組在對照組治療基礎上採用自我體重管理。榦預6箇月後比較兩組患者月經稀髮人數、體重指數（body mass index，BMI）、腰臀比（waist-hip ratio，WHR）、血清總膽固醇（serum total cholesterol，TC）、甘油三脂（ triglyceride，TG）、空腹血糖（fasting blood glucose，FBG）、空腹胰島素（fasting insulin，FINS），胰島素穩態評估模型（homeostasis model assessment，HOMA）值。結果6箇月後兩組患者月經稀髮人數、TC、TG、FBG、FINS、HOMA值均明顯下降，治療前後比較，均P<0.05，差異具有統計學意義；實驗組患者月經稀髮人數、BMI、TC、HOMA值均較對照組明顯下降，兩組比較，均P<0.05，差異具有統計學意義。結論育齡期肥胖PCOS患者在藥物治療的基礎上實施自我體重管理，能有效改善患者代謝異常，減少月經稀髮，增彊藥物治療效果。
목적：탐토자아체중관리대육령기비반다낭란소종합정（polycystic ovary syndrome，PCOS）환자약물치료적영향，위기재약물치료중적협동작용제공과학의거。방법선택육령기비반다낭란소종합정환자56례，수궤분위대조조화실험조，매조각28례，대조조급여강지、강당、이갑쌍고등약물치료，실험조재대조조치료기출상채용자아체중관리。간예6개월후비교량조환자월경희발인수、체중지수（body mass index，BMI）、요둔비（waist-hip ratio，WHR）、혈청총담고순（serum total cholesterol，TC）、감유삼지（ triglyceride，TG）、공복혈당（fasting blood glucose，FBG）、공복이도소（fasting insulin，FINS），이도소은태평고모형（homeostasis model assessment，HOMA）치。결과6개월후량조환자월경희발인수、TC、TG、FBG、FINS、HOMA치균명현하강，치료전후비교，균P<0.05，차이구유통계학의의；실험조환자월경희발인수、BMI、TC、HOMA치균교대조조명현하강，량조비교，균P<0.05，차이구유통계학의의。결론육령기비반PCOS환자재약물치료적기출상실시자아체중관리，능유효개선환자대사이상，감소월경희발，증강약물치료효과。
ObjectiveTo investigate the effect of weight self-management in reproductive-aged obese women with polycystic ovary syndrome(PCOS).Methods A total of 56 reproductive-aged obese women with PCOS were divided into two groups with the control group administered medicine to reduce the lipid,blood glucose and metformin and the experiment group managed with weight self-management in addition of the medicine treatment as in the control group.All of them were treated for six months.The number of women with oligomenorrhea,body mass index(BMI),waist-hip ratio(WHR),serum total cholesterol(TC),triglyceride(TG),fasting blood glucose(FBG), fasting insulin(FINS),homeostasis model assessment(HOMA)were measured before and after intervention for comparisons.Result The number of women with oligomenorrhea together with the levels of TC,TG,FBG,FINS and HOMA were significantly reduced in the two groups(allP<0.05),and the number of women with oligomenorrhea and the levels of BMI,TC and HOMA were decreased more than those in the control group(allP<0.05).Conclusion The weight self-management on the basis of drug therapy for reproductive-aged obese women with PCOS can significantly reduce the levels of BMI,WHR,TC,TG,FBG,FINS and HOMA,enhance the effect of drug therapy, reduce the incidence of oligomenorrhea and improve the metabolic disorders.
