护理干预对肥胖型多囊卵巢综合征不孕患者的影响  

Influence of nursing intervention on obese patients with polycystic ovary syndrome infertility

作　　者：刘丹[1] 李艳[1] 

机构地区：[1]中南大学湘雅二医院妇产科生殖中心,湖南长沙410011

出　　处：《中国医药科学》2013年第7期154-155,共2页China Medicine And Pharmacy

摘　　要：目的探究护理干预对肥胖型多囊卵巢综合征不孕患者应用药物促排卵治疗后妊娠率及内分泌系统的影响。方法我院收治的26例肥胖型多囊卵巢综合征患者,分为对照组和干预组各13例。对照组患者入院后即给予药物促进排卵治疗,干预组给予患者护理干预3个月后给予药物促排卵治疗。治疗期间对照组给予常规基础护理,干预组仍给予患者治疗前相同的护理干预措施。对患者进行为期12个月的观察,分别比较两组患者经药物治疗后妊娠率及患者相关激素分泌情况。结果对照组:2例成功妊娠,药物治疗的妊娠率为15.4%;干预组:6例成功妊娠,药物治疗妊娠率为46.2%,差异有统计学意义(P<0.05);对照组与干预组患者的睾酮、黄体生成素及胰岛素之间差异有统计学意义(P<0.05)。结论良好的护理干预可以有效提高患者药物促排卵治疗后的妊娠率,同时可以调节内分泌系统的对疾病相关激素的调节,保证了患者的治疗效果,促进了患者的健康。Objective To explore the influence of nursing intervention on the pregnancy rate and endocrine system of obese patients with polycystic ovary syndrome infertility after the application of drug induced ovulation. Methods Twenty-six obese patients with polycystic ovary syndrome infertility treated in our hospital were selected and divided into the control group and the intervention group,with 13 patients in each group. The Control group was given drug induced ovulation treatment immediately after they were admitted to hospital while the intervention group was given drug induced ovulation treatment after 3 months of nursing intervention. During the treatment period,the control group was given conventional basic nursing and the intervention group was given the same nursing intervention measures as before. The patients were observed for 12 months,after which the pregnancy rate and relevant hormone secretion conditions were compared. Results In the control group,2 patients went through successful pregnancy,with the drug treatment pregnancy rate of 15.4%;in the intervention group,6 patients went through successful pregnancy,with the drug treatment pregnancy rate of 46.2%,with statistically significant difference. The control group and the intervention group were significantly different in the testosterone,luteinizing hormone and insulin,with statistical significance. Conclusion Good nursing intervention can effectively improve the pregnancy rate after the application of drug induced ovulation and meanwhile adjust the disease related hormones,which ensures the treatment effects and promote the health of patients.

关 键 词：护理干预 肥胖型多囊卵巢综合征 不孕 

分 类 号：R473.71[医药卫生—护理学]