潍坊地区肥胖型多囊卵巢综合征患者心理因素分析  

Analysis on Psychological Factors of Patients with Polycystic Ovary Syndrome in Weifang

作　　者：马丽[1] 戴淑玲[1] 国玉蕊[1] 郎翠红[1] 徐璐[1] 

机构地区：[1]潍坊市妇幼保健院生殖健康科,山东261011

出　　处：《社区医学杂志》2013年第20期20-22,共3页Journal Of Community Medicine

摘　　要：目的探讨潍坊地区肥胖型多囊卵巢综合征(polycystic ovary syndrome,PCOS)的妇女中和未患有该病的妇女中的不同心理特征。方法选取肥胖型(BMI≥25 kg/m2)的育龄期妇女,PCOS组58例,对照组54例。比较两组的躁狂和抑郁等情绪以及情绪、体重指数、不育等影响健康的生活质量(HRQoL)因素。结果与对照组相比,PCOS组表现出更强烈的躁狂(P<0.05)和抑郁情绪(P<0.05)。尤其是中度躁狂发病率明显增加。PCOS患者在BMI、睾酮、SHBG、FAI和Ferriman–Gallwey评分中差异均有统计学意义(P<0.05)。PCOS组可通过游离雄激素指数水平来预测躁狂和抑郁的情绪。结论 PCOS与躁狂和抑郁有关。心理疾病会进一步导致不育。因而我们应该关注PCOS患者中的心理疾病和HRQoL。Objective To discuss different psychological characteristics of overweight women with or without polycystic o- vary syndrome （PCOS） in Weifang. Methods Overweight women of childbearing age（ BMI 〉~ 25 kg/m2）were selected and divided into PCOS group （ n = 58 ） and control group （ n = 54）. Both groups were compared for anxiety, depression and factors affecting health - related quality of life （HRQoL） were Compared between women with PCOSand women without P- COS. Results Compared with control group, PCOS group showed more intense mania （P 〈 0.05） and depression （P 〈 0. 05）. The incidence of moderate mania increased more significantly. For patients with PCOS, significant difference was found in BMI, testosterone, SHBG, FAI and Ferriman- GaUwey score（P 〈0.05）. In PCOS group, free androgen index level was able to predicate manic and depressive mood. Conclusions PCOS is associated with anxiety and depression, and mental illness may further lead to infertility. Therefore, more attention should be paid on mental illness and HRQoL in women with PCOS.

关 键 词：多囊卵巢综合征 抑郁 躁狂 生活质量 肥胖 

分 类 号：R711.75[医药卫生—妇产科学]