护理干预对多囊卵巢综合征不孕患者的临床价值  

Efficacy of nursingintervention for infertile patients with polycystic ovary syndrome

作　　者：周燕[1] 柯冬香[2] 杨晓菁[1] 陈楠[1] 王慧红[1] 

机构地区：[1]杭州市第一人民医院生殖中心,杭州310000 [2]浙江省台州医院产科,浙江台州317000

出　　处：《中国性科学》2014年第10期27-30,共4页Chinese Journal of Human Sexuality

基　　金：浙江省医药卫生科技计划项目(2013KYA154)

摘　　要：目的:探究护理指导对多囊卵巢综合征不孕患者的临床疗效。方法:选取2012年12月至2013年12月来我院就诊的多囊卵巢综合征患者300例,依据分层随机分组法将患者分为治疗组及对照组,每组150例。给予对照组常规治疗及护理措施进行治疗,治疗组在对照组处理方案的基础上加用针对性护理指导进行治疗。观察比较两组患者治疗前后性激素水平、脂代谢相关指标、血糖代谢相关指标以及治疗后月经、排卵及妊娠情况。结果:治疗前两组患者的黄体生成素(LH)、卵泡刺激素(FSH)、睾酮(T)、黄体生成素与卵泡刺激素比值(LH/FSH)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2h血糖(2h-PBG)及空腹胰岛素水平(FINS)比较差异无统计学意义(P>0.05);治疗后治疗组患者的LH、T、LH/FSH、TG、FBG、2h-PBG及FINS均低于对照组,治疗组患者的HDL-C、月经138例(92.00%)、排卵126例(84.00%)及妊娠恢复例数115例(76.67%)均高于对照组119例(79.33%),106例(70.67%)及96例(64.00%),差异有统计学意义(P<0.05)。结论:在常规治疗基础上应用针对性护理指导干预可明显改善多囊卵巢综合征的性激素水平及血糖代谢情况,有效恢复患者生育能力。Objectives： To explore the efficacy of nursing intervention for infertile patients with polycystic o- vary syndrome. Methods ： 300 patients with polycystic ovary syndrome that were treated in our hospital from Decem- ber 2012 to December 2013 were divided into treatment group and control group according to the stratified randomi- zation method, with 150 cases in each group. The patients in control group were given conventional treatment and nursing invention while patients in treatment group were given specific care instructions on the basis of the control group. The hormone levels, lipid metabolism related indicators, glucose metabolism- related indicators and situa- tion of menstruation, ovulation and pregnancy of the two groups before and after treatment were compared. Results ： There was no statistically significant difference in the luteinizing hormone （ LH）, follicle - stimulating hormone （ FSH）, testosterone （ T）, luteinizing hormone and follicle - stimulating hormone ratio （ LH / FSH）, total choles- terol （TC）, triglyeerides （TG）, high density lipoprotein cholesterol （HDL- C）, tow density lipoprotein cholester- ol （LDL- C ）, fasting blood glucose （FBG）, 2h postprandial blood glucose （2h- PBG） and fasting insulin （FINS） between the two groups before treatment （P 〉0. 05） ; The LH, T, LH/FSH, TG, FBG, 2h- PBG and FINS of treatment group were lower than that of the control group after treatment, the HDL - C, menstrual 138 （92.00%） cases, ovulation 126 （84.00%） cases and pregnancy recovery 115 （76.67%） eases were all higher than the control group i.e. 119 （79.33%） cases , 106 （70. 67% ） cases and 96 （64. 00% ） cases respectively. The differences was statistically significant （ P 〈 0. 05 ）. Conclusion： The application of targeted interventions based on the routine nursing treatment can significantly improve the sex hormone levels and glucose metabolism of patients with polycystic ovary syndrome, which also can restore fertil

关 键 词：护理 干预 多囊卵巢综合症 不孕 

分 类 号：R711.75[医药卫生—妇产科学]