多囊卵巢综合征生酮饮食治疗临床路径  

Clinical pathway of ketogenic diet in the treatment of patients with polycystic ovary syndrome

作　　者：陈海霞 李健 吴凤云 白栎然 顾蓓 宋晓红 孙宇 崔广霞 王子君 王小雪 尹聪 杨慕坤 范丽 白文佩 江波 CHEN Haixia;LI Jian;WU Fengyun;BAI Yueran;GU Bei;SONG Xiaohong;SUN Yu;CUI Guangxia;WANG Zijun;WANG Xiaoxue;YIN Cong;YANG Mukun;FAN Li;BAI Wenpei;JIANG Bo(Department of Gynecology,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing,100038;Department of Gynecology,Beijing Hui Nationality Hospital,Beijing,100053;Nutritional Department,General Hospital of Aviation,Beijing,100012;Clinical Nutrition Department,Children′s Hospital Affiliated to Chongqing Medical University,Chongqing,400014;Department of Neuro-Onoclogy,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing,100050)

机构地区：[1]首都医科大学附属北京世纪坛医院妇科,北京100038 [2]北京市回民医院妇科,北京100053 [3]航空总医院营养科,北京100012 [4]重庆医科大学附属儿童医院临床营养科,重庆400014 [5]首都医科大学附属北京天坛医院神经肿瘤综合治疗病区,北京100050

出　　处：《实用临床医药杂志》2021年第3期5-7,32,共4页Journal of Clinical Medicine in Practice

基　　金：北京市医院管理中心“登峰”计划专项经费资助项目(DFL20190701);北京市自然科学基金资助项目(7202075);北京市医院管理中心临床医学发展专项经费资助项目(ZYLX202112)。

摘　　要：多囊卵巢综合征(PCOS)是常见的妇科内分泌疾病,以高雄激素表现、持续无排卵、卵巢多囊样改变为特征,易导致育龄妇女不孕。PCOS病因尚不清楚,肥胖等代谢相关性疾病与PCOS关系密切。生活方式干预是PCOS的首选基础治疗,减重是有效的治疗措施。与传统饮食相比,生酮饮食能够较快降低体质量。基于《生酮饮食干预多囊卵巢综合征中国专家共识(2018年版)》及既往相关研究成果,本研究制订《多囊卵巢综合征的生酮治疗临床路径》,为PCOS的生酮治疗提供临床标准。Polycystic ovary syndrome(PCOS)is a common gynecological endocrine disease,which is characterized by hyperandrogen,persistent anovulation and polycystic ovarian changes,and it can easily lead to infertility in women with childbearing age.The etiology of PCOS is still unclear,and obesity and otheRmetabolic diseases are closely related to PCOS.Lifestyle intervention is the preferred basic treatment foRPCOS,and weight loss is an effective therapeutic method.Compared with the traditional diet,ketogenic diet can rapidly reduce body weight.Based on the Chinese expert consensus of ketogenic diet intervention in polycystic ovary syndrome(2018)and previous relevant research results,this study formulates the clinical pathway of ketogenic diet in the treatment of patients with polycystic ovary syndrome in ordeRto provide clinical standards foRthe ketogenic treatment of PCOS.

关 键 词：多囊卵巢综合征 生酮治疗 临床路径 高雄激素 卵巢多囊样改变 

分 类 号：R459.3[医药卫生—治疗学] R711.75[医药卫生—临床医学]