护理干预对多囊卵巢综合征患者人工授精的影响

Effect of Nursing Intervention on Artificial Insemination in Patients with Polycystic Ovary Syndrome

目的对多囊卵巢综合征(PCOS)患者进行饮食、运动、心理等护理干预,研究对人工授精的影响。方法观察护理干预前后糖脂及内分泌代谢指标的变化,以及护理干预对人工授精妊娠率及流产率的影响。结果护理干预后空腹胰岛素水平、HOMA-IR指数均下降,LH、T及LH/FSH值明显降低,与干预前相比差异有统计学意义(P<0.05)。对照组妊娠率为8.8%,流产率为28.6%,护理干预组妊娠率为21.3%,流产率为5.9%,两组妊娠率比较差异有统计学意义(P<0.05),流产率比较,护理干预组低于对照组,但差异无统计学意义(P>0.05)。结论护理干预可使PCOS患者糖代谢、内分泌代谢异常得到明显改善,人工授精妊娠率明显提高,流产率降低。

Objective To evaluate the effects of nursing intervention such as diet,exercise and psychological on the artificial insemination in patients with polycystic ovary syndrome （PCOS）. Methods The glycolipid metabolism and endocrine changes before and after the nursing intervention were studied,the effect of nursing intervention on the pregnancy rate and abortion rate of artificial insemination were assessed. Results Fasting insulin levels and HOMA-IR index,levels of LH and T and LH/FSH values decreased after the nursing intervention, the difference were significant （P 〈 0.05 ） as compared with that before intervention. The pregnancy rate was 8.8% and abortion rate was 28.6% in the control group while they were 21.3% and 5.9% in the nursing intervention group. The difference in pregnancy rate was significant between the two groups （ P 〈 0. 05 ）, but in the abortion rate was significant （ P 〉 0.05 ）. Conclusion The abnormal glucose and endocrine metabolic of patients with PCOS can be improved by the nursing intervention, hence the pregnancy rate of artificial insemination is increased and the abortion rate is decreased.