摘要
目的:探讨济南市汉族育龄妇女多囊卵巢综合征(PCOS)患病状况及其临床特点。方法:以2003年ESHRE/ASRM建议诊断标准,按流行病学整群抽样方法调查济南市1027例育龄妇女中PCOS的患病状况。结果:(1)以ESHRE/ASRM 3条指标符合2条的原则检出PCOS 85例,群体患病率为6.46%;(2)检出的PCOS中稀发排卵、多囊样卵巢(PCO)、高睾酮(T)血症、临床高雄(F-G≥6多毛和痤疮)分别占89.4%、72.94%、57.65%、38.8%(1.18%和38.8%);每两项指标组合:稀发排卵+PCO、稀发排卵+高T、PCO+高T分别占60%、45.9%、38.8%;符合3条指标而临床、生化高雄仅有其一者占48.2%,两者均有占11.8%;不孕占7.06%、肥胖占8.23%。按汉族妇女F-G≥2分标准,群体PCOS中多毛率为37.65%。结论:(1)PCOS占济南市汉族育龄妇女的6.46%。(2)ESHRE/ASRM标准总体上是适合济南汉族育龄妇女PCOS检出的标准,多项指标可提高检出的特异度;(3)多毛作为临床高雄指标F-G≥2分更适于汉族人群。
Objective ：To explore the prevalence and characters of the polycystic ovary syndrome （PCOS） in general population of Han ethnic in Jinan city. Method：With cluster sampling epidemic method, 1027 women from Jinan city were investigated by ESHRE/ASRM criteria. Results： （1） According to the ESHRE/ASRM diagnostic criteria,85 PCOS patients were diagnosed, the prevalence of PCOS in general Han population in Jinan city was accounted for 6.46%. （2） Among all PCOS patients, rates of Oligo-ovulation, PCO, biochemical and clinical of androgen excess signs were 89.4% ,72.94% ,57.65% and 38.8% （ 1.18% hirsutism by F-G≥6 and 38.8% acne）respectively; 60% was Oligo-ovulation with PCO,45.9% was Oligo-ovulation with biochemical hyperandrogenism and 38.8% was PCO with biochemical hyperandrogenism; 48.2% and 11.8% patients meet 3 criteria with one / both of androgen excess signs （clinical / biochemical ） ; infertility and obesity were accounted for 7.06% and 8.23%. By our investigated F-G score ≥2 score standard,hirsutism was account for 37.65% in PCOS patients from general population. Conclusions： （ 1 ） The prevalence of the PCOS in general Han ethnic women population in Jinan city is accounted for 6.46%. （2） Generally, ES- HRE/ASRM criteria is the suitable standard for Chinese PCOS diagnosis. （3） This investiga- tion suggested that F-G score ≥2 score as cirteria of hirsutism may be more suitable for Chinese Han population.
出处
《现代妇产科进展》
CSCD
北大核心
2005年第6期442-444,共3页
Progress in Obstetrics and Gynecology
