治疗青春期多囊卵巢综合症运动处方的研究

Effect of the Exercise Training on the Treatment of Polycystic Ovary Syndrome (PCOS) in Adolescents

目的：旨在研究青春期多囊卵巢综合征（PCOS）运动疗法的作用。方法：2010年7月-2010年12月在阜新市第二人民医院生殖中心就诊的28例青春期多囊卵巢综合征患者，年龄在13岁一19岁，其中肥胖型16例，非肥胖型12例。给予24周的运动干预。其中运动处方由专业的体育教师制定并监督实施。观察给予运动疗法前后人体测量学指标（体重、腰围、BMI）、糖代谢指标（FPG、FINS、HOMA—IR）、内分泌指标（T、LH、LH／FSH）及月经情况的变化。结果：（1）运动治疗后肥胖型和非肥胖型人体测量学指标、糖代谢指标、内分泌指标较干预前均明显改善，差异具有统计学意义。（2）运动治疗后肥胖型和非肥胖型月经情况较干预前有明显好转。结论：青春期PCOS患者通过运动治疗能改善人体测量学指标、糖代谢指标及内分泌指标，使月经恢复正常。

Objective ： To explore the effect of the exercise training in treatment of polycystic ovary syndrome （PCOS） in adoles- cents. Methods ：28 patients aged 13 -19 years old were enrolled for 24 weeks of exercise training in the study in department of Reproductive , the second people＇s hospital in fuxin city from July 2010 to December 2010. 16 obese cases andl2 non - obese cases were included. The exercise prescription was taken by professional physical education teachers to develop and supervise the implementation. The anthropometry indexes （body weight, waist circumference, BMI）, metabolism index （FPG, FINS, HOMA - IR）, and endocrine （T, LH, LH/FSH）was assessed pre- and post interven_tion and menstrual conditions change. Results： （1） After exercise training anthropometry, glucose metabolism, endocrine indexes were significantly improved. （2） After exercise training irregular menstruation improved significantly. Conclusion： PCOS patients in adolescents through exercise therapy can improve the index of anthropometry, glucose metabolism, and endocrine, menstruation is also back to normal.