微信延续管理对不孕门诊高体重指数型多囊卵巢综合征患者结局的影响

Effect of WeChat management on the outcome of infertility patients with high bmi polycystic ovary syndrome

目的研究微信延续管理对不孕门诊的高体重指数(BMI)的多囊卵巢综合征(PCOS)患者诊疗结局的影响。方法选取2016年1~12月来吉林大学第二医院不孕门诊就医的BMI>25 kg/m^2的PCOS患者61例为研究对象,按照随机数字表法,将其中的30例患者纳入观察组,另31例患者纳入对照组。观察组患者在常规诊疗的基础上,通过微信群对患者饮食、运动、心理状态进行为期1年的延续管理,并对两组患者遵医行为、减重情况、妊娠情况、心理状态等方面进行评价。结果观察组患者遵医行为、减重情况、妊娠情况、心理焦虑状态及抑郁水平与对照组相比,差异均有统计学意义(均P<0.01)。结论微信延续管理对高BMI型的PCOS不孕患者治疗起到了积极的协同作用。

Objective To investigate the effect of WeChat continuation management on the outcome of diagnosis and treatment in patients with polycystic ovary syndrome(PCOS)with high body mass index(BMI)in infertility clinics.Methods A total of 61 PCOS patients with a BMI of>25 kg/m^2 were selected as subjects.According to the random number table method,30 patients were included in the observation group and 31 patients in the control group.On the basis of routine diagnosis and treatment,patients in the observation group were administered diet,exercise and psychological state for 1 year through WeChat group.Compliance behavior,weight loss and pregnancy status of the two groups of patients were evaluated.Results Compared with the control group,the differences in compliance,weight loss,pregnancy,anxiety and depression were statistically significant(P<0.01).Conclusions WeChat continuation management has a positive synergistic effect on the treatment of PCOS infertility patients with high BMI.