精细化结合标准化管理模式在肥胖型多囊卵巢综合征患者中的应用效果

Application effect of refined combined with standardized management mode in obesity patients with polycystic ovary syndrome

目的探讨精细化结合标准化管理模式在肥胖型多囊卵巢综合征患者中的应用效果。方法选取2019年1月至2021年1月收治的90例肥胖型多囊卵巢综合征患者的临床资料进行回顾性研究,将2019年1月至2020年12月应用常规管理模式的45例患者设为对照组,将2020年1月至2021年1月应用精细化结合标准化管理模式的45例患者设为观察组。比较两组的管理效果。结果管理后,观察组的黄体生成素(LH)、卵泡刺激素(FSH)水平均低于对照组,雌二醇(E2)水平高于对照组(P<0.05)。管理后,观察组的总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平均低于对照组(P<0.05)。管理后,观察组的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于对照组(P<0.05)。观察组的妊娠率、排卵率均高于对照组(P<0.05)。结论精细化结合标准化管理模式有利于改善肥胖型多囊卵巢综合征患者的激素及脂代谢水平,减轻焦虑、抑郁等负面情绪,提升妊娠率与排卵率。

Objective To explore the application effect of refined combined with standardized management mode in obesity patients with polycystic ovary syndrome.Methods The clinical data of 90 patients with obesity polycystic ovary syndrome admitted from January 2019 to January 2021 were retrospectively studied.From January 2019 to December 2020,45 patients with routine management mode were included in control group;from January 2020 to January 2021,45 patients with refined combined with standardized management mode were included in observation group.The management effects of the two groups were compared.Results After management,the levels of luteinizing hormone(LH)and follicle stimulating hormone(FSH)in the observation group were lower than those in the control group,and the level of estradiol(E2)was higher than that in the control group(P<0.05).After management,the levels of total cholesterol(TC),triglyceride(TG)and low-density lipoprotein cholesterol(LDL-C)in the observation group were lower than those in the control group(P<0.05).After management,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).The pregnancy rate and ovulation rate of the observation group were higher than those of the control group(P<0.05).Conclusion Refined combined with standardized management mode is conducive to improving the levels of hormones and lipid metabolism in patients with obesity polycystic ovary syndrome,reducing negative emotions such as anxiety and depression,and improving pregnancy rate and ovulation rate.