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目的 :探讨因良性疾病行子宫切除育龄女性血糖、血脂代谢及激素水平的变化 ,为患者术后保健提供依据。方法 :对良性疾病行子宫切除的患者于术前及术后二月进行随访 ,监测血糖、血脂及激素水平情况。结果 :术后二月空腹血糖 (GLU)、甘油三脂 (TG)、低密度脂蛋白 (LDLC)升高 ,高密度脂蛋白 (HDLC)降低 ,总胆固醇 (CHO)无明显变化 ,雌二醇 (E2 )、孕酮 (P)下降 ,促卵泡激素 (FSH)、促黄体生成素 (LH )及睾酮 (T)升高 ,差异均有显著性。结论 :子宫切除影响激素水平 ,使糖脂代谢改变 ,对术后雌二醇下降且更年期症状明显患者加用适量雌激素有一定价值
Objective: To investigate the changes of blood glucose, blood lipid metabolism and hormone levels in women of childbearing age who underwent hysterectomy for benign diseases so as to provide basis for postoperative patients’ health care. Methods: Patients with benign diseases who underwent hysterectomy were followed up before and after operation, blood glucose, blood lipid and hormone levels were monitored. Results: The fasting blood glucose (GLU), triglyceride (TG) and low density lipoprotein (LDLC), HDLC decreased, total cholesterol (CHO) (E2), progesterone (P), follicle stimulating hormone (FSH), luteinizing hormone (LH) and testosterone (T) increased, the difference was significant. Conclusion: Hysterectomy affects hormone levels, changes in glucose and lipid metabolism, the value of postoperative estradiol decline and menopausal symptoms with significant increase in patients with appropriate estrogen