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目的观察护理干预对多囊卵巢综合征不孕患者的效果。方法选择2015年5月—2016年5月收治的多囊卵巢综合征不孕患者160例,随机分为对照组及干预组,每组80例。两组均采取相同的药物治疗,干预组给予护理干预,共干预半年。分别于干预前后检测两组性激素水平:黄体生成激素(luteotropic hormone,LH)、卵泡刺激素(folliclestimulating hormone,FSH)、睾酮(testosterone,T)、LH/FSH;血脂指标:TC、TG、HDL-C、LDL-C;血糖指标:FPG、餐后2 h血糖、FINS。记录两组干预后月经恢复情况及排卵、妊娠情况。计量资料比较采用u检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果干预前两组性激素水平、血脂指标、血糖指标比较差异无统计学意义(均P>0.05);干预后干预组LH、FSH、T、LH/FSH、TG、HDL-C、FPG、餐后2 h血糖、FINS[(8.10±4.49)、(5.23±1.18)IU/L、(2.70±0.74)nmol/L、2.32±1.06、(1.07±0.53)、(1.87±0.75)、(4.18±1.75)、(7.28±2.94)mmol/L、(11.09±3.35)m IU/L]与对照组[(13.50±4.47)、(4.71±1.53)IU/L、(3.14±1.35)nmol/L、2.67±1.17、(1.46±0.47)、(1.52±0.68)、(5.07±1.13)、(9.40±2.95)mmol/L、(13.45±3.50)m IU/L]比较差异有统计学意义(均P<0.05)。干预后干预组月经正常率、排卵率及妊娠率(93.75%、83.75%、77.50%)均高于对照组(77.50%、67.50%、61.25%),比较差异有统计学意义(均P<0.05)。结论护理干预可改善多囊卵巢综合征不孕患者的各项指标,提高排卵率及妊娠率。
Objective To observe the effect of nursing intervention on infertility patients with polycystic ovary syndrome. Methods 160 patients with polycystic ovary syndrome infertility who were admitted from May 2015 to May 2016 were randomly divided into control group and intervention group, 80 cases in each group. Both groups took the same drug treatment, intervention group nursing intervention, a total of six months intervention. The levels of sex hormones were measured before and after intervention: luteotropic hormone (LH), follicle stimulating hormone (FSH), testosterone (T), LH / FSH; C, LDL-C; blood glucose indicators: FPG, 2 h postprandial blood glucose, FINS. The recovery of menstruation and ovulation and pregnancy were recorded after intervention. Comparison of measurement data using u test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results There was no significant difference in the levels of sex hormones, blood lipid and blood glucose between the two groups before intervention (all P> 0.05). After intervention, the levels of LH, FSH, T, LH / FSH, TG, HDL- 2 h blood glucose, FINS [(8.10 ± 4.49), (5.23 ± 1.18) IU / L, (2.70 ± 0.74) nmol / L, 2.32 ± 1.06, (1.07 ± 0.53), (1.87 ± 0.75), (4.18 ± 1.75 (7.28 ± 2.94) mmol / L and (11.09 ± 3.35) mIU / L, respectively, compared with the control group [(13.50 ± 4.47), (4.71 ± 1.53) IU / L, (3.14 ± 1.35) nmol / L, (1.46 ± 0.47), (1.52 ± 0.68), (5.07 ± 1.13) and (9.40 ± 2.95) mmol / L, (13.45 ± 3.50) m IU / L, respectively 0.05). After intervention, the normal rate of menstruation, ovulation rate and pregnancy rate (93.75%, 83.75%, 77.50%) in the intervention group were significantly higher than those in the control group (77.50%, 67.50%, 61.25%, respectively) ). Conclusion Nursing intervention can improve various indicators of patients with polycystic ovary syndrome infertility and improve ovulation rate and pregnancy rate.