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目的:调查容桂地区育龄妇女多囊卵巢综合征(PCOS)的患病率,探讨该地区PCOS的临床特点。方法:采取整群随机抽样的方法抽取1 000例育龄妇女作为调查对象。按照ESHRE/ASRM诊断标准,进行问卷调查、体格检查及超声检查。对于可疑PCOS者,于第二天空腹抽血检测性激素6项、空腹血清胰岛素、空腹血糖。患者确诊后,抽取相同例数正常对照人群同时进行相同指标检测,比较正常对照组和PCOS组的生化指标。结果:在接受调查的1 000例本地区育龄妇女中确诊PCOS病例63例,占全部调查人群的6.3%。PCOS患者的临床表现包括不孕、卵巢多囊性改变、月经异常、痤疮、多毛、肥胖等,伴有性激素及血清胰岛素水平的改变。结论:本地区育龄妇女PCOS患病率为6.3%,临床表现以卵巢多囊性改变、月经异常、肥胖为主。
Objective: To investigate the prevalence of polycystic ovary syndrome (PCOS) in women of childbearing age in Ronggui region and to explore the clinical features of PCOS in this region. Methods: A total of 1 000 cases of women of childbearing age were drawn as the random sample. According to ESHRE / ASRM diagnostic criteria, questionnaire, physical examination and ultrasound examination. For suspicious PCOS, fasting blood test on the next day 6 sex hormones, fasting serum insulin, fasting blood glucose. After the patient was diagnosed, the same number of normal control subjects were taken for the same index test at the same time, and the biochemical indexes in normal control group and PCOS group were compared. Results: Of the 1,000 women of childbearing age in the region surveyed, 63 were diagnosed with PCOS, accounting for 6.3% of all surveyed populations. Clinical manifestations of PCOS patients include infertility, polycystic ovarian changes, abnormal menstruation, acne, hirsutism, obesity, etc., accompanied by sex hormones and serum insulin levels change. Conclusion: The prevalence of PCOS in women of childbearing age in this area was 6.3%. The clinical manifestations were polycystic ovarian changes, abnormal menstruation and obesity.