肥胖型多囊卵巢综合征的体重管理
Weight Management of Obese Polycystic Ovary Syndrome
DOI: 10.12677/ACM.2023.13112556, PDF,   
作者: 闫亭舟:黑龙江中医药大学第一临床医学院,黑龙江 哈尔滨
关键词: 多囊卵巢综合征肥胖型体重管理Polycystic Ovary Syndrome Obese Type Weight Management
摘要: 多囊卵巢综合征(polycystic ovary syndrome, PCOS)作为近年来常见内分泌紊乱性疾病,严重影响了女性的身心健康。PCOS以肥胖型为主,肥胖型PCOS患者表现出更为严重的临床症状、代谢紊乱以及远期并发症。PCOS与肥胖是一个互为因果的恶性循环,对肥胖型PCOS患者进行体重管理,通过饮食、运动、行为心理等多方面干涉,能有效减轻患者体重从而改善PCOS的临床症状。这种方式被越来越多的医师和患者接受,成为PCOS的一线治疗策略。
Abstract: Polycystic ovary syndrome, as a common endocrine disorder in recent years, has seriously affected women’s physical and mental health. PCOS is mainly characterized by obesity, and obese PCOS pa-tients exhibit more severe clinical symptoms, metabolic disorders, and long-term complications. PCOS and obesity are a vicious cycle of mutual causality. Weight management for obese PCOS pa-tients can effectively reduce their weight and improve their clinical symptoms by intervening in various aspects such as diet, exercise, and behavioral psychology. This approach is increasingly be-ing accepted by doctors and patients as a first-line treatment strategy for PCOS.
文章引用:闫亭舟. 肥胖型多囊卵巢综合征的体重管理[J]. 临床医学进展, 2023, 13(11): 18217-18233. https://doi.org/10.12677/ACM.2023.13112556

参考文献

[1] 中华医学会妇产科学分会内分泌学组及指南专家组. 多囊卵巢综合征中国诊疗指南[J]. 中华妇产科杂志, 2018, 53(1): 2-6.
[2] de Zegher, F., López-Bermejo, A. and Ibáñez, L. (2018) Central Obesity, Faster Maturation, and ‘PCOS’ in Girls. Trends in Endocrinology & Metabolism, 29, 815-818. [Google Scholar] [CrossRef] [PubMed]
[3] Rezaee, M., Asadi, N., Pouralborz, Y., Ghodrat, M. and Habibi, S. (2016) A Review on Glycosylated Hemoglobin in Polycystic Ovary Syndrome. Journal of Pediatric and Adolescent Gy-necology, 29, 562-566. [Google Scholar] [CrossRef] [PubMed]
[4] Jeanes, Y.M. and Reeves, S. (2017) Metabolic Consequences of Obesity and Insulin Resistance in Polycystic Ovary Syndrome: Diagnostic and Methodological Challenges. Nutrition Research Reviews, 30, 97-105. [Google Scholar] [CrossRef
[5] 刘丽, 张燕, 李萍, 姚海蓉. 超重肥胖PCOS患者胰岛素抵抗与人体成分指标相关性研究[J]. 宁夏医学杂志, 2021, 43(12): 1096-1099
[6] 林慧, 刘肖, 梁清妹, 蔡柳洪. 体质量管理对肥胖型多囊卵巢综合征女性的内分泌激素水平和辅助生育结局的影响[J]. 新医学, 2021, 52(11): 868-872.
[7] 宋琴, 马玲玲. 体重指数对多囊卵巢综合征患者IVF/ICSI-ET妊娠结局的影响[J]. 新疆医学, 2021, 51(1): 52-55.
[8] 雷桔红, 钟凯. 育龄期多囊卵巢综合征女性高血压与体重指数相关性研究[J]. 齐齐哈尔医学院学报, 2015, 36(17): 2503-2505.
[9] Lauretta, R., Lanzolla, G., Vici, P., et al. (2016) Insulin-Sensitizers, Polycystic Ovary Syndrome and Gynaecological Cancer Risk. International Journal of Endocrinology, 2016, Article ID: 8671762. [Google Scholar] [CrossRef] [PubMed]
[10] 乔鹏艳, 王仙萍, 杨姗姗, 王娟. PCOS患者治疗前后性激素的变化及其与胰岛素抵抗、肥胖的关系[J]. 临床和实验医学杂志, 2022, 21(1): 62-65.
[11] Stanley, T. and Misra, M. (2008) Polycystic Ovary Syndrome in Obese Adolescents. Current Opinion in Endocrinology, Diabetes and Obesity, 15, 30-36. [Google Scholar] [CrossRef
[12] 木良善, 赵越, 乔杰. 肥胖与多囊卵巢综合征的关联性及潜在机制[J]. 中华生殖与避孕杂志, 2018, 38(4): 343-349.
[13] 杨辉, 张片红, 江波, 等. 生酮饮食及限能平衡饮食对超重及肥胖者人体成分及生化指标的影响[J]. 营养学报, 2018, 40(4): 403-405.
[14] 江波, 白文佩, 郁琦, 阮祥燕, 杨欣, 杨蕊, 顾蓓, 高洪伟, 张炜, 吴洁, 张洁, 黄元华, 曲庆兰, 郝丽娟, 周寒鹰, 王允芳, 张琚, 李健, 李增宁, 郭增清, 周莉, 宋新娜, 张片红, 马向华, 郑璇, 翁敏, 高健, 朱翠凤, 陈秋霞, 王艾丽, 白栎然, 吴雪燕, 鲁桦, 王正平, 高辉, 郝桂敏, 李予, 江如, 张丽芳, 王亦雄, 钱锋. 生酮饮食干预多囊卵巢综合征中国专家共识(2018年版) [J]. 实用临床医药杂志, 2019, 23(1): 1-4
[15] 高金金, 侯丽辉. 超重/肥胖多囊卵巢综合征饮食疗法的研究进展[J]. 长春中医药大学学报, 2016, 32(5): 1089-1091.
[16] Gupta, L., Khandelwal, D., Kalra, S., et al. (2017) Ketogenic Diet in Endocrine Disorders: Current Perspectives. Postgraduate Medicine, 63, 242-251. [Google Scholar] [CrossRef
[17] 金婧, 阮祥燕, 华琳, 等. 多囊卵巢综合征卵巢储备功能降低患者肥胖及糖脂代谢特征[J]. 首都医科大学学报, 2018, 39(4): 505-511.
[18] Phy, J.L., Pohlmeier, A.M., Cooper, J.A., et al. (2015) Low Starch/Low Dairy Diet Results in Successful Treatment of Obesity and Co-Morbidities Linked to Polycystic Ovary Syndrome (PCOS). Journal of Obesity and Weight Loss Therapy, 5, 259-270.
[19] 程立辉, 柏亚妹, 宋玉磊, 等. 基于集聚度的我国护理人力资源配置分析[J]. 中国医院管理, 2018, 38(10): 69-71.
[20] Bray, G.A., Heisel, W.E., Afshin, A., et al. (2018) The Science of Obesity Management: An Endocrine Society Scientific Statement. Endocrine Reviews, 39, 79-132. [Google Scholar] [CrossRef] [PubMed]
[21] Evert, A.B., Dennison, M., Gardner, C.D., et al. (2019) Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report. Diabetes Care, 42, 731-754. [Google Scholar] [CrossRef] [PubMed]
[22] 马镇玲, 赵玮, 甘肖梅. 饮食调节联合有氧运动治疗肥胖型多囊卵巢综合征的效果[J]. 中外医学研究, 2020, 18(5): 161-163
[23] 曾莉容, 陈小燕. 探讨肥胖型多囊卵巢综合征患者实施健康教育和心理护理对其生活方式的影响[J]. 临床医药文献电子杂志, 2020, 7(31): 127.