多学科健康管理对多囊卵巢综合征患者 体外受精-胚胎移植结局的影响
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女,本科,主管护师

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Effectiveness of multidisciplinary health management on in vitro fertilization and embryo transfer outcomes in women with polycystic ovary syndrome
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    摘要:

    目的 探讨多学科健康管理对多囊卵巢综合征患者体外受精-胚胎移植结局、减重效果、心理状态及自我管理能力的影响。方法 将330例多囊卵巢综合征患者随机分为对照组和观察组各165例。对照组接受常规护理,观察组在对照组基础上接受多学科健康管理,包括体质量管理、生活方式管理及心理健康管理。比较两组患者的腰围、身体质量指数、焦虑抑郁状态、自我管理能力及体外受精-胚胎移植结局。结果 对照组160例、观察组164例完成研究。干预后,观察组身体质量指数、腰围及焦虑、抑郁评分显著低于对照组(均P<0.05);体外受精率、卵裂率、优胚率、临床妊娠率及自我管理能力显著高于对照组(均P<0.05)。结论 多学科健康管理能够有效改善多囊卵巢综合征患者的体质量、心理状态和自我管理能力,进而提高体外受精-胚胎移植的成功率。

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    Objective To investigate the effectiveness of multidisciplinary health management on in vitro fertilization-embryo transfer (IVF-ET) outcomes, weight loss, mental state, and self-management ability in women with polycystic ovary syndrome (PCOS). Methods A total of 330 women with PCOS were randomized into a control group and an observation group of 165. The control group received routine nursing care, while the observation group additionally received multidisciplinary health management, including body weight management, lifestyle modification, and mental health interventions. IVF-ET outcomes, waist circumference, body mass index (BMI), anxiety/depression scores, and self-management ability were compared between the two groups. Results In total, 160 cases in the control group and 164 in the observation group completed the study. After the intervention, the observation group demonstrated significantly lower BMI, waist circumference, anxiety and depression scores, whereas significantly higher fertilization rate, cleavage rate, high-quality embryo rate, clinical pregnancy rate, and self-management ability compared to the control group (all P<0.05). Conclusion Multidisciplinary health management effectively improves weight control, mental state, and self-management ability in women with PCOS, thereby enhances the success rate of IVF-ET.

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杨丛品,李爱民,李静,王会霞,贾坤,王丽丽,杨爱敏.多学科健康管理对多囊卵巢综合征患者 体外受精-胚胎移植结局的影响[J].护理学杂志,2025,(14):35-38

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  • 收稿日期:2025-02-17
  • 最后修改日期:2025-04-20
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  • 在线发布日期: 2025-08-13