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目的观察胰岛素增敏剂治疗多囊卵巢综合征内分泌紊乱的疗效。方法回顾性分析2013年12月至2015年5月佛山市顺德区第一人民医院诊治的80例多囊卵巢综合征内分泌紊乱患者的临床资料,按照不同治疗方式分为两组,每组40例,对照组予常规治疗,在此基础上,研究组予胰岛素增敏剂治疗,对比两组患者临床疗效。结果两组治疗后睾酮、黄体生成素均较治疗前显著改善,其中研究组睾酮、腰/臀比、黄体生成素及体质量指数改善幅度最大,优于对照组(P<0.05);另外,除空腹血糖,研究组治疗后不同时间段血糖、胰岛素指标水平与对照组比较差异均有统计学意义(P<0.05)。结论胰岛素增敏剂治疗多囊卵巢综合征内分泌紊乱患者的疗效显著,具有临床实际应用价值。
Objective To observe the efficacy of insulin sensitizer in the treatment of endocrine disorders of polycystic ovary syndrome. Methods The clinical data of 80 patients with polycystic ovary syndrome endocrine disorders diagnosed and treated in Foshan First People’s Hospital from December 2013 to May 2015 were retrospectively analyzed. The patients were divided into two groups according to different treatment methods, 40 cases in each group , The control group to conventional treatment, on this basis, the study group to insulin sensitizer treatment, the clinical efficacy of two groups compared. Results The testosterone and luteinizing hormone were significantly improved after treatment in both groups. The testosterone, waist / hip ratio, luteinizing hormone and body mass index in the study group were the most improved, which were better than those in the control group (P <0.05) Except for fasting blood glucose, the levels of blood glucose and insulin in the study group at different time points after treatment were significantly different from those in the control group (P <0.05). Conclusion Insulin sensitizer has significant therapeutic effect on endocrine disorders of patients with polycystic ovary syndrome and has clinical practical value.