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目的通过调查凉山州彝族、汉族多囊卵巢综合征(PCOS)不孕患者的治疗依从性的差异,探讨个体化的治疗方案。方法对PCOS不孕患者汉族40例、彝族40例进行问卷调查,调查内容包括人口社会学特征、疾病诊断情况、影响用药依从性因素、药物治疗因素、依从性评价。结果彝族PCOS不孕患者治疗依从性OR值排序为就医条件、医生解释情况、经济情况、药物治疗效果(P<0.05),无药物不良反应和教育程度较高者依从性较好(P<0.05);汉族治疗依从性结果按OR值排序为家属压力、婚姻满意度、药物治疗效果(P<0.05),不孕年限不长、无药物不良反应的依从性较好(P<0.05)。结论凉山州彝族、汉族PCOS不孕的治疗依从性存在差异性,个体化治疗可达到有效缓解症状、提高妊娠率的目的。
Objective To investigate the differences of treatment compliance between Yi people of Han nationality and polycystic ovary syndrome (Liangshan) in Han nationality and explore the individual treatment plan. Methods 40 cases of infertile PCOS Han and 40 cases of Yi were surveyed, the survey includes the characteristics of population sociology, disease diagnosis, drug compliance factors, drug treatment factors, compliance evaluation. Results The obeyed OR value of Yi patients with infertility in PCOS ranked as medical condition, doctor explained the situation, economic situation, drug treatment effect (P <0.05), no drug adverse reactions and higher education level were better (P <0.05 ); Han treatment compliance results ranked by OR value as family stress, marital satisfaction, drug treatment effect (P <0.05), the duration of infertility is not long, no adverse drug reaction compliance (P <0.05). Conclusion There are differences in treatment compliance between Yi people and Han nationality in Liangshan Prefecture, PCOS. Individualized treatment can effectively relieve symptoms and improve pregnancy rate.