| Objective: This study compares the data of body mass index(BMI),TCM syndrome score,hormone level(FSH,LH,E2,FSH/LH),and ovarian function(number of follicles,maximum follicular diameter,endometrial thickness)in patients with obese polycystic ovary syndrome(PCOS).This paper aims to analyze the effect of health management on ovarian function in obese PCOS patients,and provide clinical basis and management experience for the health management of obese PCOS patients.Methods: From January 2022 to December 2022,72 patients who attended the outpatient clinic of the Department of Reproductive Medicine of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine(Shandong Provincial Hospital of Integrated Traditional Chinese and Western Medicine)and met the inclusion criteria of this study were selected.Due to the number of cases of exfoliation in the follow-up study,a total of 60 cases were finally completed in this study.The patients in the health management group began to follow the health management plan with the characteristics of traditional Chinese medicine after enrollment,which mainly included diet conditioning,exercise exercise,emotional adjustment,acupoint health care,etc.,and took strengthening the spleen,warming the yang,dissolving phlegm and removing dampness as the treatment principles.In terms of dietary maintenance,choose foods that conform to the theory of TCM dietary therapy and modern research,design dietary recipes with limited energy,and reduce weight by reducing total dietary energy intake;In terms of exercise,choose the eight dan jin health exercises,2 times a day,exercise more than 5D per week;In terms of emotional adjustment,choose to listen to the Chinese medicine health music "Tianyun Five Elements Music" every day-palace-tune yang rhyme song "Huangting Jiaosun",and listen to it for 30 min every day(9:00～11:00);In terms of acupoint health care,choose the three acupoints of Zhongxuan,Tianshu and Guanyuan,and knead or scrape or moxibustion 1～2 times a day for 10 min each acupuncture point.A total of 3 months of health management,no related drugs,surgery and other treatments will be carried out during the health management period.In this study,patients were given a uniform standard of health management protocols,recording the patient’s body mass index(BMI),TCM syndrome score,hormone level before enrollment and 3 months after health management,hormone level [Follicle-Stimulating Hormone(FSH),Luteinizing Hormone(LH),estradiol(E2)and calculating LH/FSH ratio],Ovarian function(number of follicles,maximum follicle diameter,and endometrial thickness).The above observation data were statistically analyzed to obtain the results,so as to obtain the overall clinical efficacy and safety of the health management group.Results:(1)The difference in body mass index(BMI)of patients in the health management group before enrollment and 3 months after health management were compared before,and the difference was statistically significant(P<0.01).(2)The scores of TCM symptoms in the health management group before enrollment and 3 months after health management were statistically significant(P<0.01).(3)The hormone levels FSH,LH,E2 and the calculation of LH/FSH ratio before enrollment and 3 months after health management were compared with each other,and the differences were statistically significant(P<0.01)(4)The number of ovarian functional follicles,maximum follicle diameter and endometrial thickness of patients in the health management group before enrollment and 3 months after health management were compared before and after themselves,and the differences were statistically significant(P<0.01)(5)There were a total of 60 cases in the health management group,including 8 cured,24 effective,21 effective,7 ineffective,with a cure rate of 13.3% and a total effective rate of 88.33%.Conclusion:(1)Health management for 3 months can reduce the body mass index(BMI)of obese PCOS patients,and promote patients to improve bad living habits and cultivate healthy lifestyles.(2)Health management for 3 months can reduce the TCM syndrome score of obese PCOS patients,improve the clinical manifestations of spleen deficiency and phlegm,and make menstruation come on time.(3)Health management for 3 months can improve hormone levels and ovarian function in obese PCOS patients,improve the quantity and quality of excellent follicles,and increase endometrial thickness.(4)Health management has a positive impact on ovarian function in obese PCOS patients,but whether health management promotes ovulation rate and pregnancy rate and reproductive function in obese PCOS patients needs further research. |
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