General Medicine Department Combined With Obstetrics And Gynecology In The Management Of Polycystic Ovary Syndrome Study On The Evaluation Of Patients' Effectiveness Level

Objective: To evaluate the effect of "general medical science-obstetrics and gynecology" in the management of polycystic ovary syndrome.The compliance and effectiveness of PCOS patients with drug therapy + exercise + behavioral therapy were improved through the joint management model of "General Medicine ScienceObstetrics and Gynecology".It is proved that the joint management model of "General Medicine Science-Obstetrics and Gynecology" is more effective in the treatment of PCOS patients than the traditional PCOS patients who are free to visit obstetrics and gynecology.It can better regulate the level of hormones,effectively improve metabolic disorders,and significantly increase the pregnancy rate.Methods: From February 2017 to September 2018,88 PCOS patients attending the Donggang City Central Hospital participated in a unified questionnaire and established 88 PCOS patients 'clinical records,including general conditions,chief complaints,medical history,past history,physical examination,auxiliary examination,medical advice and implementation.Obstetrics and Gynaecologists conduct uniform training for community doctors.According to the drawing method,they were randomly divided into the intervention group and the control group,each with 44 cases.Control group PCOS patients were treated freely at Donggang City Central Hospital Obstetrics and Gynecology Department.The intervention team conducted diagnosis and follow-up through the joint management model of "General Medicine Science-Obstetrics and Gynecology",was diagnosed by a gynecologist,formulated a corresponding treatment plan,and then transferred to a community hospital general practitioner for management,mainly for drug treatment + exercise + behavioral intervention.General practitioners and patients through face-to-face communication intervention,telephone and WeChat follow-up,urging them to take medicine,to ensure the accuracy of the drug.Control diet,diet and diet to guide,recommend lowcalorie diet therapy.A daily intake of 1200-1500 calories.Each person sends a table of food calories.Above 2 times a week,aerobic exercise of medium strength or above is assessed as having a heart rate of 125 / minute-150 / minute during exercise.Time should be guaranteed at least 90 min aerobic exercise per week.Behavioral therapyincludes urging PCOS patients to reduce inactive behaviors such as sedentary behavior,and to quit smoking and abstain from alcohol,and to improve PCOS patients 'negative psychological state and encourage them through examples and psychological dredging.The observation study time was 3 months.After 3 months,the weight,waist circumference,hip circumference,FPG,fasting insulin,LH,FSH,and T were unified in the hospital to compare the levels of sex hormones and metabolic indicators before and after the intervention of the two groups.Changes,while comparing the pregnancy rate.Results: The metabolic indicators after treatment of patients with PCOS in the intervention group were: body mass index(BMI),waist to hip ratio(WHR),fasting blood sugar(FPG),fasting insulin(FINS),and insulin resistance index(HOMA)all significantly lower than before treatment;Hormone levels such as:Huangtishengchengsu(LH),follicle stimulating hormone(FSH),testosterone(T),and LL/FSH are all significantly lower than before treatment.LH,T,FPG,FINS and HOMA were all significantly lower in PCOS patients than in control group(P < 0.05);The pregnancy rate of the intervention group was significantly higher than that of the control group,and the difference was statistically significant(P < 0.05).Conclusion:The joint management model of "General Medicine Science-Obstetrics and Gynecology" has significantly improved the treatment effect of PCOS patients compared to traditional PCOS patients who have free access to obstetrics and gynecology.The joint management of "General Medicine Science-Obstetrics and Gynecology" significantly improved the patient's adherence to medication and reduced the interruption of repeated drug treatment;More effective control of diet,significantly enhance the strength of dietary control,increase the amount of exercise and exercise intensity,reduce bad behavior and its effects,achieve weight loss,reduce Kaohsiung hormone anaemia,form regular menstrual cycles and promote ovulation.The joint management model of "General Medicine Science-Obstetrics and Gynecology" is more effective in improving metabolic levels in PCOS patients,and more significantly reducing fasting blood sugar(FPG),fasting insulin(FINS),and insulin resistance index(HOMA).The purpose of weight reduction,Improve hyperinsulinemia and lower blood sugar.The "General Medicine Science-Obstetricsand Gynecology" joint management model is more effective in regulating hormone levels.For example,Huangtishengchengsu(LH)and testosterone(T)have all decreased significantly,reducing changes in ovarian polycytes,and reducing the performance of Kaohsiung hormone anaemia.Acne,hairy and so on.The joint management model of "General Medicine Science-Obstetrics and Gynecology" can improve the endometrial tolerance of PCOS patients,promote ovulation,treat infertility,and increase the pregnancy rate of PCOS patients.The General Medicine Department of Joint Obstetrics and Gynecology optimizes and integrates medical resources,and uses its joint management model to comprehensively,individually,and finely manage PCOS,further exerting the advantages of the joint management model,and making doctors 'diagnosis and treatment and follow-up more optimized.The patient's cognition and compliance have been fully improved,so as to fully mobilize the team's cooperation and enthusiasm,tap the potential of the treatment team to solve problems,maximize the treatment advantage,and enable PCOS patients to receive better treatment.