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多囊卵巢综合征对不同年龄、基础代谢指数、受教育程度及婚姻状况的女性生活质量的影响。

Impact of polycystic ovary syndrome on quality of life of women in correlation to age, basal metabolic index, education and marriage.

机构信息

Department of Pharmacology, Santosh Medical College, Santosh University, Ghaziabad, Uttar-Pradesh, India.

Department of Gynecology and Obstetrics, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

PLoS One. 2021 Mar 10;16(3):e0247486. doi: 10.1371/journal.pone.0247486. eCollection 2021.

Abstract

Polycystic ovary syndrome (PCOS) is the major endocrine related disorder in young age women. Physical appearance, menstrual irregularity as well as infertility are considered as a sole cause of mental distress affecting health-related quality of life (HRQOL). This prospective case-control study was conducted among 100 PCOS and 200 healthy control cases attending tertiary care set up of AIIMS, Patna during year 2017 and 2018. Pre-validated questionnaires like Short Form Health survey-36 were used for evaluating impact of PCOS in women. Multivariate analysis was applied for statistical analysis. In PCOS cases, socioeconomic status was comparable in comparison to healthy control. But, PCOS cases showed significantly decreased HRQOL. The higher age of menarche, irregular/delayed menstrual history, absence of child, were significantly altered in PCOS cases than control. Number of child, frequency of pregnancy, and miscarriage were also observed higher in PCOS cases. Furthermore, in various category of age, BMI, educational status and marital status, significant differences were observed in the different domain of SF-36 between PCOS and healthy control. Altogether, increased BMI, menstrual irregularities, educational status and marital status play a major role in altering HRQOL in PCOS cases and psychological care must be given during patient care.

摘要

多囊卵巢综合征(PCOS)是年轻女性主要的内分泌相关疾病。身体外貌、月经不规律和不孕被认为是影响健康相关生活质量(HRQOL)的精神困扰的单一原因。这项前瞻性病例对照研究于 2017 年至 2018 年在比哈尔邦艾哈迈达巴德的 AIIMS 三级医疗机构中进行,共纳入 100 例 PCOS 患者和 200 例健康对照组。使用经过预验证的问卷,如简短健康调查-36,评估 PCOS 对女性的影响。采用多变量分析进行统计分析。与健康对照组相比,PCOS 组的社会经济状况相当。但是,PCOS 组的 HRQOL 显著降低。与对照组相比,PCOS 组的初潮年龄较大、月经不规则/延迟、无子女的情况明显改变。PCOS 组的子女数量、怀孕频率和流产率也更高。此外,在不同年龄、BMI、教育程度和婚姻状况的分类中,PCOS 组和健康对照组在 SF-36 的不同领域存在显著差异。总之,BMI 增加、月经不规律、教育程度和婚姻状况在改变 PCOS 患者的 HRQOL 方面起着重要作用,在患者护理期间必须给予心理关怀。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7c/7946178/2fabe449bf56/pone.0247486.g001.jpg

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