冷冻溶脂对患有多囊卵巢综合征的肥胖妇女的荷尔蒙特征和月经调节的影响

Sabrin Taha, Afaf M Botla
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摘要

背景:多囊卵巢综合征(PCOS)是一种常见的女性疾病,会影响女性的生殖能力、新陈代谢以及控制雄激素水平的能力。它由女性性激素失衡引起,并因肥胖而加重。目的:研究冷冻溶脂对患有多囊卵巢综合征的肥胖女性的荷尔蒙状况和月经规律性的影响。方法:将 50 名年龄在 18-30 岁之间的女性患者随机分为两组,每组 25 人。A组(对照组):接受为期12周的饮食和有氧运动治疗;B组(研究组):接受与A组相同的饮食和有氧运动治疗,同时接受冷冻溶脂治疗,每次45分钟,每两周一次,为期12周。通过测量体重、体重指数(BMI)、腰臀比、促黄体生成素(LH)、促卵泡激素(FSH)、胰岛素抵抗(IR)以及治疗前后的月经规律,对所有女性进行评估。结果显示与治疗前相比,A 组和 B 组的所有测量变量在治疗后都有明显改善(P<0.05),通过比较治疗后的数值,研究组(B 组)的所有测量变量都有明显差异(P<0.05)。结论在饮食和有氧运动的基础上进行冷冻溶脂,对患有多囊卵巢综合症的肥胖妇女的荷尔蒙状况和月经规律性有显著影响。
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Effect of cryolipolysis on hormonal profile and menstrual regulation in obese women with polycystic ovarian syndrome
Background: Polycystic ovarian syndrome (PCOS) is a frequent disease in women that affects their ability to reproduce, their metabolism, and their ability to control their androgen levels. It is brought on by an imbalance of female sex hormones as well as being aggravated by obesity. Purpose: To examine the effects of cryolipolysis on hormonal profile and menstrual regularity in obese women with PCOS. Methods: 50 female patients, aged from 18 to 30 years, were split into two groups of 25 patients each at random. Group A (control group), treated by a diet regime and aerobic exercise for 12 weeks; Group B (study group): treated by the same diet regime and aerobic exercise as Group A in addition to cryolipolysis for 45 minutes per session, every 2 weeks for 12 weeks. Assessment of all females was carried out through measuring weight, body mass index (BMI), waist hip ratio, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and insulin resistance (IR), in addition to menstrual regularity pre-and post-treatment. Results: There was a significant improvement (P<0.05) in all measured variable after treatment compared to before treatment in both group A and B, by comparing post treatment values there is a significant difference (p<0.05) in all measured variable favouring the study group (group B). Conclusions: Cryolipolysis in addition to diet regime and aerobic exercise has significant effect on hormonal profile as well as menstrual regularity in obese women suffering from PCOS.
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