摘要
目的检索多囊卵巢综合征(PCOS)患者肥胖管理的最佳证据并进行总结,为医务人员提供参考。方法系统检索国内外数据库关于PCOS肥胖管理的相关文献,检索时限为建库至2022年1月31日,文献包括临床决策、指南、证据总结、系统评价、专家共识。由2名经过循证培训的研究者独立评价纳入文献并进行证据提取。结果共纳入11篇文献,其中临床决策2篇、指南6篇、专家共识3篇。最终总结出30条证据,涵盖监测指标与筛查、生活方式干预、饮食管理、运动管理、药物管理、青春期PCOS管理、减肥手术、妊娠相关管理8个方面。结论本研究总结了PCOS患者肥胖管理的最佳证据,医务人员应根据临床实际情况,并结合循证依据给予患者个性化的肥胖管理。
Objective To retrieve,analyze and summarize the best evidence for obesity management in patients with polycystic ovary syndrome(PCOS),so as to provide a reference for medical and nursing staff.Methods The relevant articles on obesity management in PCOS were systematically searched in domestic and foreign databases,and the search time limit was from the establishment of the database to January 31,2022.The article included clinical decisions,guidelines,evidence summaries,systematic reviews,and expert consensus.Two investigators with evidence-based training independently reviewed the included article and conducted evidence extraction.Results A total of 11 articles were included,including 2 clinical decisions,6 guidelines,and 3 expert consensuses.Finally,30 pieces of evidence were summarized,covering 8 aspects of monitoring indicators and screening,lifestyle intervention,diet management,exercise management,drug management,adolescent PCOS management,bariatric surgery,and pregnancy-related management.Conclusions This study summarizes the best evidence for obesity management in PCOS patients.Medical and nursing staff should give patients individualized obesity management based on actual clinical conditions and evidence-based evidence.
作者
伍虹瑾
李希西
杜晓琴
Wu Hongjin;Li Xixi;Du Xiaoqin(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Department of Obstetrics and Gynecology,Mianyang Central Hospital,Mianyang 621000,China)
出处
《中华现代护理杂志》
2022年第30期4149-4154,共6页
Chinese Journal of Modern Nursing
基金
四川省基层卫生事业发展研究中心(SWFZ21-Y-33)。
关键词
多囊卵巢综合征
肥胖
最佳证据
循证实践
Polycystic ovary syndrome
Obesity
Best evidence
Evidence-based practice
