实用妇产科杂志2023，Vol.39Issue(12)：917-922,6.
医生经验对多囊卵巢综合征诊治影响的调查分析
Investigation on the Influence of Physician Experience on the Diagnosis and Treatment of Polycystic Ovary Syndrome
王玥 1陈洁 1邓燕 1王艳芳 1马骁 1丁雪松 1甘静雯 1郭瀛瀛 1孙爱军1
作者信息
- 1. 中国医学科学院 北京协和医院妇产科,北京 100730
- 折叠
摘要
Abstract
Objective:To investigate the differences in understanding and diagnosis of polycystic ovary syn-drome(PCOS)among obstetricians and gynecologists with different clinical experiences,in order to promote com-munication and improve medical quality.Methods:This was a multi-center cross-sectional survey.Information on participants'basic information and their knowledge of PCOS comorbidities and treatment management was col-lected online.Physicians were divided into two groups according to their experience:experienced(>200 consulta-tions/year)and inexperienced(≤200 consultations/year).The differences in the diagnosis and treatment of PCOS among different groups were compared.Logistic regression analysis was used to explore other factors that might influence the diagnosis and treatment of PCOS.Results:1689 questionnaires were finally included,among which 95 were experienced and 1594 were inexperienced.①In the comparison of basic conditions,the proportion of experienced persons in tertiary hospitals and reproductive endocrinology specialties was higher than that of in-experienced persons(P<0.05);The percentage of experienced persons who predicted patients with comorbid insulin resistance(proportion>30%)and predicted comorbid overweight/obesity(proportion 30%-50%)was higher than that of less experienced persons(P<0.05).②There was no significant difference in the evaluation of PCOS and its complications among different groups(P>0.05).Logistic regression suggested that different expe-riencers did not significantly affect the assessment of androgens,OGTT and lipid testing(P>0.05).③There was no statistical significance in the choice of treatment for those with no fertility need(P>0.05).For those with fertili-ty needs,metformin and letrozole were more actively selected by experienced group than inexperience(P<0.05).In terms of weight loss,experienced participants were more active in using metformin(P<0.05)and were more likely to choose1.0 or1.5 g/d(P<0.05)than those with inexperience.Conclusions:There was no signifi-cant difference in PCOS assessment among participants with different experience,but in treatment,experienced participants were better able to take into account the multi-system abnormalities brought by PCOS,and at the same time,they give more comprehensive and accurate treatment opinions on patients with or without fertility needs.关键词
多囊卵巢综合征/医生经验/减重/二甲双胍Key words
Polycystic ovary syndrome/Experience/Weight loss/Metformin分类
医药卫生引用本文复制引用
王玥,陈洁,邓燕,王艳芳,马骁,丁雪松,甘静雯,郭瀛瀛,孙爱军..医生经验对多囊卵巢综合征诊治影响的调查分析[J].实用妇产科杂志,2023,39(12):917-922,6.
