机构：[a]Department of Gynecological Endocrinology Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China[b]Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China临床科室妇产科首都医科大学附属安贞医院[c]Department of Women’s Health, University Hospitals of Tuebingen, Tuebingen, Germany
The aim of this study was to evaluate the effect of orlistat or metformin combined with Diane-35 on anthropometric, hormonal and metabolic parameters in overweight and obese polycystic ovary syndrome (PCOS) patients with insulin resistance (fasting insulin>10mIU/L). A total of 240 PCOS women were randomly allocated to orlistat plus Diane-35(OD group), metformin plus Diane-35(MD group), orlistat plus metformin plus Diane-35(OMD group) or Diane-35 (D group). Body weight, BMI, waist and hip circumference, blood pressure, endocrine profile, lipid profile and insulin resistance were assessed at baseline and after 3 months. Significant reductions in waist and hip circumference, serum LH, total testosterone and uric acid were observed in all groups compared with baseline. TG and TC significantly decreased in the OD group. Homeostasis model assessment insulin resistance (HOMA-IR) index was reduced in the OD (p=.015), MD (p=.001) and OMD (p=.004) groups. Body weight, BMI, systolic BP and HDL-C significantly changed in the OD and OMD group compared with the D group (p<.05). Side effects were less with orlistat than metformin. This study demonstrated that orlistat is more effective in reducing weight and lipid profile than metformin. Besides, orlistat has mild side-effects and is better tolerated compared with metformin.
基金：
Capital Characteristic Clinic Project of China [Z161100000516143]; Beijing Capital Foundation for Medical Science Development and Research [2016-2-2113]; Clinical Technique Innovation Project of Beijing Municipal Administration of Hospitals [XMLX201710]; Beijing Municipality Health Technology High-level Talent [2014 2-016]; Foreign technical and administrative talent introduction project; State Administration of Foreign Experts Affairs, the P. R. of China [20171100004]
第一作者机构：[a]Department of Gynecological Endocrinology Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China[b]Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
通讯作者：
通讯机构：[a]Department of Gynecological Endocrinology Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China[c]Department of Women’s Health, University Hospitals of Tuebingen, Tuebingen, Germany[*1]Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China
推荐引用方式(GB/T 7714)：
Song Jinghua,Ruan Xiangyan,Gu Muqing,et al.Effect of orlistat or metformin in overweight and obese polycystic ovary syndrome patients with insulin resistance[J].GYNECOLOGICAL ENDOCRINOLOGY.2018,34(5):413-417.doi:10.1080/09513590.2017.1407752.
APA：
Song, Jinghua,Ruan, Xiangyan,Gu, Muqing,Wang, Lijuan,Wang, Husheng&Mueck, Alfred Otto.(2018).Effect of orlistat or metformin in overweight and obese polycystic ovary syndrome patients with insulin resistance.GYNECOLOGICAL ENDOCRINOLOGY,34,(5)
MLA：
Song, Jinghua,et al."Effect of orlistat or metformin in overweight and obese polycystic ovary syndrome patients with insulin resistance".GYNECOLOGICAL ENDOCRINOLOGY 34..5(2018):413-417
