Abstract:

Polycystic ovary syndrome（PCOS）is the most common endocrine and metabolic disorders in women of childbearing age，which may have adverse effects on both pregnant and non-pregnant women.In recent years，it has been found that PCOS appears to  increase risks of developing adverse outcomes，which may be related to insulin resistance，obesity，glucose and lipid metabolic disorders and hyperandrogenism.Proper management of PCOS in prepregnancy，pregnancy and postpartum might play important roles in the prevention of short-term and long-term complications.The metabolic characteristics and management of PCOS are reviewed in this article.

Key words: polycystic ovarian syndrome, pregnancy, metabolism, pregnancy outcomes

摘要：

多囊卵巢综合征（PCOS）是育龄女性内分泌和代谢紊乱性疾病，对孕期与非孕期育龄妇女均可能产生不利影响。近年来，随着对PCOS孕妇的相关研究不断深入，发现其妊娠期母儿并发症的发生率升高，且与胰岛素抵抗、肥胖、糖脂代谢、高雄激素血症等相关，做好孕前、孕期及产后的管理对近远期并发症的预防可能均有重要作用。文章对PCOS孕期代谢特点及其管理等内容进行阐述。

关键词: 多囊卵巢综合征, 妊娠, 代谢, 妊娠结局