目的 调查子宫内膜癌保留生育功能患者的体质量现状，并分析影响其体质量变化的因素。方法 便利抽样法选取北京市某三级甲等医院妇科就诊的子宫内膜癌保留生育功能患者85例为研究对象，采用一般人口学与疾病资料调查表、减重调查表对其进行调查。结果 子宫内膜癌保育患者超重肥胖发生率为82.4%；进行保留生育功能治疗前体质量指数≥24和减重时长＜3个月是影响子宫内膜癌保留生育功能患者体质量变化的高危因素（均P＜0.05）。结论 子宫内膜癌保留生育功能患者的体质量现状为超重肥胖人数占比较高，保育患者体质量上升受多个因素影响，护理人员应为患者提供专业、个性化、全程的减重指导与随访。

Objective To investigate the status quo of body weight in patients with endometrial cancer with fertility-sparing treatment,and analyze the factors affecting the change of body weight.Methods A total of 85 patients of endometrial cancer with fertility sparing treatment in a tertiary A hospital in Beijing were selected by convenience sampling, and then surveyed by the general demographic and disease data questionnaire and weight loss questionnaire.Results The incidence rate of overweight and obesity in endometrial cancer patients was 82.4%，and BMI≥24 and weight loss period less than 3 months before fertility preservation therapy (all P＜0.05) were high risk factors for weight gain in these patients.Conclusions The weight status of patients with endometrial cancer with fertility preservation is that overweight and obesity account for a relatively high proportion,affected by various reasons.Nursing staff should provide patients with professional,personalized,whole-process weight loss guidance and follow-up.

R473.73

国家重点研发计划（2022YFC2704400，2022YFC2704405）；北京大学人民医院研究与发展基金（RDL2022-49）