首页|女性不孕症与血糖水平、BMI的相关性研究

女性不孕症与血糖水平、BMI的相关性研究

扫码查看
目的:分析女性不孕症与血糖水平及BMI指数的相关性.方法:回顾性分析2021年1月—2023年2月商丘市第一人民医院收治的80例不孕症患者以及43名正常产妇的资料,经单因素分析、logistic回归分析归纳可导致不孕症发生的危险因素,比较两组研究对象的血糖水平及BMI指数,经Spearman相关性系数验证不孕症与血糖、BMI指数间的相关性.结果:性激素水平、血压水平、血糖水平、血脂水平、胰岛素功能等,差异有统计学意义(x2=18.144、5.601、10.396、5.706、5.156、7.527、9.840、14.089、19.684、17.896、5.601、12.564、8.180、20.938、19.483、31.357,P<0.05);logistic回归分析结果显示,BMI≥27.00 kg/m2、空腹血糖(FBG)≥7 mmol/L、餐后2 h血糖(2 hPG)≥11mmol/L、糖化血红蛋白(HbA1c)≥8%、甘油三酯(TG)≥2.50 mmol/L、总胆固醇(TC)≥6.45 mmol/L、高密度脂蛋白胆固醇(HDL-C)≤1.80 mmol/L、低密度脂蛋白胆固醇(LDL-C)≥2.00 mmol/L、空腹胰岛素(FINS)≥10mU/L、胰岛β细胞功能指数(HOMA-β)≤50、胰岛素抵抗指数(HOMA-IR)≥2.25为不孕症的危险发病因素(OR=6.219、4.281、5.339、5.772、6.033、6.255、6.441、5.258、6.414、5.161、5.241);经Spearman相关性系数检验,不孕症发生率与血糖水平、BMI指数呈显著正相关(r=0.252、0.251、0.254、0.255,P<0.05).结论:肥胖及其相关的糖脂代谢水平异常、胰岛素抵抗为不孕症的危险发病因素,BMI指数及血糖水平越高,不孕症发生风险越高.
Study on the Correlation Between Female Infertility and Blood Glucose Level,BMI Index
Objective:To analyze the correlation between female infertility and blood glucose level,and BMI index.Methods:A retrospective analysis was performed on 80 infertility patients admitted to the First People's Hospital of Shangqiu City from January 2021 to February 2023 as the case group and 43 normal women as the control group.The risk factors that could lead to infertility were summarized with univariate analysis and logistic regression analysis.Blood sugar levels and BMI were compared between the two groups.Spearman correlation coefficient was used to verify the correlation between infertility,blood glucose,and BMI index.Results:There were some differences in sex hormone level,blood pressure level,blood glucose level,blood lipid level and insulin function(x2=18.144,5.601,10.396,5.706,5.156,7.527,9.840,14.089,19.684,17.896,5.601,12.564,8.180,20.938,19.483,31.357;P<0.05).Logistic regression analysis showed that BMI≥27.00 kg/m2,fasting blood glucose(FBG)≥ 7 mmol/L,2 h postmeal blood glucose(2 hPG)≥11mmol/L,hemoglobin a1c(HbA1c)≥8%,triglyceride(TG)≥ 2.50 mmol/L,total cholesterol(TC)≥6.45 mmol/L,high density lipoprotein cholesterol(HDL-C)≤ 1.80 mmol/L,low density lipoprotein cholesterol(LDL-C)≥2.00 mmol/L,fasting insulin(FINS)≥ 10 mU/L,islet β cell function index(HOMA-β)≤50 and insulin resistance index(HOMA-IR)≥2.25 were risk factors for infertility(OR=6.219,4.281,5.339,5.772,6.033,6.255,6.441,5.258,6.414,5.161,5.241).By Spearman correlation coefficient test,the incidence of infertility was significantly positively correlated with blood glucose level and BMI index(r=0.252,0.251,0.254,0.255;P<0.05).Conclusion:Obesity and its associated abnormal levels of glucose and lipid metabolism,as well as insulin resistance,are the risk factors for infertility.The higher the BMI index and blood sugar levels are,the higher the risk of infertility is.

InfertilityBlood sugar levelsBody mass indexRisk factorsCorrelation analysis

李影丽、陶霞

展开 >

商丘市第一人民医院内分泌科,河南 商丘 476000

不孕症 血糖水平 体重指数 危险因素 相关性分析

河南省医学科技攻关项目

LHGJ2021002231

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(19)