首页|多囊卵巢综合征患者血清神经调节蛋白4水平与性激素及代谢水平的相关性分析

多囊卵巢综合征患者血清神经调节蛋白4水平与性激素及代谢水平的相关性分析

扫码查看
目的 探讨多囊卵巢综合征(PCOS)患者血清中神经调节蛋白4(NRG4)水平与性激素及代谢水平的相关性。方法 选取87例PCOS患者作为研究对象(PCOS组),另选同期健康的90例女性(无生殖系统疾病,月经正常且性激素检查正常)作为对照组。采用酶联免疫吸附试验(ELISA)检测血清NRG4水平、糖脂代谢指标和性激素指标。采用Pearson法及多元线性回归分析PCOS患者血清NRG4与各指标的相关性。结果 PCOS组患者血清NRG4水平为(24。41±7。31)ng/mL,高于对照组的(15。43±4。26)ng/mL,差异有统计学意义(P<0。001)。与对照组比较,PCOS组患者BMI、超敏C反应蛋白(hs-CRP)、空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、甘油三酯(TG)、黄体生成素(LH)、黄体生成素/卵泡刺激激素(LH/FSH)、泌乳素及总睾酮水平升高,差异有统计学意义(P<0。05)。PCOS患者血清NRG4水平与BMI、hs-CRP、FBG、FINS、HOMA-IR、TG、LH、LH/FSH、总睾酮呈正相关(P<0。05);BMI、FBG、TG 是血清 NRG4 水平的影响因素(P<0。05)。结论 PCOS患者血清NRG4水平升高与糖脂代谢和性激素指标异常相关。
Correlation of serum neuregulin 4 level with sex hormone and metabolism level in patients with polycysticovary syndrome
Objective To investigate the correlations of serum neuregulin 4(NRG4)level with sex hormone and metabolism level in patients with polycystic ovary syndrome(PCOS).Methods A total of 87 PCOS patients were selected as the study subjects(PCOS group),and 90 healthy women(no reproductive system diseases,normal menstruation and normal sex hormone examination)were selected as the control group.Enzyme-linked immunosorbent assay(ELISA)was used to detect ser-um NRG4 level,glucose and lipid metabolism indexes and sex hormone indexes.Pearson method and multiple linear regression were used to analyze the correlation between serum NRG4 and various inde-xes in PCOS patients.Results The serum NRG4 level in PCOS group was(24.41±7.31)ng/mL,which was significantly higher than(15.43±4.26)ng/mL in the control group(P<0.001).Com-pared with the control group,the levels of BMI,hypersensitive C-reactive protein(hs-CRP),fasting blood glucose(FBG),fasting insulin(FINS),insulin resistance index(HOMA-IR),triglyceride(TG),luteinizing hormone(LH),luteinizing hormone/follicle stimulating hormone(LH/FSH),prolactin and total testosterone in PCOS group were significantly increased(P<0.05).Serum NRG4 levels in PCOS patients were positively correlated with BMI,hs-CRP,FBG,FINS,HOMA-IR,TG,LH,LH/FSH and total testosterone(P<0.05);the BMI,FBG and TG were the influencing factors of serum NRG4 level(P<0.05).Conclusion The increase of serum NRG4 level in PCOS patients is associated with abnormal glucose and lipid metabolism and sex hormone indexes.

neuregulin 4polycystic ovary syndromeglucolipid metabolismsex hormone

邵洋、姚超、徐崧圆、强萍

展开 >

江苏省张家港市第一人民医院妇产科,江苏张家港,215600

神经调节蛋白4 多囊卵巢综合征 糖脂代谢 性激素

江苏省妇幼健康科研项目(2018)苏州市科技发作计划(第二十九批)(2020)张家港卫生人才培养项目(2020)张家港科技计划立项项目(2019)

F201843SYS2020053ZJGWSRC202007ZKS1920

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(10)
  • 7