首页|肥胖指标对痰湿型多囊卵巢综合征患者代谢综合征的诊断价值分析

肥胖指标对痰湿型多囊卵巢综合征患者代谢综合征的诊断价值分析

扫码查看
目的 不同肥胖指标与痰湿型多囊卵巢综合征患者代谢综合征的相关性.方法 回顾360例痰湿型多囊卵巢综合征(Polycystic ovary syndrome,PCOS)患者,根据是否符合代谢综合征(metabolic syndrome,MS)诊断标准,将研究对象分为非MS组216例、MS组144例;比较组内性激素水平及临床特征差异,评估各肥胖指标对痰湿型PCOS患者合并MS的预测价值.结果 MS组患者性激素LH、SHBG、P、DHEAS、LH/FSH低于非MS组(P<0.05);MS 组 BH、BW、WC、HC、BMI、WHR、BRI、ABSI、CI、BAI、AVI、LAP、VAI 均高于非 MS 组(P<0.05);采用受试者工作曲线评估肥胖指标在诊断痰湿型PCOS合并MS时均有预测价值(P<0.05).结论 不同肥胖指标对痰湿型PCOS患者合并MS具有较好的预测价值,其中LAP、VAI、AVI对痰湿型PCOS患者合并MS的预测价值最佳.
Analysis of the Diagnostic Value of Obesity Indicators for Metabolic Syndrome in Patients with Phlegm Dampness Polycystic Ovary Syndrome
Objective To investigate the correlation between different obesity indicators and metabolic syndrome in pa-tients with phlegm dampness polycystic ovary syndrome.Methods A total of 360 patients with phlegm dampness type poly-cystic ovary syndrome(PCOS)were reviewed.Based on whether they met the diagnostic criteria for metabolic syndrome(MS),the study subjects were divided into a non MS group of 216 cases and an MS group of 144 cases;Compare the differences in sex hormone levels and clinical characteristics within the group,and evaluate the predictive value of various obesity indicators for MS in patients with phlegm dampness type PCOS.Results The levels of sex hormones LH,SHBG,P,DHEAS,and LH/FSH in the MS group were lower than those in the non MS group(P<0.05);The BH,BW,WC,HC,BMI,WHR,BRI,ABSI,CI,BAI,AVI,LAP,and VAI in the MS group were all higher than those in the non MS group(P<0.05);The use of subject work curves to evaluate obesity indicators has predictive value(P<0.05)in the diagnosis of phlegm dampness type PCOS combined with MS.Conclusion Different obesity indicators have good predictive value for MS in patients with phlegm dampness type PCOS,among which LAP,VAI,and AVI have the best predictive value for MS in patients with phlegm dampness type PCOS.

Polycystic ovary syndromeMetabolic syndromeObesity indicatorsLAPVAI

向蓉、李欣萌、雷凯凯、徐芳、孙淼

展开 >

黑龙江中医药大学研究生院,黑龙江哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

多囊卵巢综合征 代谢综合征 肥胖指标 LAP VAI

2025

现代中医药
陕西中医学院 中华中医药学会

现代中医药

影响因子:0.487
ISSN:1672-0571
年,卷(期):2025.45(1)