首页|TLR4信号通路预测多囊卵巢综合征合并不明原因复发性流产的价值

TLR4信号通路预测多囊卵巢综合征合并不明原因复发性流产的价值

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目的 分析预测多囊卵巢综合征(PCOS)合并不明原因复发性流产(URSA)中Toll样受体4(TLR4)信号通路的应用价值。方法 选取56例PCOS合并URSA患者作为观察组;另选取同期本院进行产检的46例PCOS正常妊娠患者作为对照组。分析PCOS合并URSA多因素;观察NF-kB上升、TLR4上升、联合对PCOS合并URSA的预测。结果 多因素Logistic回归分析显示:NF-kB上升、TLR4上升、胰岛素抵抗、吸烟、饮酒、体质量指数(BMI)上升是PCOS合并URSA的影响因素(OR=3。445、2。956、2。514、1。786、1。685、2。135,P<0。05)。对PCOS合并URSA的预测,TLR4及NF-kB有着预测价值,联合两项指标预测效能较单独使用效果更好。结论 TLR4信号通路在对PCOS合并URSA预测中具有一定的应用价值。
The value of TLR4 signaling pathway in predicting polycystic ovary syndrome with unexplained recurrent miscarriage
Objective To application value of analyzing and predicting the Toll like receptor 4(TLR4)signaling pathway in polycystic ovary syndrome(PCOS)with unexplained recurrent miscarriage(URSA).Methods 56 patients with PCOS combined with URSA were selected as the observation group;Another 46 normal pregnant women with PCOS who underwent prenatal examinations in our hospital during the same period were selected as the control group.Analyze the multiple factors of PCOS merging with URSA;Observing the rise of NF kB,TLR4,and combined prediction of PCOS combined with URSA.Results Multivariate logistic regression analysis showed that an increase in NF kB,TLR4,insulin resistance,smoking,alcohol consumption,and body mass index(BMI)were the influencing factors for PCOS combined with URSA(OR=3.445,2.956,2.514,1.786,1.685,2.135,P<0.05).TLR4 and NF kB have predictive value in predicting the merger of PCOS and URSA,and the combined use of these two indicators has better predictive performance than using them alone.Conclusion The TLR4 signaling pathway has certain application value in predicting PCOS combined with URSA.

Polycystic ovary syndromeTLR4 signaling pathwayRecurrent miscarriage

郭琳茹、黄小燕、郭基凤、李丽转、林容妃、陈官易

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鹤山市人民医院 妇科,广东鹤山 529700

多囊卵巢综合征 TLR4信号通路 复发性流产

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(1)
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