首页|甘油三酯-葡萄糖指数与多囊卵巢综合征患者胰岛素抵抗的相关性分析

甘油三酯-葡萄糖指数与多囊卵巢综合征患者胰岛素抵抗的相关性分析

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目的 探讨甘油三酯-葡萄糖(TyG)指数与多囊卵巢综合征(PCOS)患者胰岛素抵抗(IR)的相关性。方法 选取73例PCOS患者作为研究对象,根据胰岛素抵抗稳态模型评估(HOMA-IR)结果分为IR组24例(HOMA-IR≥2。69)和非IR组(HOMA-IR<2。69)49例。检测空腹血糖(FPG)、胰岛素(INS)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平,测量身高和体重,计算体质量指数(BMI)。比较两组糖脂代谢指标,并分析TyG与其他指标预测IR的诊断效能。结果 PCOS患者血脂异常率为52。05%。IR组的BMI、FPG、INS、HOMA-IR、TC、TG、LDL-C、TyG、LDL-C/HDL-C、TG/HDL-C和血脂异常率均显著高于非IR组,差异有统计学意义(P<0。05)。TyG预测IR的受试者工作特征曲线(ROC)下的面积(AUC)为0。825,截断值为8。625,敏感度和特异度分别为70。8%和81。6%。结论 TyG是一种预测PCOS合并IR较好的生物标志物。
Correlation analysis of triglyceride-glucose index and insulin resistance in patients with polycystic ovary syndrome
Objective To investigate the correlation between triglyceride-glucose(TyG)index and insulin resistance(IR)in patients with polycystic ovary syndrome(PCOS).Methods 73 patients with PCOS were selected as the study object,and were divided into 24 patients in the IR group(HOMA-IR≥2.69)and 49 patients in the non-IR group(HOMA-IR<2.69)according to the results of homeostasis model assessment of insulin resistance(HOMA-IR<2.69).Fasting blood glucose(FPG),insulin(INS),triglyceride(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C)levels,height and weight were measured.Body Mass index(BMI).The glucolipid metabolism indexes of the two groups were compared,and the diagnostic efficacy of TyG and other indexes in predicting IR was analyzed.Results BMI,FPG,INS,HOMA-IR,TC,TG,LDL-C,TyG,LDL-C/HDL-C,TG/HDL-C and dyslipidemia rates in IR group were significantly higher than those in non-IR group,with statistical significance(P<0.05).The area(AUC)under receiver operating characteristic curve(ROC)predicted by TyG for IR was 0.825,the cutoff value was 8.625,and the sensitivity and specificity were 70.8%and 81.6%,respectively.Conclusion TyG is a good biomarker for predicting PCOS combined with IR.

Polycystic ovary syndromeTriglyceride-glucose indexInsulin resistance

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中山市古镇人民医院 检验科,广东 中山 528421

多囊卵巢综合征 甘油三酯-葡萄糖指数 胰岛素抵抗

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(17)
  • 17