首页|makorin环指蛋白3联合黄体生成素基础值诊断女童特发性中枢性性早熟的价值

makorin环指蛋白3联合黄体生成素基础值诊断女童特发性中枢性性早熟的价值

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目的 探讨makorin环指蛋白3(MKRN3)联合黄体生成素(LH)基础值诊断女童特发性中枢性性早熟(CPP)的价值.方法 选取2019年2月至2023年3月广西壮族自治区桂东人民医院收治的105例特发性CPP女童患儿作为观察组,选取同期同院体检的90名健康女童作为对照组.比较两组激素指标、MKRN3、LH基础值、人胰岛素生长因子BP3(IGF-BP3)水平;采用多因素Logistic回归分析女童发生特发性CPP的影响因素;采用受试者工作特征(ROC)曲线的曲线下面积(AUC)分析相关指标单独及联合诊断的价值.结果 两组卵泡刺激素(FSH)、催乳素比较,差异无统计学意义(P>0.05);观察组雌二醇(E2)高于对照组(P<0.05).观察组MKRN3低于对照组,LH基础值、IGF-BP3高于对照组(P<0.05).Logistic回归分析结果显示,E2、MKRN3、LH基础值、IGF-BP3是女童发生特发性CPP的影响因素(P<0.05).E2、MKRN3、LH基础值、IGF-BP3水平表达及4项指标联合诊断均对特发性CPP有较高的预测效能,联合诊断效能最高(P<0.05).结论 特发性CPP女童血清MKRN3、LH基础值变化显著,其可能参与特发性CPP发病机制.E2、MKRN3、LH基础值、IGF-BP3水平表达及4项指标联合诊断均对特发性CPP有较高的预测效能,联合诊断效能最高.
The value of makorin cyclic finger protein 3 combined with luteinizing hormone baseline value in the diagnosis of idiopathic central precocious puberty in girls
Objective To analyze the value of makorin ring finger protein 3(MKRN3)combined with luteinizing hormone(LH)baseline value in the diagnosis of idiopathic central precocious puberty in girls.Methods A total of 105 girls with idiopathic central precocious puberty admitted to Guidong People's Hospital,Guangxi Zhuang Autonomous Region from February 2019 to March 2023 were selected as the observation group,and 90 healthy girls who came to the same hospital for physical examination during the same period were selected as the control group.Hormone indicators,MKRN3,LH baseline values,and human insulin growth factor BP3(IGF-BP3)levels were compared.Multivariate Logistic regression was used to analyze the influencing factors of idiopathic CPP in girls.The area under the curve(AUC)of the receiver operating characteristic(ROC)curve was used to analyze the diagnostic value of the relevant indicators alone and in combination.Results There was no significant difference in follicle-stimulating hormone(FSH)and prolactin between the two groups(P>0.05).The estradiol(E2)in the observation group was higher than the control group(P<0.05);the MKRN3 in the observation group was lower than that in the control group(P<0.05),LH base value and IGF-BP3 in the observation group were higher than those in the control group(P<0.05);Logistic regression analysis results showed that:E2,MKRN3,LH baseline value and IGF-BP3 are the influencing factors of idiopathic CPP in girls(P<0.05);E2,MKRN3,LH baseline values,and IGF-BP3 expression levels and combined diagnosis all have high predictive efficiency for idiopathic CPP,and combined diagnosis had the highest efficiency(P<0.05).Conclusions Serum MKRN3 and LH baseline value in girls with idiopathic CPP has significant changes,they may participate in the pathogenesis of idiopathic CPP.E2,MKRN3,LH baseline values,and IGF-BP3 expression levels and combined diagnosis of these four indexes all have high predictive efficiency for idiopathic CPP,and the combined diagnosis efficacy is the highest.

Makorin ring finger protein 3Luteinizing hormone baseline valueIdiopathic central precocious pubertyHuman insulin growth factor BP3Estradiol

莫海兰、叶青、陈艺萍、李卓蔚、吴林英

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广西壮族自治区桂东人民医院儿科,广西梧州 543001

广西壮族自治区桂东人民医院儿保科,广西梧州 543001

makorin环指蛋白3 黄体生成素基础值 特发性中枢性性早熟 人胰岛素生长因子BP3 雌二醇

广西壮族自治区卫生健康委自筹经费科研课题

Z-J20241799

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(9)
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