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多囊卵巢综合征患者胰岛素抵抗与性激素的关系研究

李向红 陈庆 哈灵侠 刘春莲 卢小宁 薛翔

中国医学前沿杂志(电子版)2017,Vol.9Issue(11):54-57,4.
中国医学前沿杂志(电子版)2017,Vol.9Issue(11):54-57,4.DOI:10.12037/YXQY.2017.11-10

多囊卵巢综合征患者胰岛素抵抗与性激素的关系研究

Relationship between insulin resistance test and sex hormones in patients with polycystic ovary syndrome

李向红 1陈庆 1哈灵侠 2刘春莲 2卢小宁 1薛翔1

作者信息

  • 1. 西安交通大学第二附属医院 妇产科生殖中心,西安710004
  • 2. 宁夏医科大学总医院 生殖医学中心,银川750004
  • 折叠

摘要

Abstract

Objective To analyze the relationship between insulin resistance and sex hormones in patients with polycystic ovary syndrome (PCOS).Method 50 patients with PCOS from February 2014 to February 2016 in the Second Affiliated Hospital of Xi'an Jiao Tong University were selected in observation group, during the same period 50 healthy women of childbearing age volunteers were selected in control group. Plasma insulin levels were measured by insulin release test in all subjects, and serum sex hormone levels were measured by 3~5 days in the menstrual cycle. The levels of plasma insulin and sex hormone and the incidence rate of insulin resistance were compared between the two groups, the correlation between the level of insulin resistance and androgen in observation group were analyzed.Result Fasting, after taking 1 hour, after taking 2 hours, after taking 3 hours, the levels of plasma insulin and the incidence rate of insulin resistance in observation group were significantly higher than those in control group (P<0.05). The level of insulin resistance in observation group was positively correlated with the level of testosterone and estradiol (r=0.446, 0.453,P<0.05); the levels of follitropin and estradiol in observation group were significantly lower than those in control group (P<0.05); the levels of luteinizing hormone and testosterone in observation were significantly higher than those in control group (P<0.05).Conclusion Patients with PCOS have insulin resistance and hyperandrogenemia, insulin resistance can significantly promote the secretion of male hormones.

关键词

多囊卵巢综合征/胰岛素抵抗/性激素

Key words

Polycystic ovary syndrome/Insulin resistance/Sex hormones

引用本文复制引用

李向红,陈庆,哈灵侠,刘春莲,卢小宁,薛翔..多囊卵巢综合征患者胰岛素抵抗与性激素的关系研究[J].中国医学前沿杂志(电子版),2017,9(11):54-57,4.

基金项目

陕西省自然科学基础研究计划(2016JM8067) (2016JM8067)

宁夏自然科学基金资助项目(NZ1234) (NZ1234)

中国医学前沿杂志(电子版)

OACSTPCD

1674-7372

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