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孟婕, 王迪, 高慧, 艾继辉, 刘烈刚, 章汉旺. 氧化应激与非肥胖多囊卵巢综合征关系[J]. 中国公共卫生, 2013, 29(9): 1299-1302. DOI: 10.11847/zgggws2013-29-09-16
引用本文: 孟婕, 王迪, 高慧, 艾继辉, 刘烈刚, 章汉旺. 氧化应激与非肥胖多囊卵巢综合征关系[J]. 中国公共卫生, 2013, 29(9): 1299-1302. DOI: 10.11847/zgggws2013-29-09-16
MENG Jie, WANG Di, GAO Hui.et al, . Relationship between oxidative stress and polycystic ovary syndrome in non-obese women[J]. Chinese Journal of Public Health, 2013, 29(9): 1299-1302. DOI: 10.11847/zgggws2013-29-09-16
Citation: MENG Jie, WANG Di, GAO Hui.et al, . Relationship between oxidative stress and polycystic ovary syndrome in non-obese women[J]. Chinese Journal of Public Health, 2013, 29(9): 1299-1302. DOI: 10.11847/zgggws2013-29-09-16

氧化应激与非肥胖多囊卵巢综合征关系

Relationship between oxidative stress and polycystic ovary syndrome in non-obese women

  • 摘要: 目的探讨氧化应激与非肥胖多囊卵巢综合征(PCOS)的关系。方法问卷调查湖北省武汉地区42例非肥胖PCOS患者和46名对照妇女的基本特征,检测其血清丙二醛(MDA)和8-羟基脱氧鸟苷(8-OHdG)等水平,并对MDA和8-OHdG与其他指标的相关性进行Spearman相关分析。结果非肥胖PCOS组患者血清中胆固醇(CHO)、总睾酮(TESTO)、促黄体激素(LH)、空腹胰岛素(FI)、胰岛素抵抗指数(HOMA-IR)、MDA和8-OHdG水平均高于对照组(均P<0.05);卵泡刺激素(FSH)水平低于对照组(Z=-2.942,P<0.01);相关分析结果显示,MDA和8-OHdG水平均与HOMA-IR(r=0.434,P<0.01;r=0.304,P<0.01)、 TESTO(r=0.339,P<0.01;r=0.378,P<0.01)、 LH(r=0.217,P=0.023;r=0.326,P<0.01)呈正相关,提示血清MDA和8-OHdG水平与PCOS的高胰岛素抵抗、高雄血症以及卵巢功能紊乱有关。结论非肥胖PCOS患者血清氧化应激水平高于健康对照组,且这种高氧化应激状态与非肥胖PCOS患者的高胰岛素抵抗和高雄血症密切相关。

     

    Abstract: ObjectiveTo investigate the relationship between oxidative stress and polycystic ovary syndrome (PCOS) in non-obese women.MethodsA case-control study involving 42 newly diagnosed non-obese PCOS patients and 46 nomal female volunteers was performed.Information on general characteristics of the subjects were collected with a questionnaire survey and serum malondialdehyde(MDA)and 8-hydroxy-desoxyguanosine(8-OHdG)levels were detected.Correlations of serum MDA and 8-OHdG levels with other variables were analyzed using Spearman correlation analysis.ResultsCompared to non-PCOS controls,the non-obese PCOS patients had significantly higher concentrations of cholesterol(CHO),total testosterone(TESTO),luteinizing hormone(LH),fasting insulin(FI),homeostasis model assessment of insulin resistance(HOMA-IR),MDA,and 8-OHdG(P<0.05 for all).Whereas follicle stimulating hormone(FSH)level was significantly lower in PCOS patients than in the controls(P<0.01).In the PCOS group,MDA and 8-OHdG were significantly associated with HOMA-IR(r=0.434,P<0.01;r=0.304,P<0.01,respectively),TESTO(r=0.339,P<0.01;r=0.378,P<0.01,respectively),and LH(r=0.217,P=0.023;r=0.326,P<0.01),indicating that serum MDA and 8-OHdG had associations with hyperinsulinemia,hyperandrogenism,and ovarian dysfunction.ConclusionSerum oxidative stress of non-obese PCOS patients is significantly higher than that of healthy control group.The mechanism of the high oxidative stress may be closely associated with hyperinsulinemia and hyperandrogenism in non-obese PCOS patients.

     

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