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多囊卵巢综合征的高胰岛素血症及其分型的研究 被引量:14

Types of hyperinsulinemia in polycystic ovarian syndrome
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摘要 对55例多囊卵巢综合征(PCOS)患者(LH/FSH>3者30例,I型;LH/FSH<3者25例,Ⅱ型进行口服葡萄糖耐量试验(OGTT),观察有关内分泌变化,并以15名正常妇女作对照。结果:(1)Ⅱ型PCOS组30分钟的血糖明显升高,其余各时点值3组间无差异(P>005);(2)OGTT后患者组的胰岛素、C一肽浓度约为对照组2~5倍;(3)至120分钟末,Ⅱ型PCOS组睾酮增加0.73nmol/L,而其余两组睾酮下降。结果表明两型PCOS组均有高胰岛素血症,其程度、原因及作用不同,建议在治疗上区别对待。 An oral glucose tolerance test(OGTT) was performed in 55 polycystic ovarian syndrome(PCOS) women(LH / FSH≥3,Type l,n=30; LH / FSH<3, Type2,n=25) and in l5 normal subjects。Duri ng OGTT, it revealed :(1) all women had normal glucose tolerance with no significant differances(P>005 among the three groups,despite higher levels at 30 min in Type 2;(2) responses of insulin andC-peptide were abolit 2~5times the normal group;(3)at l20 min of the test, testosterone was increasedbV 0.73 nmol / L, whlle the other two groups showed the reverse,These findings suggestedhyperinsulinemia in both types of PCOS wa;different in levels,causes and roles which should be consi-dered before treatment
出处 《生殖医学杂志》 CAS 1994年第2期80-83,共4页 Journal of Reproductive Medicine
关键词 多囊卵巢综合征 高胰岛素血症 分型 Polycystic ovarian syndrome Insulin
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