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    蒋楠, 严晓南, 祁玉娟, 曹义娟, 张蓓, 刘晓宇. 多囊卵巢综合征女性血清抗核抗体的临床检测价值[J]. 徐州医科大学学报, 2021, 41(11): 836-840. DOI: 10.3969/j.issn.2096-3882.2021.11.011
    引用本文: 蒋楠, 严晓南, 祁玉娟, 曹义娟, 张蓓, 刘晓宇. 多囊卵巢综合征女性血清抗核抗体的临床检测价值[J]. 徐州医科大学学报, 2021, 41(11): 836-840. DOI: 10.3969/j.issn.2096-3882.2021.11.011
    Evaluation of Serologic anti-nuclear antibody among women with PCOS: a single center cross sectional study[J]. Journal of Xuzhou Medical University, 2021, 41(11): 836-840. DOI: 10.3969/j.issn.2096-3882.2021.11.011
    Citation: Evaluation of Serologic anti-nuclear antibody among women with PCOS: a single center cross sectional study[J]. Journal of Xuzhou Medical University, 2021, 41(11): 836-840. DOI: 10.3969/j.issn.2096-3882.2021.11.011

    多囊卵巢综合征女性血清抗核抗体的临床检测价值

    Evaluation of Serologic anti-nuclear antibody among women with PCOS: a single center cross sectional study

    • 摘要: 目的多囊卵巢综合征(PCOS)是育龄期女性常见的代谢生殖异常综合征。自身免疫性抗体可能参与PCOS发病,本研究旨在探讨检测PCOS患者血清抗核抗体(ANA)的临床价值。方法随机纳入2020年1 月—9月于徐州市中心医院生殖中心门诊就诊的52例PCOS患者(PCOS组),选择同期因男方因素或者单纯输卵管因素行助孕治疗的67例患者(对照组),采用免疫荧光法检测ANA,采用 Spearman rank 方法分析ANA与PCOS等一系列变量间的相关性。结果PCOS组中ANA阳性率较对照组增加(15.38% vs 4.48%, P=0.042)。纠正年龄以及BMI等因素后,PCOS组患者ANA阳性率与空腹胰岛素(Fins)以及稳态模型评估的胰岛素抵抗指数(HOMA-IR)呈正相关,与雄激素水平以及脂代谢无明显相关性。 结论我国育龄期PCOS患者与ANA相关,并且ANA阳性率升高与糖代谢之间存在相关性。自身免疫过程可能存在于PCOS的发病机制中。

       

      Abstract: Polycystic ovary syndrome (PCOS)is a common me<x>tabolic reproductive abnormality syndrome in women of childbearing age.?Autoimmune antibodies may be involved in the pathogenesis of PCOS. To evaluate the detections of antinuclear antibody (ANA) in patients with PCOS.?Methods A total of 52 patients with PCOS were selected from January 2020 to September 2020, and 67 normal controls were selected for IVF/ICSI due to male factors or simple fallopian tube factors in the same period. The level of ANAwere detected by enzyme -li<x>nked immunosorbent assay. The correlation between ANA and PCOS was analyzed by Spearman rank method.?Results The positive rate of ANA in the PCOS group was higher than that in the control group (15.38% VS 4.48%, P= 0.042 *).?After correcting the factors such as age and BMI, the positive rate of ANA in PCOS group was positively correlated with Fins and HOMA-IR, except androgen and lipid me<x>tabolism.?Conclusion This study reveled for the first time the correlation between PCOS and ANA in Chinese women of childbearing age.?The autoimmune process may exist in the pathogenesis of polycystic ovary syndrome.

       

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