生殖早期卵巢发生高雄激素症女性垂体-卵巢系统功能状态及脂质过氧化-抗氧化保护过程的特点

O. Krusko, M. Rashidova, A. Brichagina, E. Sharifulin, L. Belenkaya
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摘要

背景。在生育早期患有多囊卵巢综合征的妇女有激素和代谢功能障碍,长期健康后果的风险增加。本文介绍了育龄早期(18 ~ 35岁)多囊卵巢综合征妇女激素指标及脂质过氧化-抗氧化保护参数的研究结果。目的:评价多囊卵巢综合征育龄早期妇女垂体-卵巢-肾上腺系统和脂质过氧化-抗氧化保护系统的功能状态及系统间关系的建立。材料和方法。研究对象包括33名卵巢高雄激素症妇女和17名早育年龄的健康妇女。进行问卷调查、一般内科和妇科检查以及盆腔器官超声检查。采用免疫酶法检测激素浓度、分光光度法和荧光光谱法(测定脂质过氧化产物浓度、抗氧化保护参数)、统计学方法。结果。以17- oh孕酮升高2.2倍(p = 0.0005)、硫酸脱氢表雄酮升高1.3倍(p = 0.0001)为特征的多囊卵巢综合征早期育龄妇女(18 ~ 35岁)。与对照组相比,血液的总抗氧化活性降低了25% (p = 0.0005),氧化谷胱甘肽含量增加了14% (p = 0.0001),视黄醇浓度降低了26% (p = 0.0012)。氧化应激系数为2.8表示氧化应激程度的增加。结论。本研究结果提示了多囊卵巢综合征女性生殖早期垂体-卵巢-肾上腺系统功能状态和LPO-AOP过程的特点,以及对激素代谢紊乱的及时诊断和有效纠正的必要性。生殖早期卵巢发育高雄激素症女性生殖系统功能状态及脂质过氧化-抗氧化保护过程的特点
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features of the Functional State of the Hypophysis-Ovarian System and Processes of Lipid Peroxidation – Antioxidant Protection in Women with Hyperandrogenism of Ovary Genesis in the Early Reproductive Period
Background. Women with polycystic ovary syndrome in the early reproductive period have hormonal and metabolic dysfunction and an increased risk of long-term health consequences. The article presents the results of the study of hor - monal indicators and the parameters of lipid peroxidation – antioxidant protection in women with polycystic ovary syndrome in early period of reproductive age (from 18 to 35 years old). Aim: evaluation of the functional state of the pituitary-ovarian-adrenal system and the lipid peroxidation – antioxidant protection system and the establishment of intersystemic relationships in women of the early reproductive period with polycystic ovary syndrome. Materials and methods. Study included 33 women with ovarian hyperandrogenism and 17 healthy women of early reproductive age. A questionnaire survey, general medical and gynecological examinations, and ultrasound examination of the pelvic organs were conducted. Immunoenzyme method for detection the concentration of hormones, spectro - photometric and spectrofluorometric (determination of the concentration of lipoperoxidation products, parameters of antioxidant protection), statistical methods were used. Results. Women of early reproductive age (from 18 to 35 years old) with polycystic ovary syndrome characterized by an increase of 17-OH-progesterone by 2.2 times (p = 0.0005), and dehydroepiandrosterone sulfate by 1.3 times (p = 0.0001). A decrease in the total antioxidant activity of the blood by 25 % (p = 0.0005), an increase in the content of oxidized glutathione by 14 % (p = 0.0001) and a decrease in the concentration of retinol by 26 % (p = 0.0012) com pared to the control values were shown. The increase in the degree of oxidative stress was indicated by the value of the coefficient of oxidative stress equal to 2.8. Conclusion. The obtained data indicate the features of the functional state of the pituitary-ovarian-adrenal system and the processes of LPO–AOP, as well as the need for timely diagnosis and effective correction of hormonal and metabolic disorders in women with polycystic ovary syndrome in the early reproductive period. Features of the Functional State of the Hy-pophysis-Ovarian System and Processes of Lipid Peroxidation – Antioxidant Protection in Women with Hyperandrogenism of Ovary Genesis in the Early Reproductive Period.
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