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颈动脉内膜中层厚度与多囊卵巢综合征有关系吗?

Does Carotid Intima-media Thickness have Relationship with Polycystic Ovary Syndrome?

作者信息

Allameh Zahra, Rouholamin Safoura, Adibi Atusa, Mehdipour Mehrnaz, Adeli Maryam

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical sciences, Isfahan, Iran.

Department of Radiology, School of Medicine, Isfahan University of Medical sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2013 Nov;4(11):1266-70.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is a common reproductive endocrine disorder associated with cardiovascular disease (CVD) risk factors and metabolic disturbances and a genetically heterogeneous disease. Intima-media thickness (IMT) is an indicator of atherosclerosis. This study aimed to determine the relation between IMT and PCOS in women.

METHODS

This cross-sectional study was performed on 44 PCOS patients and 44 healthy women. Data collection included lipid profiles, blood pressure, waist circumference, body mass index (BMI), and common and internal IMT of carotid artery which were measured in studied subjects. IMT was measured by a radiologist using a linear 12 MHz ultrasound probe (LOGIC S6, GE) in carotid setting.

RESULTS

IMT of common carotid artery (56.8 ± 7.6 in cases versus 49.8 ± 7.3 in controls), internal carotid artery (56.9 ± 6.03 in cases versus 49.6 ± 6.9 in controls), and both common and internal carotid artery (56.6 ± 6.7 in cases versus 49.7 ± 6.9 in controls) were significantly higher in PCOS patients than healthy women (P < 0.001).

CONCLUSIONS

In summary, results demonstrated that carotid artery thickness as a risk for premature atherosclerosis in patients with PCOS is higher than healthy subjects. And hence care and monitoring of PCOS women with these risk factors sounds to be important and necessary.

摘要

背景

多囊卵巢综合征(PCOS)是一种常见的生殖内分泌疾病,与心血管疾病(CVD)风险因素和代谢紊乱相关,且是一种具有遗传异质性的疾病。内膜中层厚度(IMT)是动脉粥样硬化的一个指标。本研究旨在确定女性中IMT与PCOS之间的关系。

方法

对44例PCOS患者和44名健康女性进行了这项横断面研究。数据收集包括血脂谱、血压、腰围、体重指数(BMI)以及研究对象颈动脉的普通和内膜中层IMT,这些均在研究对象中进行测量。IMT由一名放射科医生使用线性12MHz超声探头(LOGIC S6,GE)在颈动脉设置下进行测量。

结果

PCOS患者的颈总动脉IMT(病例组为56.8±7.6,对照组为49.8±7.3)、颈内动脉IMT(病例组为56.9±6.03,对照组为49.6±6.9)以及颈总动脉和颈内动脉的IMT(病例组为56.6±6.7,对照组为49.7±6.9)均显著高于健康女性(P<0.001)。

结论

总之,结果表明PCOS患者作为过早发生动脉粥样硬化风险的颈动脉厚度高于健康受试者。因此,对具有这些风险因素的PCOS女性进行护理和监测似乎很重要且必要。

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