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不孕女性血清脱氢表雄酮硫酸盐(DHEA-S)与抗缪勒管激素(AMH)水平的关系:一项回顾性横断面研究

The Relationships Between Serum DHEA-S and AMH Levels in Infertile Women: A Retrospective Cross-Sectional Study.

作者信息

Lin Li-Te, Tsui Kuan-Hao

机构信息

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan.

Institute of BioPharmaceutical Sciences, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan.

出版信息

J Clin Med. 2021 Mar 15;10(6):1211. doi: 10.3390/jcm10061211.

DOI:10.3390/jcm10061211
PMID:33803980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7998713/
Abstract

The relationship between serum dehydroepiandrosterone sulphate (DHEA-S) and anti-Mullerian hormone (AMH) levels has not been fully established. Therefore, we performed a large-scale cross-sectional study to investigate the association between serum DHEA-S and AMH levels. The study included a total of 2155 infertile women aged 20 to 46 years who were divided into four quartile groups (Q1 to Q4) based on serum DHEA-S levels. We found that there was a weak positive association between serum DHEA-S and AMH levels in infertile women (r = 0.190, < 0.001). After adjusting for potential confounders, serum DHEA-S levels positively correlated with serum AMH levels in infertile women (β = 0.103, < 0.001). Infertile women in the highest DHEA-S quartile category (Q4) showed significantly higher serum AMH levels ( < 0.001) compared with women in the lowest DHEA-S quartile category (Q1). The serum AMH levels significantly increased across increasing DHEA-S quartile categories in infertile women ( = 0.014) using generalized linear models after adjustment for potential confounders. Our data show that serum DHEA-S levels are positively associated with serum AMH levels.

摘要

血清硫酸脱氢表雄酮(DHEA-S)与抗苗勒管激素(AMH)水平之间的关系尚未完全明确。因此,我们开展了一项大规模横断面研究,以调查血清DHEA-S与AMH水平之间的关联。该研究共纳入了2155名年龄在20至46岁之间的不孕女性,她们根据血清DHEA-S水平被分为四个四分位数组(Q1至Q4)。我们发现,不孕女性血清DHEA-S与AMH水平之间存在弱正相关(r = 0.190,P < 0.001)。在对潜在混杂因素进行校正后,不孕女性血清DHEA-S水平与血清AMH水平呈正相关(β = 0.103,P < 0.001)。与血清DHEA-S四分位数最低组(Q1)的女性相比,血清DHEA-S四分位数最高组(Q4)的不孕女性血清AMH水平显著更高(P < 0.001)。在校正潜在混杂因素后,使用广义线性模型分析发现,不孕女性血清AMH水平随着DHEA-S四分位数组的增加而显著升高(P = 0.014)。我们的数据表明,血清DHEA-S水平与血清AMH水平呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c86d/7998713/f2f870cbe64d/jcm-10-01211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c86d/7998713/2eae1cdb73cf/jcm-10-01211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c86d/7998713/f2f870cbe64d/jcm-10-01211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c86d/7998713/2eae1cdb73cf/jcm-10-01211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c86d/7998713/f2f870cbe64d/jcm-10-01211-g002.jpg

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本文引用的文献

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Anti-Müllerian Hormone and Ovarian Reserve: Update on Assessing Ovarian Function.抗苗勒管激素与卵巢储备:评估卵巢功能的最新进展。
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Role of anti-Müllerian hormone and testosterone in follicular growth: a cross-sectional study.
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Dehydroepiandrosterone Cocrystals with Improved Solubility and Bioavailability.具有改善溶解度和生物利用度的脱氢表雄酮共晶体
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