Department of Laboratory Medicine, West China Second University Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
Gynecol Endocrinol. 2024 Jan 8;40(1):2302402. doi: 10.1080/09513590.2024.2302402. Epub 2024 Jan 12.
The purpose of this study was to explore the correlation between inflammatory indicators and blood lipids and to further provide a theoretical basis for the diagnosis and treatment of clinical polycystic ovary syndrome (PCOS).
Whole-blood cell counts and hormone and blood lipid levels were measured in 110 patients with PCOS and 126 healthy women. The differences in the above levels and the correlation between inflammation and blood lipid levels in the two groups were determined, and classified according to BMI. Differences in inflammatory indices were also analyzed. The independent risk factors for PCOS were analyzed by binary logistic regression.
The PCOS group had greater BMI and greater body weight than the control group. The inflammatory indicators WBC, neutrophil, lymphocyte, monocyte counts and the NLR were significantly higher than those of the control group. It had higher testosterone (TSTO), triglyceride (TG) and total cholesterol (TC) levels. Correlation analysis showed that leukocyte and neutrophil counts were positively correlated with TSTO and TG levels and negatively correlated with HDL. In the BMI ≥ 24 and BMI < 24 groups, WBC was higher in PCOS patients than in healthy controls. Logistic regression showed that TSTO, TG and FSH were independent risk factors for PCOS.
Inflammatory markers are correlated with blood lipids in PCOS. During the treatment of PCOS, blood lipids and serum inflammatory factors should be monitored.
本研究旨在探讨炎症指标与血脂之间的相关性,为临床多囊卵巢综合征(PCOS)的诊断和治疗提供理论依据。
对 110 例 PCOS 患者和 126 例健康女性进行全血细胞计数和激素及血脂水平检测,比较两组上述水平的差异,分析炎症与血脂水平的相关性,并根据 BMI 进行分类,分析炎症指标的差异。采用二元 logistic 回归分析 PCOS 的独立危险因素。
PCOS 组的 BMI 和体重均大于对照组,炎症指标白细胞(WBC)、中性粒细胞、淋巴细胞、单核细胞计数及 NLR 均明显高于对照组,睾酮(TSTO)、甘油三酯(TG)和总胆固醇(TC)水平也较高。相关性分析显示,白细胞和中性粒细胞计数与 TSTO 和 TG 水平呈正相关,与高密度脂蛋白(HDL)呈负相关。在 BMI≥24 和 BMI<24 组中,PCOS 患者的 WBC 均高于健康对照组。Logistic 回归显示,TSTO、TG 和 FSH 是 PCOS 的独立危险因素。
PCOS 患者的炎症标志物与血脂相关,在治疗 PCOS 时应监测血脂和血清炎症因子。