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[高雄激素血症女性中的高胰岛素血症]

[Hyperinsulinemia in women with hyperandrogenemia].

作者信息

Nedeljković B, Kmezić-Slavić V, Sekulić J

机构信息

Opsta bolnica, Medicinski centar Zrenjanin.

出版信息

Med Pregl. 1993;46(1-2):11-4.

PMID:7862024
Abstract

In the peripheral blood serum from 24 females with hyperandrogenemia and 12 controls we determined concentrations of total testosterone (T), dehydroepiandrosterone-sulfate (DHEA-S), sex hormone binding globulin (SHBG) and insulin, and calculated Free Androgen Index. In hyperandrogenemic patients we found significantly higher mean concentrations of total testosterone when compared to the controls (n = 192; 3.5 + 1.9 vs n = 76; 1.9 = 0.9; P < 0.001), insulin (n = 95; 23.2 = 15.1; vs n = 33; 9.9 = 4.8; p < 0.001) DHEA-S (n = 70; 6.2 = 1.6 vs n = 27; 3.6 = 1.9; p < 0.001), FAI (n = 65; 27 = 32.9 vs n = 33; 3.9 = 2.1; p < 0.001) while the levels of SHBG in hyperandrogenemics were significantly lower than in the controls (n = 67; 24.6 = 15.9 vs n = 33; 52.8 = 19.3; p < 0.001). We found a positive correlation between the relative body mass and insulin concentrations (r = 0.67) in the form of the repeated sampling mean values; between the relative body mass and the mean values of the total testosterone concentrations (r = 0.42) and between the total testosterone concentrations and insulin (r = 0.32).

摘要

在24名患有高雄激素血症的女性和12名对照者的外周血血清中,我们测定了总睾酮(T)、硫酸脱氢表雄酮(DHEA-S)、性激素结合球蛋白(SHBG)和胰岛素的浓度,并计算了游离雄激素指数。与对照组相比,高雄激素血症患者的总睾酮平均浓度显著更高(n = 192;3.5±1.9 vs n = 76;1.9±0.9;P < 0.001)、胰岛素(n = 95;23.2±15.1;vs n = 33;9.9±4.8;p < 0.001)、DHEA-S(n = 70;6.2±1.6 vs n = 27;3.6±1.9;p < 0.001)、FAI(n = 65;27±32.9 vs n = 33;3.9±2.1;p < 0.001),而高雄激素血症患者的SHBG水平显著低于对照组(n = 67;24.6±15.9 vs n = 33;52.8±19.3;p < 0.001)。我们以重复采样平均值的形式发现相对体重与胰岛素浓度之间呈正相关(r = 0.67);相对体重与总睾酮浓度平均值之间呈正相关(r = 0.42),以及总睾酮浓度与胰岛素之间呈正相关(r = 0.32)。

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