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叶酸缺乏与宫颈上皮内瘤变

Folate deficiency and cervical intraepithelial neoplasia.

作者信息

Kwaśniewska A, Tukendorf A, Semczuk M

机构信息

Clinic of Obstetrics and Gynaecology, Lublin Medical Academy, Poland.

出版信息

Eur J Gynaecol Oncol. 1997;18(6):526-30.

PMID:9443028
Abstract

The presence of HPV, using the Digene Hybrid Capture System, was identified in a group of 324 women with CIN and in 228 women with normal cytological smears. Risk of occurrence of CIN was 40 times higher for high risk HPV types. The serum folic acid level and the level of antioxidant compounds in plasma (retinol, alpha-tocopherol, vitamins C and E) in women of the studied and control group was determined by HPLC (high-performance liquid chromatography-reversed phase). Statistically lower levels of folic acid were found in the women with CIN-HPV (+) (OR: 7.5: 95% CI: 1.2-9.7). Studies have shown that lower levels of antioxidants coexisting with low levels of folic acid increases the risk of CIN development.

摘要

采用Digene杂交捕获系统,在一组324名患有宫颈上皮内瘤变(CIN)的女性和228名细胞学涂片正常的女性中检测出了人乳头瘤病毒(HPV)。高危型HPV类型导致CIN发生的风险要高40倍。通过高效液相色谱-反相法(HPLC)测定了研究组和对照组女性的血清叶酸水平以及血浆中抗氧化化合物(视黄醇、α-生育酚、维生素C和维生素E)的水平。在CIN-HPV(+)女性中发现叶酸水平在统计学上较低(比值比:7.5;95%置信区间:1.2 - 9.7)。研究表明,低水平抗氧化剂与低水平叶酸同时存在会增加CIN发生的风险。

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