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本文探讨多囊卵巢综合征 (PCOS)患者血性激素水平与胰岛素抵抗 (HR)的关系。结果表明 ,PCOS患者其性激素水平及INS、HOMA -IR、ISI与对照相比均有显著性差异 (P <0 0 1) ,E2降低 ;LH、T、INS升高。BMI与INS呈明显正相关。肥胖组的INS值明显高于非肥胖组 ,INS≤ 15 5组BMI值明显低于INS >15 5组 ,T值低于INS >15 5组均有显著性差异 (P <0 0 5 )。POCS患者存在性激素紊乱 ,且与INS、HOMA -IR、ISI相关 ,胰岛素抵抗是高胰岛素血症、高雄激素血症的重要因素。
This article discusses the relationship between serum levels of sex hormones and insulin resistance (HR) in patients with polycystic ovary syndrome (PCOS). The results showed that the levels of sex hormones, INS, HOMA-IR and ISI in PCOS patients were significantly different from those in controls (P <0.01), E2 was decreased, LH, T and INS were increased. BMI and INS showed a significant positive correlation. The INS of obesity group was significantly higher than that of non-obese group. The BMI of INS≤15 5 group was significantly lower than that of INS> 15 5 group, and the T value was lower than that of INS> 15 5 group (P <0.05). POCS patients with sex hormone disorders, and associated with INS, HOMA-IR, ISI, insulin resistance is hyperinsulinemia, hyperandrogenism an important factor.