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抗苗勒氏管激素水平测定对不同年龄段育龄期女性心血管疾病风险的预测价值
朱晶, 傅晓华, 张岭, 舒静
浙江省人民医院(杭州医学院附属人民医院)生殖内分泌科
摘要:
目的研究不同年龄段育龄期女性抗苗勒氏管激素(AMH)的变化与心血管评估参数之间的关系,为临床早期预测女性心血管疾病风险提供依据。方法选择2016年1至12月行辅助生殖技术助孕的200名有正常排卵周期妇女,按年龄段分为25~35岁组和36~45岁组,检测其AMH值,并分析该值与心血管评估参数之间的关系。结果25~35岁女性AMH水平与TC(茁=2.72,P<0.05)、LDL-C(茁=2.61,P<0.05)、载脂蛋白B(茁=2.73,P<0.05)及脂蛋白A(茁=2.26,P<0.05)之间呈正线性相关,与其他心血管评估参数如HDL-C、载脂蛋白A1及FPG之间无明显相关性(均P>0.05);36~45岁女性AMH水平与以上所有风险因子之间无明显相关(均P>0.05)。结论检测不同年龄段育龄期女性血清AMH值,对于早期心血管疾病发生有一定参考意义。
关键词:  卵巢 抗苗勒氏管激素 心血管疾病 年龄
DOI:10.12056/j.issn.1006-2785.2018.40.6.2017-1502
分类号:
基金项目:浙江省医药卫生科技计划项目(2016KYA029),浙江省自然科学基金(LQ18H040004)
Association of serum anti-Mullerian hormone level with cardiovascular disease risk in reproductive age women
Zhejiang provincial People's Hospital
Abstract:
Objective To investigate the relationship between serum anti-Mullerian hormone (AMH) level and the cardiovascular disease risk in reproductive age women. Methods Two hundred regularly-cycling women aged 25-45 years visiting Department of Reproductive Endocrinology Zhejiang Provincial People's Hospital were enrolled. The serum anti-Mullerian hormone (AMH) levels were measured, and its relationship with cardio-metabolic risk factors was analyzed. Results Serum AMH levels were correlated with TC(茁=2.72, P<0.05), LDL-C(茁 =2.61, P<0.05), ApoB (茁=2.73, P<0.05) and LPA(茁=2.26, P< 0.05) in women aged 25-35 years, while not correlated with HDL-C, ApoA1and fasting plasma glucose (all P >0.05). And there was no significant correlation of AMH with all above risk factors in women age from 36-45 years (all P >0.05). Conclusion AMH may provide reference for evaluate the early cardiovascular disease risk in reproductive age women.
Key words:  Ovary Anti-Mullerian hormone (AMH) Cardiovascular disease Age