文章摘要
王文娟 吴海波△ 杨琴 高敏 刘洋.PCOS患者外周血白细胞计数变化的临床意义[J].,2016,16(31):6118-6120
PCOS患者外周血白细胞计数变化的临床意义
Clinical Significance of Changes of Peripheral Leukocytes Count in Patientswith PCOS
  
DOI:
中文关键词: 多囊卵巢综合征  白细胞  血脂  炎症
英文关键词: Polycystic ovary syndrome  Leukocytosis  Blood lipid  Inflammation
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作者单位
王文娟 吴海波△ 杨琴 高敏 刘洋 海军总医院妇产科 
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中文摘要:
      目的:探讨多囊卵巢综合征(PCOS)患者外周血白细胞计数和血脂代谢变化的临床意义。方法:随机抽取2012 年1 月~2014 年1 月期间来院就诊未经药物治疗的PCOS 患者48 例作为研究对象,将体重指数(BMI)≥ 23 的患者26 例作为PCOS 超重组, 将BMI<23 的22例患者作为PCOS体重正常组,选择同期来院就诊的非PCOS妇女20 例作为对照组,所有患者均于月经期空 腹静脉抽血3~4mL,检测患者的血浆C 反应蛋白(CRP)、血常规及血脂代谢指标。结果:PCOS 超重组的甘油三酯(TG)、低密度脂 蛋白(LDL-C)、载脂蛋白B(Apo-B)、外周白细胞总数、淋巴细胞、中性粒细胞、单核细胞、嗜酸性细胞、CRP 指标均较对照组、 PCOS体重正常组高,而高密度脂蛋白(HDL-C)、载脂蛋白A(Apo-A)水平较对照组、PCOS 体重正常组低,差异均有统计学意义 (P<0.05);PCOS体重正常组淋巴细胞、CRP 指标较对照组高,差异均有统计学意义(P<0.05)。结论:慢性炎症是PCOS 的主要病 理表现,其中体重超重的PCOS 患者主要表现为血脂代谢异常及白细胞升高,而体重正常的PCOS患者主要表现为淋巴细胞升 高。
英文摘要:
      Objective:To explore the clinical significance of changes of lipid metabolism and peripheral leukocytes count in patients with polycystic ovary syndrome (PCOS).Methods:48 PCOS patients who were treated in our hospital without drug treatment from Feb 2013 to Feb 2014 were randomly chosen and divided into overweight PCOS group (n=26, BMI≥ 23) and normal weight PCOS group (n=22, BMI<23). 20 cases without PCOS in the same period were selected as control group. 3~4 mL fasting venous blood were exsanguinated from all patients in the menstrual period. Plasma C-reactive protein (CRP), blood routine and blood lipid metabolism indexes were detected.Results:Compared with control group and normal weight PCOS group, the levels of triglyceride (TG), low density lipoprotein (LDL-C), apolipoprotein B (Apo-B), the total number of peripheral leukocytes, lymphocytes, neutrophils, monocytes, eosinophils and CRP in overweight PCOS group were higher, while the levels of high density lipoprotein (HDL-C) and apolipoprotein A (Apo-A) were lower, and the differences were statistically significant (P<0.05). The levels of lymphocytes and CRP in normal weight PCOS group were higher than the control group, and the differences were statistically significant (P<0.05).Conclusion:Chronic inflammation is the main pathological manifestations of PCOS, among which the overweight patients with abnormal lipid metabolism and increasing leukocytosis, while the normal-weight patients with increasing lymphocytes.
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