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育龄期女性阻塞性睡眠呼吸暂停低通气综合征特征及其与性激素、瘦素水平的关系

The character of female OSAHS in child bearing period and its relationship with sex hormone and leptin

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【作者】 刘辉国林玫管频张希彤徐永健

【Author】 LIU Huiguo,LIN Mei,GUAN Ping,et al.Department of Respiratory Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China

【机构】 华中科技大学同济医学院附属同济医院呼吸内科华中科技大学同济医学院附属同济医院呼吸内科

【摘要】 目的探讨育龄期女性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)特点,及其与OSAHS与性激素和瘦素水平的关系。方法选择育龄期女性OSAHS患者30例,男性OSAHS患者30例和正常女性30名,同时检测血清中瘦素、睾酮、雌二醇和孕酮的水平。结果育龄期女性OS-AHS患者多较肥胖,病情程度与年龄和体重指数相匹配的男性为低。育龄期女性OSAHS者血清中瘦素、睾酮/雌二醇和睾酮/孕酮比分别为28.3±24.4、8.1±1.6和1.1±0.5,明显高于女性正常对照组,差异有统计学意义。瘦素水平与BMI、睾酮/雌二醇和睾酮/孕酮比呈正相关,r分别为0.52、0.46和0.49(P<0.05)。结论肥胖、瘦素和性激素水平可能与育龄期女性OSAHS的发病有关。

【Abstract】 Objective To investigate the clinical character of female obstructive sleep apnea hyponea syndrome (OSAHS) in child bearing period and to explore its relationship with sex hormone and leptin.Methods The level of leptin,testosterone,estradiol and progesterone in serum of 30 female OSAHS patients in child bearing period,and male OSAHS patients were compared with 30 women without OSAHS.Results The female OSAHS patients in child bearing period always were obese,and were less severe than age and BMI match male OSAHS patients.The level of serum leptin,testosterone/estradiol and testosterone /progesterone in women with OSAHS (28.3±24.4,8.1±1.6 and 1.1±0.5,respectively) were significantly higher than those in women without OSAHS,and there were positive relationship between serum leptin and BMI,testosterone/estradiol and testosterone /progesterone.Conclusion Obesity,leptin and sex hormone may contribute to the pathogenisis of female OSAHS.Abstract Objective to investigate the clinical character of female obstructive sleep apnea hypopnea syndrome (OSAHS) in child bearing period and to explore its relationship with sex hormone and leptin.Methods the clinical character and the level of serum leptin,testosterone,estradiol and progesterone are compared among 30 female OSAHS patients in child bearing period,women without OSAHS and male OSAHS patients.Results the female OSAHS patients in child bearing period always are obese,and are less severe than age and BMI match male OSAHS patients.The level of serum leptin,testosterone/estradiol and testosterone /progesterone in women with OSAHS (28.3±24.4、8.1±1.6 and 1.1±0.5,respectively) are significantly higher than those in women without OSAHS,and there are positive relationship between serum leptin and BMI,testosterone/estradiol and testosterone /progesterone.Conclusion obese,leptin and sex hormone may contribute the pathogenisis of female OSAHS.

  • 【文献出处】 临床内科杂志 ,Journal of Clinical Internal Medicine , 编辑部邮箱 ,2007年02期
  • 【分类号】R766
  • 【被引频次】5
  • 【下载频次】134
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