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预防医学  2022, Vol. 34 Issue (9): 951-954    DOI: 10.19485/j.cnki.issn2096-5087.2022.09.018
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
性早熟女童糖脂代谢与性激素水平分析
陈冬婵, 金薇
湖州市妇幼保健院儿内科,浙江 湖州 313000
Detection of glucolipid metabolism and sex hormones among female children with precocious puberty
CHEN Dongchan, JIN Wei
Department of Pediatrics, Huzhou Maternity & Child Health Care Hospital, Huzhou, Zhejiang 313000, China
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摘要 目的 了解性早熟女童糖脂代谢与性激素水平,为性早熟发病机制研究提供依据。方法 选择2019年5月—2021年5月在湖州市妇幼保健院治疗的性早熟女童110例为研究对象,根据促性腺激素释放激素激发试验结果分为特发性中枢性性早熟组和单纯性乳房早发育组。检测两组女童促卵泡刺激素(FSH)、促黄体生成素(LH)、孕酮(P)、雌二醇(E2)、泌乳素(PRL)、空腹胰岛素(FINS)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白B(ApoB)和脂蛋白(a)[Lp(a)]等指标。结果 特发性中枢性性早熟组70例,单纯性乳房早发育组40例,年龄分别为(7.62±1.13)岁和(7.42±1.04)岁,体质指数分别为(16.30±2.21)kg/m2和(16.70±2.10)kg/m2,差异均无统计学意义(P>0.05)。特发性中枢性性早熟组女童FSH、LH、P、E2、PRL、FINS、TG、LDL-C、ApoB和Lp(a)分别为(3.58±0.80)IU/L、(1.40±0.28)IU/L、(0.29±0.12)ng/mL、(23.28±4.23)pg/mL、(8.56±1.93)ng/mL、(13.24±2.54)U/L、(1.36±0.17)mmol/L、(3.10±0.44)mmol/L、(0.78±0.19)g/L和(252.45±52.10)mg/L,均高于单纯性乳房早发育组的(2.22±0.75)IU/L、(0.25±0.12)IU/L、(0.18±0.08)ng/mL、(15.54±2.75)pg/mL、(6.54±1.50)ng/mL、(11.10±2.49)U/L、(1.21±0.27)mmol/L、(2.81±0.60)mmol/L、(0.71±0.14)g/L和(202.60±41.28)mg/L(均P<0.05)。结论 特发性中枢性性早熟女童性激素和糖脂代谢指标水平高于单纯性乳房早发育女童。
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陈冬婵
金薇
关键词 特发性中枢性性早熟单纯性乳房早发育糖脂代谢性激素    
AbstractObjective To investigate glucolipid metabolism and sex hormone levels among female children with precocious puberty, so as to provide insights into the illustration of pathogenesis of precocious puberty. Methods A total of 110 female children with precocious puberty treated in Huzhou Maternity & Child Health Care Hospital during the period from May 2019 through May 2021 were enrolled and assigned into the idiopathic central precocious puberty (ICPP) group and the premature thelarche alone (PT) group according to the results of gonadotropin-releasing hormone stimulation tests. The follicle stimulating hormone (FSH), luteinizing hormone (LH), progesterone (P), estradiol (E2), testosterone (T), prolactin (PRL), fasting insulin (FINS), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (ApoB) andlipoprotein-a [Lp (a)] levels were detected and compared in children between the ICPP and PT groups. Results There were 70 cases in the ICCP group, with a mean age of (7.62±1.13) years and a mean body mass index (BMI) of (16.30±2.21) kg/m2 and 40 cases in the PT group, with a mean age of (7.42±1.04) years and a mean BMI of (16.70±2.10) kg/m2 (both P>0.05). The FSH [(3.58±0.80) vs. (2.22±0.75) IU/L], LH [(1.40±0.28) vs. (0.25±0.12) IU/L], P [(0.29±0.12) vs. (0.18±0.08) ng/mL], E2 [(23.28±4.23) vs. (15.54±2.75) pg/mL] and PRL [(8.56±1.93) vs. (6.54±1.50) ng/mL], FINS [(13.24±2.54) vs. (11.10±2.49) U/L], TG [(1.36±0.17) vs. (1.21±0.27) mmol/L], LDL-C [(3.10±0.44) vs. (2.81±0.60) mmol/L], ApoB [(0.78±0.19) vs. (0.71±0.14) g/L] and Lp (a) levels [(252.45±52.10) vs. (202.60±41.28) mg/L] were significantly higher in the ICPP group than in the PT group (all P<0.05). Conclusion The levels of sex hormones and glucolipid metabolism parameters are significantly higher among female children with ICPP than among those with PT.
Key wordsidiopathic central precocious puberty    premature thelarche    glucolipid metabolism    sex hormone
收稿日期: 2022-05-24      修回日期: 2022-07-06     
中图分类号:  R585  
作者简介: 陈冬婵,本科,主治医师,主要从事儿内科工作
引用本文:   
陈冬婵, 金薇. 性早熟女童糖脂代谢与性激素水平分析[J]. 预防医学, 2022, 34(9): 951-954.
CHEN Dongchan, JIN Wei. Detection of glucolipid metabolism and sex hormones among female children with precocious puberty. Preventive Medicine, 2022, 34(9): 951-954.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.09.018      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I9/951
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