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医学临床研究  2021, Vol. 38 Issue (8): 1159-1162    DOI: 10.3969/j.issn.1671-7171.2021.08.012
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女性尿中邻苯二甲酸盐代谢物水平与卵巢早衰和性激素水平相关性
田玉泉1, 张延芳2, 张敏3
1.山东省立第三医院,山东 济南 250031;
2.济南市第四人民医院,山东 济南 250031;
3.济南市济钢医院,山东 济南 250101
Relationship of Urinary Phthalate Metabolites with Premature Ovarian Failure and Reproductive Hormones in Women
TIAN Yu-quan, ZHANG Yan-fang, ZHANG Min
The Third Hospital of Shandong Province, Jinan Shandong 250031
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摘要 【目的】探讨女性尿中邻苯二甲酸盐代谢物(PM)水平与卵巢早衰(POF)和性激素水平相关性。【方法】选择2019年1月至2020年12月在山东省立第三医院诊治的81例POF患者作为观察组,按1∶2比例选择同期在本院健康体检的妇女162例作为对照组,检测两组受试者雌二醇(Estrogen,E2)、促卵泡激素(FSH)水平,检测两组受试者PM中邻苯二甲酸单异丁酯(MiBP)、邻苯二甲酸单丁酯(MnBP)、邻苯二甲酸单苄酯(MBzP)、邻苯二甲酸单(2-乙基己基)酯[Mono(2-ethylhexyl) phthalate,MEHP]、邻苯二甲酸单(2-乙基-5-羟基己基)酯[Mono(2-ethyl-5-hydroyhexyl) phthalate,MEHHP]、邻苯二甲酸单-(2-乙基-5-氧代己基)酯[Mono(2-ethyl-5-oxohexyl) phthalate,MEOHP]水平,分析两组PM指标、POF和E2、FSH水平的相关性。【结果】观察组E2显著低于对照组,FSH显著高于对照组,其差异均有统计学意义(P<0.05)。观察组MiBP水平显著高于对照组,MEHP水平显著低于对照组,其差异均有统计学意义(P<0.05);两组受试者MnBP、MBzP、MEOHP、MEHHP水平比较差异均无统计学意义(P>0.05)。MiBP与POF呈正相关(P<0.05);MiBP、MnBP与E2水平呈负相关(P<0.05);FSH与MiBP、MnBP、MEOHP、MEHHP呈正相关(P<0.05)。【结论】尿中MiBP水平与POF发生相关,多项PM与女性激素水平相关,PM相关化学品可能对女性生殖健康构成危险。
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田玉泉
张延芳
张敏
关键词 原发性卵巢功能不全甲酸酯类/尿甲酸酯类/代谢性腺甾类激素    
Abstract:【Objective】To investigate the correlation of urinary phthalate metabolites (PM) with premature ovarian failure (POF) and reproductive hormones in women. 【Methods】A total of 81 patients with POF in our hospital from January 2019 to December 2020 were selected as the study group, according to the ratio of 1:2 principle, 162 healthy women in our hospital during the same period were selected as the control group. The levels of estrogen (E2) and follicle stimulating hormone (FSH) were detected. The levels of MiBP (mono-iso-butyl phthalate), MnBP (mono-n-butyl phthalate), MBzP (mono-benzyl phthalate), MEHP (mono(2-ethylhexyl) phthalate), MEHHP (mono(2-ethyl-5-hydroyhexyl) phthalate) and MEOHP (mono(2-ethyl-5-oxohexyl) phthalate) were measured as well. The relationship of PM with POF, E2 and FSH was analyzed. 【Results】The level of E2 in the study group was lower than that in the control group and its FSH level was higher than that in the control group. The difference between the two groups was statistically significant (P<0.05). MiBP level of the study group was higher than that of the control group and the MEHP level was lower than that of control group. The differences were statistically significant (P<0.05). There were no significant differences in the levels of MnBP, MBzP, MEOHP, and MEHHP between the two groups (P>0.05). MiBP was positively correlated with POF (P<0.05). MiBP, MnBP were negatively correlated with E2 (P<0.05), and FSH was positively correlated with MiBP, MnBP, MEOHP, and MEHHP (P<0.05). 【Conclusion】The concentration of MiBP in urine is correlated with the occurrence of POF, and a number of PM are correlated with female hormone levels. PM-related chemicals have a risk on female reproductive health.
Key wordsPrimary Ovarian Insufficiency    Formic Acid Esters/UR    Formic Acid Esters/ME    Gonadal Steroid Hormones
收稿日期: 2021-04-01     
中图分类号:  R711.51  
引用本文:   
田玉泉, 张延芳, 张敏. 女性尿中邻苯二甲酸盐代谢物水平与卵巢早衰和性激素水平相关性[J]. 医学临床研究, 2021, 38(8): 1159-1162.
TIAN Yu-quan, ZHANG Yan-fang, ZHANG Min. Relationship of Urinary Phthalate Metabolites with Premature Ovarian Failure and Reproductive Hormones in Women. JOURNAL OF CLINICAL RESEARCH, 2021, 38(8): 1159-1162.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.08.012     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I8/1159
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