是SARS-CoV-2引起的疾病是影响男性丸激素的决定性因素吗? 从事事实后事实研究中的病例控制研究结果
Paolo Capogrosso1, Alessandro Bertini2,3, Marina Pontillo4
1Department of Urology, Circolo and Fondazione Macchi Hospital - ASST Sette Laghi, Varese, Italy.
Andrology
|November 21, 2023
概括
COVID-19 感染与男性的总体 (tT) 水平降低有关,即使控制了其他关键因素. 这表明SARS-CoV-2对的直接影响,可能会使临床结果恶化.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- 在男性COVID-19患者中观察到较低的总丸激素 (tT) 水平,但尚不清楚这是由于SARS-CoV-2感染或其他系统性炎症状况.
- 需要澄清COVID-19在降低TT水平方面的独立作用.
研究的目的:
- 调查COVID-19对男性循环TT水平的独立影响.
- 为了比较COVID-19患者和其他严重急性呼吸困扰综合征 (ARDS) 患者之间的荷尔蒙值.
主要方法:
- 一项病例控制研究比较了接受ICU治疗的男性COVID-19患者与非COVID-19ARDS患者.
- 线性回归分析了COVID-19对tT水平的独立影响,并对共变量进行调整.
- 后勤回归确定了死亡率的预测因素.
主要成果:
- 与非COVID-19 ARDS对照组相比,ICU中的COVID-19患者的tT水平明显较低.
- 独立分析证实,没有COVID-19与更高的TT水平有关.
- 年龄和IL-6水平是死亡率的独立预测因素.
结论:
- 与非COVID-19 ARDS患者相比,患有COVID-19的男性的tT水平较低,即使在ICU环境中也是如此.
- 研究结果表明,SARS-CoV-2感染对循环中的tT水平有潜在的直接影响.
- 较低的tT可能会导致COVID-19患者更严重的临床结果.
相关概念视频
Disorders of the Male Reproductive System
426
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
426
Testosterone: Functions and Regulation
681
The intricate hormonal interplay essential for male reproductive health begins with the release of gonadotropin-releasing hormone (GnRH) by the hypothalamus. This hormone prompts the pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). LH targets the Leydig cells in the testes, stimulating them to produce and release testosterone. In concert with testosterone, FSH acts on the Sertoli cells within the seminiferous tubules to facilitate the release of...
681
Infertility in Males
272
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
272


