自身免疫性甲状腺疾病和多囊卵巢综合征:通过系统性审查和元分析追踪联系
Seyed Sobhan Bahreiny1, Akram Ahangarpour2, Mahdi Amraei3
1Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Medical Basic Sciences Research Institute, Physiology Research Center, Department of Physiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Medicinal Plant Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Journal of reproductive immunology
|February 25, 2024
概括
这次元分析发现多囊性卵巢综合征 (PCOS) 和自身免疫性甲状腺炎 (AIT) 之间存在显著的关联. 患有PCOS的女性更有可能患有AIT和改变的甲状腺功能标志物.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 免疫学 免疫学 免疫学
背景情况:
- 多囊卵巢综合征 (PCOS) 和自身免疫性甲状腺炎 (AIT) 是女性常见的内分泌疾病.
- 这些情况经常并存,表明潜在的共享病理生理学或增加风险.
研究的目的:
- 系统地审查和综合有关PCOS和AIT之间关联的证据.
- 量化这种关系,并确定PCOS妇女的相关甲状腺功能标志物.
主要方法:
- 在主要数据库 (PubMed,科学网,Scopus等) 进行了系统的文献搜索. 在2023年3月之前.
- 使用CMA软件v3.7进行了观察性研究的元分析,并使用随机效应建模.
- 使用灵敏度和元回归分析来探索异质性.
主要成果:
- 包括18项涉及3,657名参与者的研究.
- 在PCOS和AIT之间发现了显著的关联 (OR = 2.38).
- 与对照人群相比,PCOS患者的提升TSH,抗TPO和抗TG抗体明显高于PCOS患者.
结论:
- PCOS与AIT的风险增加有显著的关联.
- 这些发现支持在被诊断为PCOS的妇女中进行全面的甲状腺查.
- 了解这种联系可能会改善PCOS和AIT同时发生的诊断和治疗策略.
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