多囊卵巢综合征患者糖化血红蛋白变化分析

目的：通过观察86N多囊卵巢综合征（PCOS）患者的血糖代谢情况，以及早期发现和治疗糖尿病等并发症。方法：以临床确诊PCOS患者为研究组，另选择健康职工和献血员共30例作为对照组。对正常对照组、PCOS组进行空腹血糖（FPG）、口服葡萄糖耐量实验（OGTT）和糖化血红蛋白（HbA1c）测定，并对结果进行统计学分析。结果：PCOS组FPG，HbA1c和2hPG结果与正常组两组结果相比均明显增高，差异有显著性（P〈0．05）。PCOS组的HbA1c水平与FPG和2hPG成正相关。结论：HbA1c水平测定具有快速、简便、准确、取血量少的特点，并且不易受其他因素的影响，可作为临床PCOS并发糖尿病诊断筛查的指标。

Analysis of the Changes in glycosylated homoglobin in patients with polycystic ovary syndrome analysis

objective with a view to early detection and diagnosis the diabetes by observing the glucose metabolism in 86 cases with polycys- tic ovary syndrome. Method 86 cases with polycystic ovary syndrome were selected as the study group, while other 30 health workers and blood donors as the control group. FPG,HbAlc ~ 2hPG were detected in both groups. The data were analyzed statistically. Result FPG, HbAlc and 2hPG in PCOS group were significantly higher than those in the control groups, while the difference was significant in statistics （P〈0.05）. FPG and HbAlc levels in PCOS group were positively correlated with FPG and 2hPG. Conclusion Detecting HbAlc levels can be taken as clinical screening indicator in PCOS, with the characteristics of a fast, simple, accurate, and taking less blood means.