血清性激素水平与女性泪液排出时间的相关性研究OA
The relationship between serum sexual hormone levels and female tear drainage time
目的:探讨血清性激素水平对女性泪液排出时间的影响.方法:选取 2023 年 5 月—2024 年 5 月在福建医科大学附属南平第一医院健康体检中心的女性健康志愿者作为研究对象.以停经时间≥12 个月作为绝经的标准,将其划分为绝经组和非绝经组.其中绝经组纳入 27 例,非绝经组纳入 36 例.鼻内镜下记录受试者泪液排出时间和检测血清性激素 3 项,即雌激素(estrogen,E2)、雄激素(androgen,TT)、孕酮(progesterone,PROG).结果:与非绝经组比较,绝经组血清 E2(P<0.001)、TT(P<0.001)及PROG(P=0.072)水平下降,泪液经泪道排出时间延长(P<0.001),两组 E2、TT 值、泪液排出时间差异有统计学意义,但两组间 PROG 水平差异无统计学意义.一元线性分析提示随着 E2(P<0.001)、TT(P<0.001)、PROG(P=0.08)水平的降低和年龄(P<0.001)的增长,泪液排出时间延长.年龄、TT 和 E2 对泪液排出时间的影响有统计学意义.多元线性回归分析提示年龄是主要影响因素,提示泪液排出时间随着年龄增加而显著增加,其他变量(PROG、TT、E2)在统计学上未能证实对泪液排出时间有影响.结论:年龄、血清性激素水平与女性泪液排出时间存在相关性,性激素可能参与原发性泪道阻塞性疾病的发病过程.
Objective:To investigate the relationship between serum sex hormone levels and tear drainage time.Methods:Female health volunteers from the physical examination center between May 2023 to May 2024 were selected.Using a menopause duration of≥12 months as the criterion for menopause,they were divided into a menopause group and a non-menopause group.Among them,27 cases were included in the menopausal group and 36 cases in the non-menopausal group.The tear drainage time of the subjects was recorded under nasal endoscopy and three serum sex hormones were measured:estrogen(E2),androgen(TT),and progesterone(PROG).Results:Compared with the non-menopausal group,the menopausal group exhibited significantly lower serum levels of E2,TT and PROG,along with a significantly prolonged tear drainage time.Statistically significant differences were observed between the two groups in terms of E2,TT and tear drainage time,but no significant difference was found in PROG levels.Linear analysis showed that tear drainage time increased as PROG,TT and E2 levels decreased,with TT and E2 exerting a significant influence on tear drainage time.Multiple linear regression analysis indicated that age was the primary influencing factor,with tear drainage time increasing significantly with age.Other variables(PROG,TT,E2)did not demonstrate a statistically effect on the tear discharge time.Conclusions:Androgen,estrogen and age are correlated with female tear drainage.Estrogen and androgen may be involved in the pathogenesis of primary acquired nasolacrimal duct obstruction.
陈俊;邱欣颖;魏远建
福建医科大学附属南平第一医院眼科,南平 353000福建医科大学附属南平第一医院眼科,南平 353000福建医科大学附属南平第一医院眼科,南平 353000
医药卫生
雌激素雄激素孕酮女性泪液排出原发性泪道阻塞性疾病
estrogenandrogenprogesteronetear drainage timeprimary acquired nasolacrimal duct obstruction
《眼科学报》 2026 (5)
374-380,7
福建省自然科学基金项目(2024J011611)南平市自然科学基金项目(N2021J020).This work was supported by Natural Science Foundation of Fujian Province(2024J011611)and Natural Science Foundation of Nanping(N2021J020).
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