目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符...目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符合纳入标准的对照组和oPOI组患者按孕产妇的年龄节点分为≤35岁和>35岁,比较各组的25(OH)D浓度及妊娠结局的差异,随后对oPOI患者进行维生素D补充,追踪助孕结局。结果在≤35岁患者中,oPOI组的25(OH)D水平及妊娠率显著低于对照组(41.62±11.90 vs 63.04±16.26,42.37±4.62 vs 53.33±1.97,P<0.05),在>35岁患者中,25(OH)D水平及妊娠率均无显著性差异。在≤35岁oPOI患者中,25(OH)D干预组的血清25(OH)D浓度和优质胚胎率显著高于25(OH)D未干预组,差异具有统计学意义(42.13±12.91 vs 78.26±23.91,55.74±25.16 vs 80.39±29.05,P<0.05),但两组间的获卵数、受精率、临床妊娠率和着床率均没有显著差异;在>35岁的oPOI患者中,25(OH)D干预组与未干预组的血清25(OH)D浓度、获卵数、受精率、优质胚胎率、临床妊娠率和着床率均未见显著差异。结论≤35岁的女性不孕患者中,oPOI患者的维生素D水平低于其他因素不孕的患者,给予维生素D补充后可改善oPOI患者25(OH)D水平及优质胚胎率,但未改变oPOI患者的妊娠结局。展开更多
The vertically integrated emission rate,centroid altitude,peak emission rate,and peak height of the hydroxyl(OH)airglow were calculated from Thermosphere Ionosphere Mesosphere Energetics and Dynamics(TIMED)/Sounding o...The vertically integrated emission rate,centroid altitude,peak emission rate,and peak height of the hydroxyl(OH)airglow were calculated from Thermosphere Ionosphere Mesosphere Energetics and Dynamics(TIMED)/Sounding of the Atmosphere using Broadband Emission Radiometry(SABER)observations to study the seasonal and interannual variations in the intensity and location of the OH emission.The emission rate is inversely proportional to the height of the emission,with the semiannual oscillation dominating at low latitudes and the annual oscillation dominating at higher latitudes.The OH emission is modulated by the quasibiennial oscillation at the equator,and the quasibiennial oscillation signal is weak at other latitudes.We represented the vertical transport of atomic oxygen by using atomic oxygen concentrations obtained from a global atmospheric model,the Specified Dynamics Whole Atmosphere Community Climate Model with thermosphere and ionosphere eXtension simulations.Compared with the amplitudes of the migrating diurnal tide(DW1)calculated from temperature data observed by TIMED/SABER,we found that both the vertical transport of atomic oxygen and DW1 amplitudes in the equatorial region exhibit semiannual oscillation and quasibiennial oscillation,which have a strong correlation with the variations in the amplitude and phase of semiannual oscillation and quasibiennial oscillation in OH emission.It is likely that the DW1 affects the vertical transport of atomic oxygen that is involved in the reaction to produce O3,thus affecting the OH emission.We analyzed the relationship between OH emission and solar activity by using the solar radio flux at 10.7 cm as a proxy for solar activity.The results showed that the OH emission is well correlated with solar activity,and the modulation of OH emission by solar activity has a significant latitudinal variation.The small correlation between emission height and solar activity indicates that solar activity modulates OH emission mainly through chemical rather than dynamic processes.展开更多
文摘目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符合纳入标准的对照组和oPOI组患者按孕产妇的年龄节点分为≤35岁和>35岁,比较各组的25(OH)D浓度及妊娠结局的差异,随后对oPOI患者进行维生素D补充,追踪助孕结局。结果在≤35岁患者中,oPOI组的25(OH)D水平及妊娠率显著低于对照组(41.62±11.90 vs 63.04±16.26,42.37±4.62 vs 53.33±1.97,P<0.05),在>35岁患者中,25(OH)D水平及妊娠率均无显著性差异。在≤35岁oPOI患者中,25(OH)D干预组的血清25(OH)D浓度和优质胚胎率显著高于25(OH)D未干预组,差异具有统计学意义(42.13±12.91 vs 78.26±23.91,55.74±25.16 vs 80.39±29.05,P<0.05),但两组间的获卵数、受精率、临床妊娠率和着床率均没有显著差异;在>35岁的oPOI患者中,25(OH)D干预组与未干预组的血清25(OH)D浓度、获卵数、受精率、优质胚胎率、临床妊娠率和着床率均未见显著差异。结论≤35岁的女性不孕患者中,oPOI患者的维生素D水平低于其他因素不孕的患者,给予维生素D补充后可改善oPOI患者25(OH)D水平及优质胚胎率,但未改变oPOI患者的妊娠结局。
文摘目的:对25(OH)D3、甲状旁腺激素(PTH)与慢性心力衰竭心衰(CHF)严重程度的相关性进行系统研究。方法:选取住院CHF患者186例,其中HFpEF 96例,HFmrEF 30例,HFrEF 60例;研究同时选取同期健康人群42例作为对照组,收集一般资料、血清25(OH)D3、PTH、NT-proBNP水平、常规生化指标、心脏彩超结果等,另根据CHF组患者的不同亚型将186例CHF患者分为HFpEF组(96例患者)、HFmrEF组(30例患者)和HFrEF组(60例患者),对比HFpEF组、HFmrEF组和HFrEF组患者血清25(OH)D3和PTH表达水平差异,并进行统计分析。结果:CHF组和对照组一般资料和常规生化指标等资料对比差异无统计学意义(P > 0.05);而CHF组和对照组在25(OH)D3、PTH以及NT-proBNP等资料对比差异有统计学意义(P 3表达水平与CHF疾病的发生呈负相关(r = −0.442, P r = 0.521, P 3表达水平明显低于HFpEF组和HFmrEF组,而PTH表达水平明显高于HFpEF组和HFmrEF组(P P > 0.05)。结论:25‐羟维生素D3和PTH表达水平与心衰严重程度密切相关。25‐羟维生素D3和PTH联合检测对CHF疾病的诊断及病情严重程度评估具有重要的临床意义。
基金the National Natural Science Foundation of China(Grant Numbers 42374195 and 42188101)a fellowship from the China National Postdoctoral Program for Innovative Talents(Grant Number BX20230273).
文摘The vertically integrated emission rate,centroid altitude,peak emission rate,and peak height of the hydroxyl(OH)airglow were calculated from Thermosphere Ionosphere Mesosphere Energetics and Dynamics(TIMED)/Sounding of the Atmosphere using Broadband Emission Radiometry(SABER)observations to study the seasonal and interannual variations in the intensity and location of the OH emission.The emission rate is inversely proportional to the height of the emission,with the semiannual oscillation dominating at low latitudes and the annual oscillation dominating at higher latitudes.The OH emission is modulated by the quasibiennial oscillation at the equator,and the quasibiennial oscillation signal is weak at other latitudes.We represented the vertical transport of atomic oxygen by using atomic oxygen concentrations obtained from a global atmospheric model,the Specified Dynamics Whole Atmosphere Community Climate Model with thermosphere and ionosphere eXtension simulations.Compared with the amplitudes of the migrating diurnal tide(DW1)calculated from temperature data observed by TIMED/SABER,we found that both the vertical transport of atomic oxygen and DW1 amplitudes in the equatorial region exhibit semiannual oscillation and quasibiennial oscillation,which have a strong correlation with the variations in the amplitude and phase of semiannual oscillation and quasibiennial oscillation in OH emission.It is likely that the DW1 affects the vertical transport of atomic oxygen that is involved in the reaction to produce O3,thus affecting the OH emission.We analyzed the relationship between OH emission and solar activity by using the solar radio flux at 10.7 cm as a proxy for solar activity.The results showed that the OH emission is well correlated with solar activity,and the modulation of OH emission by solar activity has a significant latitudinal variation.The small correlation between emission height and solar activity indicates that solar activity modulates OH emission mainly through chemical rather than dynamic processes.