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早产和分娩时孕妇血清白细胞介素1、2、6、8及白细胞介素-2受体水平

Maternal serum interleukin 1, 2, 6, 8 and interleukin-2 receptor levels in preterm labor and delivery.

作者信息

Alvarez-de-la-Rosa M, Rebollo F J, Codoceo R, Gonzalez Gonzalez A

机构信息

Department of Obstetrics and Gynecology, La Paz Hospital, Universidad Autónoma de Madrid, Spain.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2000 Jan;88(1):57-60. doi: 10.1016/s0301-2115(99)00129-3.

Abstract

OBJECTIVE

To determine the concentrations of maternal serum interleukins (ILs) 1, 2, 6, 8 and IL-2 receptors (IL-2R) in patients in their second and third trimesters of pregnancy and in preterm labor and delivery without evidence of chorioamnionitis.

STUDY DESIGN

The study was conducted in La Paz Maternal Hospital, Madrid. Maternal serum IL concentrations were measured in 103 gravidas during preterm labor and delivery. The Mann-Whitney U test was used for analysis.

RESULTS

Women in preterm labor and delivery had significantly higher median IL-2R concentration. Women who responded to tocolysis had significantly lower serum concentrations of IL-6. IL-2R and IL-6 serum concentrations predict delivery in 48 h and before 34 weeks gestation.

CONCLUSIONS

Compared with non-laboring gravidas, those in idiopathic preterm labor or delivery had significantly higher concentrations of maternal serum IL-2R. Both IL-6 and IL-2R may predict failure of tocolysis. IL-2 does not seem to play an important role in pregnancy.

摘要

目的

测定妊娠中期和晚期以及无绒毛膜羊膜炎证据的早产和分娩患者母体血清白细胞介素(IL)-1、IL-2、IL-6、IL-8及IL-2受体(IL-2R)的浓度。

研究设计

本研究在马德里的拉巴斯妇产医院开展。对103例早产和分娩孕妇的母体血清IL浓度进行了测定。采用曼-惠特尼U检验进行分析。

结果

早产和分娩女性的IL-2R浓度中位数显著更高。对宫缩抑制剂有反应的女性血清IL-6浓度显著更低。IL-2R和IL-6血清浓度可预测48小时内分娩及妊娠34周前分娩。

结论

与未临产孕妇相比,特发性早产或分娩孕妇的母体血清IL-2R浓度显著更高。IL-6和IL-2R均可能预测宫缩抑制剂治疗失败。IL-2似乎在妊娠中不起重要作用。

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