Jin L, Wang C
Department of Obstetrics and Gynecology, Heping Hospital of Shanxi Province Changzhi Medical University, Changzhi 046000, China.
Zhonghua Fu Chan Ke Za Zhi. 2001 Apr;36(4):206-8.
To investigate the changes and its clinical significance of plasma neuropeptide Y (NPY) concentration in patients with pregnancy induced hypertension (PIH).
Plasma NPY levels were detected by radioimmunoassay in 30 patients with PIH, 20 normal non-pregnant women and 23 normal pregnant women. The PIH group was subdivided into mild, moderate and Severe subgroups, and the NPY concentration was also measured in these subgroups respectively at admission and one week after delivery.
The plasma NPY levels in patients with PIH [(164.16 +/- 68.32) ng/L] were significantly higher than those of normal non-pregnant women and normal pregnancies [(86.60 +/- 20.65) ng/L, (82.42 +/- 12.46) ng/L, P < 0.01, respectively]. There was significant difference among plasma NPY levels among the patients with mild, moderate, and severe PIH at admission (P < 0.01). At one week after delivery the concentrations of plasma NPY were significantly decreased in the moderate and severe subgroups compared with the value measured at admission (P < 0.01). Moreover, the NPY levels in patients with severe PIH after delivery were still higher than those of normal non-pregnant women.
The results suggested that the level of NPY in plasma is increased in women with PIH. Elevated plasma NPY levels may play a key role in the development of PIH.
探讨妊娠高血压综合征(PIH)患者血浆神经肽Y(NPY)浓度的变化及其临床意义。
采用放射免疫法检测30例PIH患者、20例正常未孕妇女和23例正常孕妇的血浆NPY水平。将PIH组分为轻度、中度和重度亚组,并分别在入院时和产后1周测量这些亚组的NPY浓度。
PIH患者血浆NPY水平[(164.16±68.32)ng/L]显著高于正常未孕妇女和正常妊娠妇女[分别为(86.60±20.65)ng/L、(82.42±12.46)ng/L,P<0.01]。入院时轻度、中度和重度PIH患者的血浆NPY水平存在显著差异(P<0.01)。产后1周,中度和重度亚组的血浆NPY浓度与入院时测量值相比显著降低(P<0.01)。此外,重度PIH患者产后的NPY水平仍高于正常未孕妇女。
结果表明PIH女性血浆NPY水平升高。血浆NPY水平升高可能在PIH的发生发展中起关键作用。