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[血管紧张素转换酶基因缺失/插入多态性与中国女性妊娠期高血压风险相关性的Meta分析]

[Meta analysis of correlation of angiotensin-converting enzyme gene deletion/insertion polymorphism and risk of pregnancy-induced hypertension in Chinese women].

作者信息

Li Zhanzhan, Chen Lizhang, Liu Liya, Xue Jing, Yang Yang, Hu Yingyun

机构信息

Department of Epidemiology and Health Statistics, Central South University, Changsha, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Jun;38(6):631-8. doi: 10.3969/j.issn.1672-7347.2013.06.013.

Abstract

OBJECTIVE

To investigate the association of the polymorphism of angiotensin-converting enzyme (ACE) gene and pregnancy-induced hypertension (PIH) in Chinese Women.

METHODS

We systematically searched CNKI, Wanfang database, VIP and PubMed from database construction to March 2012 to collect case-control studies. Stata 11.0 was used for meta analysis after evaluating the quality of studies and collecting the data. The association was assessed by odds ratio (OR) with 95% confidence intervals (CIs). Publication bias was analyzed by Begg's funnel plot and Egger's regression test.

RESULTS

We identified 11 case-control studies on association between ACE gene polymorphism and PIH, which included 806 PIH patients and 900 controls. Overall, significant association was found between ACE gene polymorphism and PIH risk [for D vs I: OR=2.73, 95% CI (1.64, 4.24), P<0.001; for DD+DI vs II: OR=3.11, 95% CI (1.98, 4.90), P<0.001; for DD vs II: OR=5.00, 95% CI (2.30,10.88), P<0.001; for DI vs II: OR=1.97, 95% CI(1.53, 2.53), P<0.001].

CONCLUSION

Chinese women with D allele gene deletion have a higher risk of suffering pregnancy induced hypertension syndrome.

摘要

目的

探讨中国女性血管紧张素转换酶(ACE)基因多态性与妊娠高血压综合征(PIH)的相关性。

方法

系统检索中国知网、万方数据库、维普数据库及PubMed,检索时间从建库至2012年3月,收集病例对照研究。在评估研究质量并收集数据后,采用Stata 11.0软件进行荟萃分析。采用比值比(OR)及95%可信区间(CI)评估相关性。采用Begg漏斗图和Egger回归检验分析发表偏倚。

结果

共纳入11项关于ACE基因多态性与PIH相关性的病例对照研究,包括806例PIH患者和900例对照。总体而言,ACE基因多态性与PIH风险之间存在显著相关性[D与I比较:OR = 2.73,95%CI(1.64,4.24),P < 0.001;DD + DI与II比较:OR = 3.11,95%CI(1.98,4.90),P < 0.001;DD与II比较:OR = 5.00,95%CI(2.30,10.88),P < 0.001;DI与II比较:OR = 1.97,95%CI(1.53,2.53),P < 0.001]。

结论

携带D等位基因缺失的中国女性患妊娠高血压综合征的风险较高。

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