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泰晤士河北部地区唐氏综合征的筛查

Screening for Down's syndrome in the North East Thames region.

作者信息

Murday V, Slack J

出版信息

Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1315-8. doi: 10.1136/bmj.291.6505.1315.

DOI:10.1136/bmj.291.6505.1315
PMID:2415204
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1417424/
Abstract

The suggested strategies for a screening programme for Down's syndrome by maternal serum alpha fetoprotein concentration were examined and tested on the experience of the North East Thames Regional. Screening by maternal serum alpha fetoprotein concentration may be used to identify pregnancies at increased risk, but this is useful only in women aged over 32 whose collective risk is greater than one in 200. The absolute probability of carrying babies with Down's syndrome for individuals in this high risk group can then be calculated and used to decide whether further diagnosis by amniocentesis is desired.

摘要

根据东北泰晤士地区的经验,对通过孕妇血清甲胎蛋白浓度进行唐氏综合征筛查计划的建议策略进行了研究和测试。通过孕妇血清甲胎蛋白浓度进行筛查可用于识别风险增加的妊娠,但这仅对年龄超过32岁、总体风险大于二百分之一的女性有用。然后可以计算出这个高风险组中个体怀有唐氏综合征患儿的绝对概率,并用于决定是否需要通过羊膜穿刺术进行进一步诊断。

相似文献

1
Screening for Down's syndrome in the North East Thames region.泰晤士河北部地区唐氏综合征的筛查
Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1315-8. doi: 10.1136/bmj.291.6505.1315.
2
Screening for fetal Down's syndrome in pregnancy by measuring maternal serum alpha-fetoprotein levels.通过检测孕妇血清甲胎蛋白水平来筛查胎儿唐氏综合征。
N Engl J Med. 1987 Aug 6;317(6):342-6. doi: 10.1056/NEJM198708063170603.
3
An economic appraisal of screening for Down's syndrome in pregnancy using maternal age and serum alpha fetoprotein concentration.利用孕妇年龄和血清甲胎蛋白浓度对孕期唐氏综合征筛查进行的经济学评估。
Soc Sci Med. 1987;24(9):725-31. doi: 10.1016/0277-9536(87)90109-2.
4
Screening for Down's syndrome using an iso-risk curve based on maternal age and serum alpha-fetoprotein level.基于孕妇年龄和血清甲胎蛋白水平,利用等风险曲线进行唐氏综合征筛查。
Br J Obstet Gynaecol. 1987 Jul;94(7):636-42. doi: 10.1111/j.1471-0528.1987.tb03167.x.
5
Prenatal screening for Down's syndrome with use of maternal serum markers.使用母体血清标志物进行唐氏综合征的产前筛查。
N Engl J Med. 1992 Aug 27;327(9):588-93. doi: 10.1056/NEJM199208273270902.
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Reducing the need for amniocentesis in women 35 years of age or older with serum markers for screening.减少35岁及以上有血清标志物用于筛查的女性进行羊膜穿刺术的需求。
N Engl J Med. 1994 Apr 21;330(16):1114-8. doi: 10.1056/NEJM199404213301603.
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The effect of gestational age on the detection rate of Down's syndrome by maternal serum alpha-fetoprotein screening.
Am J Obstet Gynecol. 1991 Nov;165(5 Pt 1):1391-3. doi: 10.1016/0002-9378(91)90375-2.
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Impact of a regional screening programme using maternal serum alpha fetoprotein (AFP) and human chorionic gonadotrophin (hCG) on the birth incidence of Down's syndrome in the west of Scotland.一项使用母血清甲胎蛋白(AFP)和人绒毛膜促性腺激素(hCG)的区域筛查计划对苏格兰西部唐氏综合征出生发病率的影响。
J Med Screen. 1994 Jul;1(3):180-3. doi: 10.1177/096914139400100309.
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Implementation of an antenatal serum screening programme for Down's syndrome in two districts (Brighton and Eastbourne). The Brighton and Eastbourne Down's Syndrome Screening Group.在两个地区(布莱顿和伊斯特本)实施唐氏综合征产前血清筛查项目。布莱顿和伊斯特本唐氏综合征筛查小组。
J Med Screen. 1994 Jan;1(1):45-9. doi: 10.1177/096914139400100109.
10
Down's syndrome: current screening techniques.唐氏综合征:当前的筛查技术。
South Med J. 1989 Dec;82(12):1483-6.

引用本文的文献

1
Screening for Down's syndrome.唐氏综合征筛查
BMJ. 1988 Oct 8;297(6653):876. doi: 10.1136/bmj.297.6653.876.
2
Screening for maternal serum alpha-fetoprotein: what about the low side?孕妇血清甲胎蛋白筛查:低值情况如何?
CMAJ. 1987 Apr 15;136(8):801-4.
3
Risk of Down's syndrome and amniocentesis rate.唐氏综合征风险与羊膜穿刺术比率
BMJ. 1992 Jan 25;304(6821):252. doi: 10.1136/bmj.304.6821.252.

本文引用的文献

1
Maternal serum alpha-fetoprotein measurement: a screening test for Down syndrome.母血清甲胎蛋白测定:唐氏综合征的一项筛查试验。
Lancet. 1984 Apr 28;1(8383):926-9. doi: 10.1016/s0140-6736(84)92389-4.
2
An association between low maternal serum alpha-fetoprotein and fetal chromosomal abnormalities.孕妇血清甲胎蛋白水平低与胎儿染色体异常之间的关联。
Am J Obstet Gynecol. 1984 Apr 1;148(7):886-94. doi: 10.1016/0002-9378(84)90530-1.
3
Screening for Down's syndrome using serum alpha fetoprotein.使用血清甲胎蛋白筛查唐氏综合征。
Br Med J (Clin Res Ed). 1985 Aug 3;291(6491):349. doi: 10.1136/bmj.291.6491.349.
4
Screening for Down's syndrome using serum alpha fetoprotein: a retrospective study indicating caution.使用血清甲胎蛋白筛查唐氏综合征:一项表明需谨慎的回顾性研究。
Br Med J (Clin Res Ed). 1985 Jun 29;290(6486):1940-3. doi: 10.1136/bmj.290.6486.1940.
5
Use of overlapping normal distributions in genetic counselling.重叠正态分布在遗传咨询中的应用。
J Med Genet. 1978 Apr;15(2):106-8. doi: 10.1136/jmg.15.2.106.
6
Down's syndrome in South Australia.南澳大利亚的唐氏综合征。
Med J Aust. 1979 Jul 28;2(2):58-61. doi: 10.5694/j.1326-5377.1979.tb112703.x.
7
Down syndrome in live births by single year maternal age interval in a Swedish study: comparison with results from a New York State study.瑞典一项研究中按母亲年龄单一年度间隔划分的活产儿唐氏综合征情况:与纽约州一项研究结果的比较。
Am J Hum Genet. 1978 Jan;30(1):19-27.