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子痫前期患者在临床症状出现前的孕中期低蛋白血症。

Hypoproteinemia in the second trimester among patients with preeclampsia prior to the onset of clinical symptoms.

作者信息

Takahashi Hironori, Hisano Michi, Sago Haruhiko, Murashima Atsuko, Yamaguchi Koushi

机构信息

Department of Obstetrics, Perinatal Center .

出版信息

Hypertens Pregnancy. 2014 Feb;33(1):55-60. doi: 10.3109/10641955.2013.837172. Epub 2013 Dec 19.

Abstract

OBJECTIVE

To find a risk factor for "uncomplicated" preeclampsia (PE) comparing blood biochemical parameters between women with uncomplicated PE and healthy pregnant women in each trimester of pregnancy.

METHODS

A retrospective study was performed on 83 cases of uncomplicated PE, selected from 434 patients with PE, disregarding subjects with other complications relevant to hypertension during pregnancy. The study was limited to women with PE occurring in the third trimester, and records of blood biochemical parameters were evaluated. Controls were recruited from 108 healthy volunteers with normal singleton pregnancies.

RESULTS

A significant decrease in total protein was observed in the uncomplicated PE group in the second trimester prior to the onset of clinical symptoms.

CONCLUSION

Hypoproteinemia during pregnancy may be a risk factor for this pathophysiology, and the maintenance of sufficient protein in early pregnancy could contribute to prophylaxis for women with uncomplicated PE.

摘要

目的

通过比较单纯性先兆子痫(PE)孕妇与各孕期健康孕妇的血液生化参数,寻找“单纯性”先兆子痫的危险因素。

方法

对从434例PE患者中选取的83例单纯性PE病例进行回顾性研究,排除孕期伴有其他与高血压相关并发症的患者。该研究仅限于孕晚期发生PE的女性,并评估血液生化参数记录。对照组从108例单胎妊娠正常的健康志愿者中招募。

结果

在临床症状出现前的孕中期,单纯性PE组总蛋白显著降低。

结论

孕期低蛋白血症可能是这种病理生理状态的一个危险因素,孕早期维持充足的蛋白质摄入有助于预防单纯性PE女性发病。

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