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孕妇血清前铁调素水平与子痫前期有关吗?

Is the level of maternal serum prohepcidin associated with preeclampsia?

作者信息

Duvan Candan Iltemir, Simavli Serap, Keskin Esra Aktepe, Onaran Yuksel, Turhan Nilgun Ozturk, Koca Cemile

机构信息

Department of Obstetrics and Gynecology, Turgut Ozal University , Ankara , Turkey .

出版信息

Hypertens Pregnancy. 2015 May;34(2):145-52. doi: 10.3109/10641955.2014.988350. Epub 2014 Dec 30.

Abstract

OBJECTIVE

The objective of the study was to compare pro-hepcidin, hemoglobin (Hb) concentration, hematocrit (Hct), C-reactive protein (CRP), IL-6 and iron status parameters in preeclamptic (PE) and healthy pregnant women, and to examine the relationship between serum pro-hepcidin levels and iron parameters of preeclampsia (PE).

METHODS

In a prospective controlled study, we collected serum from women with normal pregnancy (n = 37) and from women with PE (n = 30) at the Department of Obstetrics and Gynecology at Turgut Ozal University between February 2010 and January 2013. Pro-hepcidin, hemoglobin (Hb) concentration, hematocrit (Hct), CRP, IL-6 and iron status parameters were measured in all patients and compared between groups.

RESULTS

Levels of serum prohepcidin in PE and control groups were similar and amount 69.4 ± 19.7 and 71.9 ± 22.1 ng/ml, respectively. The difference was not statistically significant (p: 0.694). On the other hand, the study group had a statistically lower iron binding capacity (IBC), total iron binding capacity, transferin, total protein, albumin levels (p < 0.05). No significant differences were found among prohepcidin, Hb concentration, Hct, iron, ferritin, IL-6, urea and creatine in both the groups.

CONCLUSION

In pregnancies complicated by PE with normal values of hemoglobin and hematocrit, serum prohepcidin concentrations are similar to those observed in healthy pregnant women. The analysis revealed no significant correlations between prohepcidin level and serum iron, serum ferritin or transferrin in the PE.

摘要

目的

本研究的目的是比较子痫前期(PE)孕妇和健康孕妇的前铁调素、血红蛋白(Hb)浓度、血细胞比容(Hct)、C反应蛋白(CRP)、白细胞介素-6(IL-6)及铁状态参数,并探讨血清前铁调素水平与子痫前期(PE)铁参数之间的关系。

方法

在一项前瞻性对照研究中,我们于2010年2月至2013年1月期间在图尔古特·奥扎尔大学妇产科收集了正常妊娠妇女(n = 37)和子痫前期妇女(n = 30)的血清。对所有患者测定前铁调素、血红蛋白(Hb)浓度、血细胞比容(Hct)、CRP、IL-6及铁状态参数,并进行组间比较。

结果

PE组和对照组的血清前铁调素水平相似,分别为69.4±19.7和71.9±22.1 ng/ml。差异无统计学意义(p:0.694)。另一方面,研究组的铁结合能力(IBC)、总铁结合能力、转铁蛋白、总蛋白、白蛋白水平在统计学上较低(p < 0.05)。两组在前铁调素、Hb浓度、Hct、铁、铁蛋白、IL-6、尿素和肌酐方面均未发现显著差异。

结论

在血红蛋白和血细胞比容值正常的PE合并妊娠中,血清前铁调素浓度与健康孕妇相似。分析显示,PE患者中前铁调素水平与血清铁、血清铁蛋白或转铁蛋白之间无显著相关性。

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