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子痫前期女性与未合并并发症妊娠女性的血清人胰岛素浓度比较。

Serum humanin concentrations in women with pre-eclampsia compared to women with uncomplicated pregnancies.

作者信息

Nikolakopoulos Panagiotis, Tzimagiorgis Georgios, Goulis Dimitrios G, Chatzopoulou Fani, Zepiridis Leonidas, Vavilis Dimitrios

机构信息

a First Department of Obstetrics and Gynecology , Medical School, Aristotle University of Thessaloniki , Thessaloniki, Greece.

b Department of Gynecology , 424 Military General Hospital , Thessaloniki , Greece.

出版信息

J Matern Fetal Neonatal Med. 2018 Feb;31(3):305-311. doi: 10.1080/14767058.2017.1285885. Epub 2017 Feb 9.

Abstract

PURPOSE

To compare serum humanin concentrations in pregnant women with and without pre-eclampsia (PE).

MATERIALS AND METHODS

A case-control study where pregnant women (PE group, n = 37; control group, n = 34) studied through history parameters (gynecological, obstetrical, personal, and family), physical and sonographic examination parameters [body mass index (BMI), blood pressure obstetrical ultrasound], and biochemical/hormonal assays [creatinine, urea, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), uric acid, platelets, urinary protein, and humanin].

RESULTS

There was no difference in basic characteristics between women with PE and control, except in parity and gravidity. Humanin concentrations were higher in women with PE compared to controls (422.2 ± 33.5 vs. 319.1 ± 28.1 pg/ml, p = 0.023). In a binary logistic analysis, humanin was associated with the presence of PE [odds ratio 1.003, 95% confidence interval (CI); 1.000-1.006]. The ability of humanin to discriminate between women with PE and controls was evaluated by receiver operation characteristics (ROC) analysis [area under the curve (AUC) 0.639, 95% CI; 0.510-0.768, p = 0.045].

CONCLUSIONS

Serum humanin concentrations are increased in women with PE, compared to women with uncomplicated pregnancies, suggesting a potential protective role of humanin against the oxidative stress and endothelial dysfunction occurring in PE.

摘要

目的

比较患与未患先兆子痫(PE)孕妇的血清人胰岛素原浓度。

材料与方法

一项病例对照研究,通过病史参数(妇科、产科、个人及家族史)、体格检查和超声检查参数[体重指数(BMI)、产科血压、超声检查]以及生化/激素检测[肌酐、尿素、血清谷草转氨酶(SGOT)、血清谷丙转氨酶(SGPT)、尿酸、血小板、尿蛋白和人胰岛素原]对孕妇进行研究(PE组,n = 37;对照组,n = 34)。

结果

除产次和妊娠次数外,PE患者与对照组女性的基本特征无差异。与对照组相比,PE患者的人胰岛素原浓度更高(422.2 ± 33.5 vs. 319.1 ± 28.1 pg/ml,p = 0.023)。在二元逻辑回归分析中,人胰岛素原与PE的发生相关[比值比1.003,95%置信区间(CI):1.000 - 1.006]。通过受试者工作特征(ROC)分析评估人胰岛素原区分PE患者与对照组的能力[曲线下面积(AUC)0.639,95% CI:0.510 - 0.768,p = 0.045]。

结论

与未患并发症的孕妇相比,PE患者的血清人胰岛素原浓度升高,提示人胰岛素原对PE中发生的氧化应激和内皮功能障碍具有潜在保护作用。

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