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孕期、分娩期、产褥期及新生儿期的血浆β-内啡肽样免疫反应性

Plasma beta-endorphin-like immunoreactivity during pregnancy, parturition, puerperium and in newborn.

作者信息

Zivný J, Kobilková J, Vorlicek F, Bendl J, Zapadlo M

出版信息

Acta Obstet Gynecol Scand. 1986;65(2):129-31. doi: 10.3109/00016348609158367.

Abstract

Mean beta-endorphin-like immunoreactivity in the plasma of 10 normal women in the 10th month of pregnancy was 144.3 +/- 7.5 ng/l. During labor in 7 women its immunoreactivity was increased and peaked at the time of vaginal delivery (1 162 +/- 69 ng/l). Two hours after delivery, beta-endorphin-like immunoreactivity was significantly decreased (297 +/- 39 ng/l) and after 4 to 5 days was 155 +/- 33 ng/l. Beta-endorphin-like immunoreactivity in the cord plasma (523 +/- 30 ng/l) was significantly lower than in the mother at the time of vaginal delivery and in venous blood of newborns 24 hours post partum was 156 +/- 11 ng/l. The correlation between beta-endorphin-like immunoreactivity in the mother and the cord blood plasma was not determined. At the time of the fetal hypoxia, beta-endorphin-like immunoreactivity in the cord blood plasma was increased (2 741 ng/l). We conclude that immunoreactive beta-endorphin influences a stress reaction in the mother and fetus at the time of labor. During intra-uterine life the fetus probably produces its own immunoreactive-like beta-endorphin independently of the maternal production of this peptide.

摘要

10名正常孕妇妊娠第10个月时血浆中β-内啡肽样免疫反应性的平均值为144.3±7.5 ng/l。7名妇女分娩期间其免疫反应性升高,并在阴道分娩时达到峰值(1162±69 ng/l)。分娩后2小时,β-内啡肽样免疫反应性显著降低(297±39 ng/l),4至5天后为155±33 ng/l。脐血血浆中的β-内啡肽样免疫反应性(523±30 ng/l)显著低于阴道分娩时母亲的水平,产后24小时新生儿静脉血中的该水平为156±11 ng/l。未确定母亲与脐血血浆中β-内啡肽样免疫反应性之间的相关性。胎儿缺氧时,脐血血浆中β-内啡肽样免疫反应性升高(2741 ng/l)。我们得出结论,免疫反应性β-内啡肽在分娩时影响母亲和胎儿的应激反应。在子宫内生活期间,胎儿可能独立于母亲产生这种肽而产生自身的免疫反应性β-内啡肽样物质。

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