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接受绒毛取样的女性患先兆子痫的风险。

Risk of preeclampsia in of women who underwent chorionic villus sampling.

作者信息

Maruotti Giuseppe Maria, Giudicepietro Antonia, Saccone Gabriele, Castaldo Giuseppe, Sarno Laura, Zullo Fulvio, Berghella Vincenzo, Martinelli Pasquale

机构信息

a Department of Neuroscience, Reproductive Sciences and Dentistry , School of Medicine, University of Naples "Federico II" , Naples , Italy.

b Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Sidney Kimmel Medical College of Thomas Jefferson University , Philadelphia , PA , USA.

出版信息

J Matern Fetal Neonatal Med. 2019 Sep;32(18):3012-3015. doi: 10.1080/14767058.2018.1454899. Epub 2018 Apr 10.

Abstract

To assess the risk of preeclampsia in women who underwent chorionic villus sampling (CVS). This is a retrospective, single-center, cohort study. All consecutive singleton gestations who underwent chorionic villus sampling from January 2014 to January 2016 were included in the study. The primary outcome was the incidence of preeclampsia. Subgroup analysis in women with beta thalassemic trait was performed. Logistic regression, presented as adjusted odds ratio (aOR) with the 95% of confidence interval (CI), was performed. Five hundred forty-seven women who underwent CVS, and 1532 women who did not were analyzed. Women who underwent CVS had a significantly lower risk of preeclampsia (4.4 versus 8.0%; aOR 0.53, 95%CI 0.34-0.83), and late-onset preeclampsia (3.3 versus 6.1%; aOR 0.52, 95%CI 0.31-0.87). No statistically significant differences were found in preeclampsia with severe features, early-onset preeclampsia, and preterm birth (PTB). Women who underwent CVS due to thalassemic trait had a lower incidence of preeclampsia compare to those women who did not undergo CVS (3.3 versus 8.0%; aOR 0.39, 95%CI 0.14-0.87), while no differences were found comparing women who underwent CVS due to thalassemic trait with women who underwent CVS due to other reasons. Women who underwent first trimester CVS had a lower risk of preeclampsia compared to those who did not.

摘要

评估接受绒毛取样(CVS)的女性发生先兆子痫的风险。这是一项回顾性、单中心队列研究。纳入了2014年1月至2016年1月期间所有连续接受绒毛取样的单胎妊娠。主要结局是先兆子痫的发生率。对携带β地中海贫血特征的女性进行了亚组分析。采用逻辑回归分析,以调整后的优势比(aOR)及95%置信区间(CI)表示。分析了547例接受CVS的女性和1532例未接受CVS的女性。接受CVS的女性发生先兆子痫的风险显著较低(4.4%对8.0%;aOR 0.53,95%CI 0.34 - 0.83),以及发生晚发型先兆子痫的风险也较低(3.3%对6.1%;aOR 0.52,95%CI 0.31 - 0.87)。在重度特征性先兆子痫、早发型先兆子痫和早产(PTB)方面未发现统计学显著差异。因地中海贫血特征接受CVS的女性与未接受CVS的女性相比,先兆子痫的发生率较低(3.3%对8.0%;aOR 0.39,95%CI 0.14 - 0.87),而因地中海贫血特征接受CVS的女性与因其他原因接受CVS的女性相比未发现差异。与未接受孕早期CVS的女性相比,接受孕早期CVS的女性发生先兆子痫的风险较低。

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