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妊娠合并胎儿宫内生长受限患者孕早期中性粒细胞与淋巴细胞比值及血小板与淋巴细胞比值的评估

Evaluation of first-trimester neutrophil-lymphocyte ratio and platelet-lymphocyte ratio values in pregnancies complicated by intrauterine growth retardation.

作者信息

Tolunay Harun Egemen, Eroğlu Hasan, Varlı Erol Nadi, Akşar Mustafa, Şahin Dilek, Yücel Aykan

机构信息

University of Health Sciences Turkey, Etlik Zübeyde Hanım Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey.

出版信息

Turk J Obstet Gynecol. 2020 Jun;17(2):98-101. doi: 10.4274/tjod.galenos.2020.81592. Epub 2020 Jul 29.

Abstract

OBJECTIVE

The objective of this study is to compare the first-trimester hemogram parameters [neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR)] of pregnant women complicated by intrauterine growth retardation (IUGR) and normal pregnant women.

MATERIALS AND METHODS

We retrospectively evaluated the medical records of pregnant women (n=50) complicated with IUGR and pregnant women in the control group (n=50).

RESULTS

The first-trimester NLR and PLR values of the pregnant women complicated by IUGR were 6.59±1.12 and 117.2±16.00, respectively. The first-trimester NLR and PLR values of the pregnant women in the control group were 2.84±0.55 and 112.80±13.01, respectively. There was a statistically significant difference between the two groups with respect to NLR (p<0.001).

CONCLUSION

Pregnancies complicated by IUGR have high neonatal mortality and morbidity rates. Therefore, the early diagnosis of disease and appropriate management are extremely crucial for both fetal and maternal prognoses. High NLR values in the first trimester may contribute to the early diagnosis of IUGR.

摘要

目的

本研究旨在比较合并宫内生长受限(IUGR)的孕妇与正常孕妇孕早期血常规参数[中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)]。

材料与方法

我们回顾性评估了合并IUGR的孕妇(n = 50)和对照组孕妇(n = 50)的病历。

结果

合并IUGR的孕妇孕早期NLR和PLR值分别为6.59±1.12和117.2±16.00。对照组孕妇孕早期NLR和PLR值分别为2.84±0.55和112.80±13.01。两组间NLR差异有统计学意义(p<0.001)。

结论

合并IUGR的妊娠新生儿死亡率和发病率较高。因此,疾病的早期诊断和适当管理对胎儿和母亲的预后极为关键。孕早期高NLR值可能有助于IUGR的早期诊断。

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First trimester complete blood cell indices in early and late onset preeclampsia.早发型和晚发型子痫前期孕早期全血细胞指数
Turk J Obstet Gynecol. 2019 Jun;16(2):112-117. doi: 10.4274/tjod.galenos.2019.93708. Epub 2019 Jul 3.
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Fetal growth restriction: current knowledge.胎儿生长受限:当前认知
Arch Gynecol Obstet. 2017 May;295(5):1061-1077. doi: 10.1007/s00404-017-4341-9. Epub 2017 Mar 11.
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Diagnosis and management of fetal growth restriction: the role of fetal therapy.胎儿生长受限的诊断与管理:胎儿治疗的作用。
Best Pract Res Clin Obstet Gynaecol. 2008 Feb;22(1):139-58. doi: 10.1016/j.bpobgyn.2007.06.004. Epub 2007 Aug 16.

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