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羊水感染可能导致妊娠剧吐。

Infection in Amniotic Fluid May Cause Hyperemesis Gravidarum.

机构信息

Van Yuzuncu Yil University, School of Medicine, Department of Gastroenterology, Van, Turkey.

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

出版信息

Yale J Biol Med. 2020 Sep 30;93(4):487-493. eCollection 2020 Sep.

PMID:33005113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7513450/
Abstract

: Limited data are available from recent trials involving pregnant women to guide infection diagnosis. There are no data about the presence of in the amniotic fluid as well. Furthermore, the relation between amniotic fluid and hyperemesis gravidarum (HG) has not been characterized yet. : This is a prospective study conducted after obtaining approval from the Ethics Committee. Pregnant women undergoing amniocentesis were enrolled in the study. The stool antigen test assessed the presence of in amniotic fluid. A perinatologist independently performed an amniocentesis. The obtained amniotic liquid was sent to the laboratory to evaluate infection by stool antigen assay. We determined the rate of in amniotic fluid and assessed relations between infection and pregnancy outcome, including HG. : Between May and September 2017, we enrolled 48 pregnant women who underwent amniocentesis to detect possible fetal malformations. Patients were divided into two groups regarding the HG status. There were significant differences between the groups in terms of infection presence. Among them, 28 (58.3%) were found to have a positive test in their amniotic fluid. The rate of HG was significantly higher (71.4%) in patients who tested positive for in amniocentesis than the -negative group (20%), (p<0.001). : The study's main new finding is that presence of in the amniotic fluid is possible. Our data suggest that -infected amniotic fluid is associated with the experience of past HG. The current study may have important implications for HG detection and help identify patients who would benefit from future preventive strategies.

摘要

目前针对孕妇的感染诊断,仅有少量来自近期试验的数据可以参考。同样,也没有关于羊水内是否存在 的数据。此外,羊水 与妊娠剧吐(HG)之间的关系尚未明确。

这是一项前瞻性研究,在获得伦理委员会批准后进行。研究纳入了接受羊膜穿刺术的孕妇。通过粪便抗原检测评估羊水内 是否存在。由一名围产专家独立进行羊膜穿刺术。抽取的羊水被送到实验室,通过粪便抗原检测评估 感染情况。我们确定了羊水内 的感染率,并评估了 感染与妊娠结局(包括 HG)之间的关系。

2017 年 5 月至 9 月期间,我们纳入了 48 名接受羊膜穿刺术以检测可能的胎儿畸形的孕妇。根据 HG 状态将患者分为两组。两组在 是否存在感染方面存在显著差异。其中,28 名(58.3%)孕妇的羊水粪便抗原检测呈阳性。在羊膜穿刺术中检测到 的孕妇中,HG 发生率(71.4%)明显高于 阴性组(20%)(p<0.001)。

本研究的主要新发现是羊水内可能存在 。我们的数据表明,感染羊水与既往 HG 经历有关。本研究可能对 HG 的检测具有重要意义,并有助于识别可能从未来预防性策略中获益的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a1/7513450/0d48ed456815/yjbm_93_4_487_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a1/7513450/682a0d0b7fe9/yjbm_93_4_487_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a1/7513450/0d48ed456815/yjbm_93_4_487_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a1/7513450/682a0d0b7fe9/yjbm_93_4_487_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30a1/7513450/0d48ed456815/yjbm_93_4_487_g02.jpg

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本文引用的文献

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BJOG. 2022 Jan;129(1):e1-e15. doi: 10.1111/1471-0528.16821. Epub 2021 Oct 24.
2
A meta-analysis of the association between Helicobacter pylori (H. pylori) infection and hyperemesis gravidarum.一项关于幽门螺杆菌(H. pylori)感染与妊娠剧吐之间关联的荟萃分析。
Helicobacter. 2018 Feb;23(1). doi: 10.1111/hel.12455. Epub 2017 Nov 26.
3
Helicobacter pylori colonization and pregnancies complicated by preeclampsia, spontaneous prematurity, and small for gestational age birth.
幽门螺杆菌定植与并发子痫前期、自然早产和小于胎龄儿出生的妊娠。
Helicobacter. 2017 Apr;22(2). doi: 10.1111/hel.12364. Epub 2016 Oct 27.
4
Diagnostic of Helicobacter pylori infection.幽门螺杆菌感染的诊断。 (注:原英文标题存在语法错误,正确表达应该是Diagnosis of Helicobacter pylori infection )
Helicobacter. 2016 Sep;21 Suppl 1:8-13. doi: 10.1111/hel.12333.
5
Good diagnostic accuracy of a chemiluminescent immunoassay in stool samples for diagnosis of Helicobacter pylori infection in patients with dyspepsia.用于诊断消化不良患者幽门螺杆菌感染的粪便样本化学发光免疫分析法具有良好的诊断准确性。
J Investig Med. 2016 Feb;64(2):388-91. doi: 10.1136/jim-2015-000004.
6
How to perform an amniocentesis.如何进行羊膜穿刺术。
Ultrasound Obstet Gynecol. 2014 Dec;44(6):727-31. doi: 10.1002/uog.14680.
7
Helicobacter pylori infection amongst Arab Israeli women with hyperemesis gravidarum--a prospective, controlled study.患有妊娠剧吐的阿拉伯裔以色列女性幽门螺杆菌感染——一项前瞻性对照研究。
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The utilization of a new immunochromatographic test in detection of Helicobacter pylori antibody from maternal and umbilical cord serum.一种新型免疫层析试验在检测母体和脐带血清中幽门螺杆菌抗体的应用。
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