Bawdon R E, Davis L L
Department of Obstetrics and Gynecology, University of Texas Health Science Center, Dallas.
Gynecol Obstet Invest. 1988;25(1):38-41. doi: 10.1159/000293743.
Decreases in plasma fibronectin levels following surgery and subsequent to trauma and sepsis have been previously reported. There have been no reports, however, regarding plasma fibronectin levels following cesarean section. Plasma fibronectin levels were followed for 3 days postpartum in 49 patients including cesarean section control patients, patients with cephalopelvic disproportion, pregnancy-induced hypertension, and endometritis. Cesarean section and cephalopelvic disproportion were not associated with a change in postpartum fibronectin levels. Pregnancy-induced hypertension and endometritis did show a significant increase (p less than 0.05) in plasma fibronectin levels. These levels are probably not decreased because of the large fibronectin pool in these otherwise healthy women.
先前已有报道称，手术、创伤及脓毒症后血浆纤连蛋白水平会降低。然而，尚无关于剖宫产术后血浆纤连蛋白水平的报道。对49例患者产后3天的血浆纤连蛋白水平进行了跟踪，这些患者包括剖宫产对照组患者、头盆不称患者、妊娠高血压患者及子宫内膜炎患者。剖宫产及头盆不称与产后纤连蛋白水平变化无关。妊娠高血压和子宫内膜炎患者的血浆纤连蛋白水平确实出现了显著升高（p<0.05）。在这些原本健康的女性中，这些水平可能不会因纤连蛋白储备量大而降低。
