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同时使用肿瘤坏死因子、血脂谱和β-人绒毛膜促性腺激素作为子痫前期严重程度的标志物。

Simultaneous use of Tumor Necrosis Factor, Lipid Profile, and β-hCG As Markers of Severity of Preeclampsia.

作者信息

Elazab Reham, Alkhiary Mostafa, Bedairi Mohamed, Wageh Alaa

机构信息

Resident of Obstetrics and Gynecology, Mansoura General Hospital, Mansoura, Egypt.

Obstetrics and Gynecology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

出版信息

J Obstet Gynaecol India. 2022 Aug;72(Suppl 1):83-88. doi: 10.1007/s13224-021-01556-0. Epub 2021 Sep 24.

DOI:10.1007/s13224-021-01556-0
PMID:35928084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9343506/
Abstract

OBJECTIVE

Tumor necrosis factor, Lipid Profile, and β-hCG are markers that proved to be changed with preeclampsia. We aim to study their combined use as predictors of the severity of preeclampsia.

METHODS

A case-control study was conducted in our University Hospitals on pregnant women complicated by mild or severe PE and healthy normal pregnant women as a control group. Samples of these markers were taken at a gestational age between 28 and 36 weeks.

RESULTS

A total number of 90 pregnant women were selected. The first group was mild PE (17 cases), the second group was severe PE (28 cases), and the third group was normal pregnant women (control group 45 cases). There is a statistically significant positive correlation between β-hCG, triglycerides, Cholesterol, LDL, VLDL, and Tumor necrosis factor. These markers correlate with the severity of PE. HDL demonstrates a statistically significant negative correlation with TNF-α and β-hCG.

CONCLUSIONS

There is a strong correlation between the increase of TNF, β-hCG, triglycerides, LDL, and cholesterol in cases of PE. These markers are associated with the severity of PE. These markers can be incorporated into a predictive model for PE.

摘要

目的

肿瘤坏死因子、血脂谱和β-人绒毛膜促性腺激素是已被证明在子痫前期会发生变化的标志物。我们旨在研究它们联合使用作为子痫前期严重程度预测指标的情况。

方法

在我们的大学医院对患有轻度或重度子痫前期的孕妇以及作为对照组的健康正常孕妇进行了一项病例对照研究。在孕28至36周之间采集这些标志物的样本。

结果

共选取了90名孕妇。第一组为轻度子痫前期(17例),第二组为重度子痫前期(28例),第三组为正常孕妇(对照组45例)。β-人绒毛膜促性腺激素、甘油三酯、胆固醇、低密度脂蛋白、极低密度脂蛋白和肿瘤坏死因子之间存在统计学上显著的正相关。这些标志物与子痫前期的严重程度相关。高密度脂蛋白与肿瘤坏死因子-α和β-人绒毛膜促性腺激素呈统计学上显著的负相关。

结论

子痫前期病例中肿瘤坏死因子、β-人绒毛膜促性腺激素、甘油三酯、低密度脂蛋白和胆固醇的升高之间存在强烈相关性。这些标志物与子痫前期的严重程度相关。这些标志物可纳入子痫前期的预测模型。

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本文引用的文献

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A prognostic model to guide decision-making on timing of delivery in late preterm pre-eclampsia: the PEACOCK prospective cohort study.一项用于指导晚期早产儿子痫前期分娩时机决策的预后模型:PEACOCK 前瞻性队列研究。
Health Technol Assess. 2021 May;25(30):1-32. doi: 10.3310/hta25300.
2
Predictive role of neutrophil-to-lymphocyte ratio in preeclampsia: A meta-analysis including 3982 patients.中性粒细胞与淋巴细胞比值对子痫前期的预测作用:一项包含 3982 例患者的荟萃分析。
Pregnancy Hypertens. 2020 Apr;20:111-118. doi: 10.1016/j.preghy.2020.03.009. Epub 2020 Mar 24.
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The role of serum adipokine levels in preeclampsia: A systematic review.血清脂肪因子水平在子痫前期中的作用:系统评价。
Metabolism. 2020 May;106:154172. doi: 10.1016/j.metabol.2020.154172. Epub 2020 Feb 4.
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Role of platelet parameters in early detection and prediction of severity of preeclampsia: A comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia.血小板参数在子痫前期严重程度的早期检测和预测中的作用:埃塞俄比亚提格雷州梅开勒市 Ayder 综合专科医院和 Mekelle 综合医院的对比横断面研究。
PLoS One. 2019 Nov 21;14(11):e0225536. doi: 10.1371/journal.pone.0225536. eCollection 2019.
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Association of MicroRNA-210 and MicroRNA-155 with severity of preeclampsia.miRNA-210 和 miRNA-155 与子痫前期严重程度的关联。
Pregnancy Hypertens. 2019 Jul;17:49-53. doi: 10.1016/j.preghy.2019.05.010. Epub 2019 May 10.
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