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孟加拉国先兆子痫和正常妊娠的血清脂质谱关系。

Relationship of serum lipid profiles in preeclampsia and normal pregnancy, Bangladesh.

机构信息

Department of Obstetrics and Gynaecology, College of Medicine, Jouf University, Sakaka, Kingdom of Saudi Arabia.

出版信息

Afr Health Sci. 2022 Jun;22(2):475-479. doi: 10.4314/ahs.v22i2.55.

DOI:10.4314/ahs.v22i2.55
PMID:36407348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9652639/
Abstract

OBJECTIVE

The purpose of this present study to investigate the lipid profile levels and basal body mass index in preeclampsia and normal pregnancy in Bangladeshi women.

MATERIAL AND METHODS

This case-control study was conducted at Sheba Hospital Kaligonj Bangladesh with 70 participants among 35 normal pregnancy (control) and 35 preeclampsia women (case) were enrolled from August 2018 to July 2019. Blood samples were obtained for analysis of total cholesterol, triglyceride and high-density lipoprotein by enzymatic assays and low-density lipoprotein by using Fried Ewald's formula in between 22-36 weeks of gestation.

RESULTS

This study found the mean age of preeclampsia and normal pregnancy women were 24.71±2.56 and 23.09±2.1 respectively with significant (P= 0.005). Basal body mass index, total cholesterol, triglyceride and low-density lipoprotein significantly higher (P=0.002), (P= 0.000), (P= 0.022) and (P=0.000) in preeclampsia compared to normal pregnancy respectively. While high-density lipoprotein comparatively lower in preeclampsia than normal pregnancy and consider significant as (P=0.037).

CONCLUSION

Abnormal lipid profile and increased body mass index is contributed to the development of preeclampsia. The frequent antenatal monitoring of lipid profiles provides the status which helps to require management and reduces the preeclampsia which enhances maternal and fetal wellbeing and fetal outcome.

摘要

目的

本研究旨在探讨孟加拉国妇女子痫前期和正常妊娠的血脂水平和基础体重指数。

材料和方法

本病例对照研究在孟加拉国 Kaligonj 的 Sheba 医院进行,共有 70 名参与者,其中 35 名正常妊娠(对照组)和 35 名子痫前期妇女(病例组)于 2018 年 8 月至 2019 年 7 月入组。在 22-36 周妊娠期间,采集血样用于分析总胆固醇、甘油三酯和高密度脂蛋白,通过酶法,低密度脂蛋白则通过 Fried Ewald 公式进行分析。

结果

本研究发现,子痫前期和正常妊娠妇女的平均年龄分别为 24.71±2.56 和 23.09±2.1,差异具有统计学意义(P=0.005)。基础体重指数、总胆固醇、甘油三酯和低密度脂蛋白在子痫前期中明显更高(P=0.002)、(P=0.000)、(P=0.022)和(P=0.000),而高密度脂蛋白在子痫前期中则较低,差异具有统计学意义(P=0.037)。

结论

异常的血脂谱和体重指数增加是子痫前期发展的原因。频繁的产前血脂谱监测可以提供相关状态,有助于进行管理,从而降低子痫前期的发生,提高母婴健康和胎儿结局。

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本文引用的文献

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BMC Pregnancy Childbirth. 2020 Jan 30;20(1):61. doi: 10.1186/s12884-020-2753-1.
2
Maternal serum lipid in women with preeclampsia in Lagos: a case control study.拉各斯子痫前期女性的母血脂质:一项病例对照研究。
J Matern Fetal Neonatal Med. 2020 Mar;33(5):794-798. doi: 10.1080/14767058.2018.1505851. Epub 2018 Sep 3.
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Comparison of lipid profile parameters and oxidized low-density lipoprotein between normal and preeclamptic pregnancies in a tertiary care hospital in Nepal.尼泊尔一家三级护理医院中正常妊娠与子痫前期妊娠的血脂谱参数及氧化型低密度脂蛋白比较。
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J Obstet Gynaecol Res. 2005 Jun;31(3):277-82. doi: 10.1111/j.1447-0756.2005.00276.x.
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