Department of Obstetrics, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
J Clin Hypertens (Greenwich). 2024 Apr;26(4):374-381. doi: 10.1111/jch.14789. Epub 2024 Mar 2.
This study investigates the expression and significance of urinary protein and coagulation-fibrinolysis indicators in preeclampsia, categorized into mild preeclampsia (109 cases) and severe preeclampsia (97 cases) based on disease severity. Additionally, 110 patients with gestational hypertension (gestational hypertension group) were included for comparative analysis. General information, laboratory indicators, urinary protein, and coagulation-fibrinolysis indicator levels were collected for each group. Significant differences were observed in blood pressure among groups (P < .05), while uric acid, serum creatinine, aspartate transaminase, alanine transaminase, and triglycerides showed no significant differences (P > .05). Total cholesterol, triglycerides, and low-density Lipoprotein levels in severe preeclampsia were higher than those in mild preeclampsia and gestational hypertension groups, whereas high-density lipoprotein, albumin, and platelet levels were lower in severe preeclampsia. No significant differences were observed in prothrombin time or D-dimer levels among groups (P > .05). Urinary protein, urinary protein quantification, activated partial thromboplastin time, thrombin time, and fibrinogen were identified as influencing factors for adverse maternal and infant outcomes in severe preeclampsia patients. The study concludes that urinary protein and coagulation-fibrinolysis indicators are elevated in preeclampsia, particularly in severe preeclampsia cases, suggesting their potential use as diagnostic influencing factors for severe preeclampsia.
本研究探讨了尿蛋白和凝血-纤溶指标在子痫前期中的表达及意义,根据疾病严重程度将其分为轻度子痫前期(109 例)和重度子痫前期(97 例),同时纳入 110 例妊娠高血压患者(妊娠高血压组)进行对比分析。收集各组一般资料、实验室指标、尿蛋白及凝血-纤溶指标水平。各组间血压差异有统计学意义(P<.05),而尿酸、血肌酐、天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、三酰甘油差异无统计学意义(P>.05)。重度子痫前期患者总胆固醇、三酰甘油、低密度脂蛋白水平高于轻度子痫前期及妊娠高血压组,高密度脂蛋白、白蛋白、血小板水平低于轻度子痫前期及妊娠高血压组。各组间凝血酶原时间、D-二聚体水平差异无统计学意义(P>.05)。尿蛋白、尿蛋白定量、活化部分凝血活酶时间、凝血酶时间、纤维蛋白原是重度子痫前期患者不良母婴结局的影响因素。研究表明,子痫前期患者尿蛋白和凝血-纤溶指标升高,尤其是重度子痫前期患者,提示其可能作为重度子痫前期的诊断影响因素。