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[胎盘酶、妊娠内分泌参数及胎盘灌注在宫内生长受限病例中的价值]

[Value of placental enzymes, endocrinologic parameters of pregnancy and placental perfusion in cases of intrauterine growth retardation].

作者信息

Doszpod J, Török M, Csákány M G, Prievara F, Gátai K, Tanka D, Gáti I

出版信息

Zentralbl Gynakol. 1986;108(2):84-9.

PMID:3953182
Abstract

The serum HCS concentration and urine estriol (E3) content was determined just before delivery in mature but intrauterine retarded and mature eutrophic cases. The hormonal parameters and the placental perfusion index (PPI) were determined in each case parallel. The mitochondrial glutamate dehydrogenase (GLDH) and the glycolytic lactate dehydrogenase (LDH) activity in the placentas were determined immediately after the placentas were born. Among the cases in which intrauterine retarded newborns were born the half of the women had gestosis during their pregnancy and the half had not any problem. It has been found that serum HCS concentration and urine E3 content were significantly lower in the pathologic groups compared to the control. The placental LDH activity significantly increased in both of the dysmature groups. The GLDH activity was normal in the toxemic cases but decreased significantly in the cases where the newborns were dysmature and the mother had no toxemia. There was a correlation between the serum HCS concentration and placental GLDH activity in non-toxemic cases. The perfusion was significantly lower in the toxemic cases only. At the same time there was no correlation between the placental perfusion and endocrine parameters or enzyme activities in both of the pathologic groups.

摘要

在成熟但宫内发育迟缓及成熟营养良好的病例分娩前测定血清人绒毛膜促性腺激素(HCS)浓度和尿雌三醇(E3)含量。同时测定各病例的激素参数及胎盘灌注指数(PPI)。胎盘娩出后立即测定胎盘中的线粒体谷氨酸脱氢酶(GLDH)和糖酵解乳酸脱氢酶(LDH)活性。在分娩出宫内发育迟缓新生儿的病例中,一半女性孕期有妊娠中毒症,另一半无任何问题。结果发现,与对照组相比,病理组的血清HCS浓度和尿E3含量显著降低。两个发育不成熟组的胎盘LDH活性均显著升高。妊娠中毒症病例的GLDH活性正常,但新生儿发育不成熟且母亲无妊娠中毒症的病例中GLDH活性显著降低。非妊娠中毒症病例的血清HCS浓度与胎盘GLDH活性之间存在相关性。仅妊娠中毒症病例的灌注显著降低。同时,两个病理组的胎盘灌注与内分泌参数或酶活性之间均无相关性。

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