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正常与复杂妊娠中的母血甲胎蛋白

Maternal plasma alpha-fetoprotein in normal and complicated pregnancies.

作者信息

Rodeck C H, Campbell S, Biswas S

出版信息

Br J Obstet Gynaecol. 1976 Jan;83(1):24-32. doi: 10.1111/j.1471-0528.1976.tb00725.x.

DOI:10.1111/j.1471-0528.1976.tb00725.x
PMID:56194
Abstract

Plasma alpha-fetoprotein (AFP) has been estimated by radioimmunoassay in healthy non-pregnant adults, some of whom were taking oral contraceptives, and in women with normal and complicated pregnancies. A curve with the 90 per cent range in normal pregnancy was established. The prop&rtion of values below the 5th centile in complicated pregnancies was significantly greater than in uncomplicated pregnancies. However, three-quarters of the estimations in the complicated groups lay within the 90 per cent range. Nor correlation was found between maternal plasma AFP values and the incidence of fetal distress, small-for-dates babies or perinatal mortality. It is concluded that the measurement of maternal plasma AFP is not reliable test for predicting fetal well-being.

摘要

采用放射免疫分析法对健康未孕成年人(其中一些人正在服用口服避孕药)以及正常妊娠和妊娠合并症妇女的血浆甲胎蛋白(AFP)进行了测定。建立了正常妊娠90%范围的曲线。妊娠合并症患者中低于第5百分位数的值的比例显著高于未合并症妊娠者。然而,合并症组四分之三的测定值在90%范围内。未发现母体血浆AFP值与胎儿窘迫、小样儿或围产儿死亡率之间存在相关性。得出结论,测定母体血浆AFP不是预测胎儿健康的可靠试验。

相似文献

1
Maternal plasma alpha-fetoprotein in normal and complicated pregnancies.正常与复杂妊娠中的母血甲胎蛋白
Br J Obstet Gynaecol. 1976 Jan;83(1):24-32. doi: 10.1111/j.1471-0528.1976.tb00725.x.
2
[Alpha-1 fetoprotein in maternal serum (author's transl)].母血清中的甲胎蛋白(作者译)
Geburtshilfe Frauenheilkd. 1975 Mar;35(3):173-6.
3
[Alpha-fetoprotein in clinical pathology].[临床病理学中的甲胎蛋白]
Union Med Can. 1974 Dec;103(12):2123-32.
4
[Alpha-fetoprotein: its significance in the monitoring of "at risk" pregnancies (author's transl)].甲胎蛋白:其在“高危”妊娠监测中的意义(作者译)
Z Geburtshilfe Perinatol. 1975 Oct;179(5):331-8.
5
Alpha-fetoprotein in the management of high-risk pregnancies.甲胎蛋白在高危妊娠管理中的应用
Clin Perinatol. 1974 Sep;1(2):293-300.
6
Prediction of fetal outcome by urinary estriol, maternal serum placental lactogen, and alpha-fetoprotein in diabetes and hepatosis of pregnancy.尿雌三醇、母血胎盘催乳素及甲胎蛋白对妊娠糖尿病和肝病胎儿结局的预测作用
Obstet Gynecol. 1976 Dec;48(6):659-66.
7
Maternal serum alpha-fetoprotein in abnormal pregnancies and during induced abortion.异常妊娠及人工流产时的母血清甲胎蛋白
J Reprod Med. 1977 Aug;19(2):75-8.
8
The significance of raised maternal serum alpha-fetoprotein levels.
Br J Obstet Gynaecol. 1976 Nov;83(11):845-52. doi: 10.1111/j.1471-0528.1976.tb00758.x.
9
[Alpha fetoprotein concentration in the amniotic fluid in normal pregnancy and in pregnancy complicated by fetal anomaly].
Orv Hetil. 1990 Sep 30;131(39):2139-42.
10
Toxemia of pregnancy: assessment of fetal distress by urinary estriol and circulating human placental lactogen and alpha-fetoprotein levels.妊娠毒血症:通过尿雌三醇、循环人胎盘催乳素和甲胎蛋白水平评估胎儿窘迫
Am J Obstet Gynecol. 1976 Dec 15;126(8):1027-33. doi: 10.1016/0002-9378(76)90696-7.

引用本文的文献

1
Association of high maternal blood alpha-fetoprotein level with risk of delivering small for gestational age: a meta-analysis.母亲血液中甲胎蛋白水平升高与小于胎龄儿分娩风险的关联:一项荟萃分析。
Pediatr Res. 2021 May;89(7):1742-1750. doi: 10.1038/s41390-020-01124-8. Epub 2020 Sep 12.
2
Case-control study of severe pre-eclampsia of early onset.早发型重度子痫前期的病例对照研究
Br Med J (Clin Res Ed). 1983 Aug 27;287(6392):580-3. doi: 10.1136/bmj.287.6392.580.
3
Alpha-fetoprotein: a biochemical marker of fetal well-being.甲胎蛋白:胎儿健康的生化标志物。
Indian J Pediatr. 1983 Mar-Apr;50(403):169-75. doi: 10.1007/BF02821438.
4
Maternal serum alpha-fetoprotein screening for neural tube defects. Report of a combined study in Germany and short overview on screening in populations with low birth prevalence of neural tube defects.用于神经管缺陷的母血清甲胎蛋白筛查。德国一项联合研究的报告及神经管缺陷低出生患病率人群筛查的简短概述。
Hum Genet. 1985;69(1):47-61. doi: 10.1007/BF00295529.