Dai L T
Changzheng Hospital, Second Military Medical University, Shanghai.
Zhonghua Fu Chan Ke Za Zhi. 1993 Jun;28(6):324-7, 379.
To study the relationship between somatostatin (SS), atrial natriuretic peptide (ANP), beta-endorphin (beta-EP), aldosterone (Aldo) and pregnancy induced hypertension (PIH), blood was collected from 69 cases, including non-pregnant women, normal pregnant women, patients with PIH and their newborns (umbilical arteries) and plasma levels of ANP, SS, beta-EP, Aldo were measured by radioimmunoassay. Results indicated that ANP, SS beta-EP and Aldo levels either during normal pregnancy or at delivery were significantly higher than those in non-pregnant women. ANP, SS and beta-EP levels in last trimester of patients with PIH, particular in severe cases, were significantly higher than those in normal pregnancy or moderate PIH whereas Aldo levels were lower in PIH when compared with normal pregnancy. A positive correlation between ANP, SS levels and the severity of PIH was observed. Levels of ANP, SS, beta-EP and Aldo in newborns were higher than those in mothers at delivery. Levels of ANP and SS in neonates born to mother of PIH were much higher, whereas beta-EP and Aldo were lower as compared with normal pregnancy. The conclusion is that high levels of ANP and Aldo during pregnancy may play an important role in stabilizing blood pressure and maintaining the balance of water and electrolyte. Therefore it could be used as an index for prediction of PIH.
为研究生长抑素(SS)、心房利钠肽(ANP)、β-内啡肽(β-EP)、醛固酮(Aldo)与妊娠高血压综合征(PIH)之间的关系,收集了69例受试者的血液,包括非孕妇、正常孕妇、PIH患者及其新生儿(脐动脉),采用放射免疫分析法测定血浆中ANP、SS、β-EP、Aldo的水平。结果表明,正常妊娠期间或分娩时ANP、SS、β-EP和Aldo水平均显著高于非孕妇。PIH患者妊娠晚期,尤其是重度患者,ANP、SS和β-EP水平显著高于正常妊娠或中度PIH患者,而PIH患者的Aldo水平低于正常妊娠患者。观察到ANP、SS水平与PIH严重程度呈正相关。新生儿ANP、SS、β-EP和Aldo水平高于分娩时的母亲。PIH母亲所生新生儿的ANP和SS水平更高,而β-EP和Aldo水平低于正常妊娠。结论是,孕期高水平的ANP和Aldo可能在稳定血压和维持水盐平衡中起重要作用。因此,它可作为预测PIH的指标。