检验医学 ›› 2014, Vol. 29 ›› Issue (11): 1112-1114.DOI: 10.3969/j.issn.1673-8640.2014.11.008

• 妇儿检验专题 • 上一篇    下一篇

纤维蛋白原水平与先兆子痫发生的相关性分析

孙黎,俞琼琰,陈英,李大帅,俞菁,龚波   

  1. 上海市长宁区妇幼保健院检验科,上海 200051
  • 收稿日期:2014-04-18 出版日期:2014-11-01 发布日期:2014-11-28
  • 作者简介:孙黎,女,1970年生,主管技师,主要从事妊娠相关疾病的实验室标志物研究。

The correlation analysis between fibrinogen and preeclampsia

SUN Li, YU Qiongyan, CHEN Ying, LI Dashuai, YU Jing, GONG Bo   

  1. Department of Clinical Laboratory, Shanghai Changning Maternity and Infant Health Hospital, Shanghai 200051, China
  • Received:2014-04-18 Online:2014-11-01 Published:2014-11-28
  • Contact: 龚波,联系电话:021-62288686-3317。

摘要:

目的 研究纤维蛋白原在先兆子痫发病机制中的作用及其临床意义。方法 回顾性分析了85例正常孕妇、47例轻度先兆子痫、27例重度子痫患者和55名健康未孕女性的血浆纤维蛋白原水平。采用受试者工作特征(ROC)曲线分析纤维蛋白原水平对先兆子痫的预测价值、以Pearson法分析纤维蛋白原水平与先兆子痫发生时间的关系。结果 先兆子痫患者血浆纤维蛋白原水平较正常孕妇和未孕健康女性增高(P<0.01)。血浆纤维蛋白原预测轻度先兆子痫和重度先兆子痫的曲线下面积(95%可信区间)分别为0.70(0.62~0.78)和0.70(0.58~0.82)。血浆纤维蛋白原水平与发生先兆子痫的孕周呈负相关(R=-0.33,P<0.01)。结论 血浆纤维蛋白原水平对预测先兆子痫具有一定的帮助。

关键词: 先兆子痫, 纤维蛋白原, 妊娠

Abstract:

Objective To investigate the pathogenetic role and clinical significance of fibrinogen in preeclampsia. Methods The medical records of 85 healthy pregnant women, 47 mild preeclampsia pregnant patients, 27 severe preeclampsia pregnant patients and 55 healthy women without pregnancy reviewed retrospectively. The predictive value of fibrinogen levels was assessed by receiver operating characteristic (ROC) curve. Pearson method was used to analyze the correlation between fibrinogen and the time of preeclampsia onset. Results Preeclampsia pregnant patients had higher plasma fibrinogen, compared with either healthy pregnant women or healthy women without pregnancy (P<0.01). The areas under ROC curve of fibrinogen for mild and severe preeclampsia [95% confidence interval (CI)]were 0.70 (0.62-0.78) and 0.70 (0.58-0.82). Negative correlation was observed between plasma fibrinogen and the time of preeclampsia onset (R=-0.33,P<0.01). Conclusions Plasma fibrinogen is helpful for preeclampsia prediction.

Key words: Preeclampsia, Fibrinogen, Pregnancy

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