血栓性疾病和胎儿损失:一个元分析
Evelyne Rey1, Susan R Kahn, Michèle David
1Department of Obstetrics and Gynecology, Sainte-Justine Hospital, Quebec, Montreal, Canada. evelyne_rey@ssss.gouv.qc.ca
Lancet (London, England)
|March 22, 2003
概括
血栓ophilia,一个血液凝固障碍,与反复和非反复的胎儿损失有关,这种关联的强度因血栓ophilia类型和胎儿损失的时间而异.
科学领域:
- 生殖医学 生殖医学
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
背景情况:
- 血栓友是造成胎儿损失的一个有争议的危险因素.
- 关联的强度可能取决于胎儿损失的时间和定义.
研究的目的:
- 评估血栓和胎儿损失之间的关联.
- 为了确定这种关联是否因胎儿损失的时间或定义而有所不同.
主要方法:
- 在1975年至2002年间发表的31项研究 (病例控制,队列,横截面) 的元分析.
- 搜索了相关文献的Medline和当前内容.
- 使用随机效应模型生成了聚合赔率比率 (OR).
主要成果:
- 因子V莱登突变与早期和晚期复发的胎儿损失,以及晚期非复发的胎儿损失有关.
- 活性蛋白C抗性,前列血G20210A突变和蛋白S缺乏症与各种类型的胎儿损失有显著的关联.
- 甲基基酸盐突变,蛋白C和抗血素缺乏与胎儿损失没有显著关联.
结论:
- 血栓友病和胎儿损失之间的联系得到证实.
- 这种关联的强度根据特定的血栓形成症和胎儿损失的类型/时间而有很大差异.
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