第一个三个月的系统性免疫炎症指数与孕前有关吗?
Munire Funda Cevher Akdulum1, Erhan Demirdağ1, Seçil İrem Arık1
1Obstetrics and Gynecology, Gazi University, Ankara, TUR.
Cureus
|September 25, 2023
概括
系统性免疫炎症指数 (SII) 在孕前 (PE) 的女性中显著更高. 这一指数在头三个月内计算,显示了预测孕妇怀孕前的潜力.
科学领域:
- 产科和妇科 产科和妇科
- 免疫学 免疫学 免疫学
- 生物标志物 生物标志物
背景情况:
- 孕前 (PE) 是一种常见的妊娠并发症,其特征是全身炎症和氧化应激.
- 孕前的确切病因尚不清楚.
- 早期预测PE对于孕产妇和胎儿健康管理至关重要.
研究的目的:
- 调查系统性免疫炎症指数 (SII) 作为预产前的早期预测剂的潜力.
- 确定第一季度的SII水平是否能够区分发育PE的怀孕和不发育PE的怀孕.
主要方法:
- 一项回顾性研究,涉及130名孕妇 (30名PE,100名对照).
- 系统性免疫-炎症指数 (SII) 用公式计算: (中性质细胞数 × 血小板数) / 淋巴细胞数.
- 人口和临床数据,包括血液图值,从患者记录中收集.
主要成果:
- 在PE组和对照组之间观察到SII水平的统计学上显著差异 (p=0.03).
- 对于PE预测的确定SII截止值为836.83,曲线下的面积为0.635.
- 预测性表现显示灵敏度为0.40和特异性为0.60.
结论:
- 系统性免疫炎症指数 (SII) 在患有孕前的女性中显著升高.
- 第一个三个月的SII测量显示了潜在的预测前的预测标志物.
- 将SII与患者病史和其他风险因素结合起来,可能会提高预测准确度,因为它的敏感性和特异性适度.
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