由肝硬化复杂的怀孕的结果:一个回顾性队列研究
Zhangmin Tan1, Peizhen Zhang1, Jin Zhou1
1Departments of Obstetrics and Gynecology, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600 Tianhe Road, Guangzhou, 510630, China.
BMC pregnancy and childbirth
|March 8, 2024
概括
怀孕时肝硬化会增加母亲和婴儿的风险,尤其是早产. 一个新的模型使用妊娠的肝脏内胆固醇和总胆红素水平准确预测早产.
科学领域:
- 产科和妇科 产科和妇科
- 肝病学 肝病学是一种肝病学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 由肝硬化复杂化的怀孕是罕见的,但与不良结果相关.
- 患有肝硬化的妇女在怀孕期间面临更高的风险.
研究的目的:
- 评估肝硬化妇女的怀孕结果.
- 开发一个预测模型,以使用母因子来预测有肝硬化的怀孕中早产的情况.
主要方法:
- 在肝硬化 (n=43) 和非肝硬化 (n=172) 组中对怀孕结果 (2010-2022) 的回顾性分析.
- 逻辑回归和前进阶段逻辑回归用于早产预测.
- 接收器运行特征 (ROC) 曲线和ROC曲线下的面积 (AUC) 用于模型评估.
主要成果:
- 怀孕期间肝硬化发生率为0.06%.
- 患有肝硬化的孕妇有较高的剖腹产,早产 (46.51%),妊娠的肝脏内胆固醇症,血小板减少和产后出血的风险.
- 过早分娩的关键预测因素是怀孕的肝脏内胆固醇和总胆红素,AUC为0.847和81.4%的准确性.
结论:
- 患有肝硬化的孕妇有明显更高的不良产科结果的风险,特别是早产.
- 使用妊娠的肝脏内胆固醇和总胆红素的回归模型可以准确地预测这一群体的早产.
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