在狼患者中,第二 (第二) 三季度功能和不良妊娠结果
Anika M Lucas1,2, Cameron Miller1, Amanda Eudy1
1Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Kidney360
|February 14, 2025
概括
怀孕中患有狼的孕妇的第二个三个月功能与不良妊娠结果有关. 这些复杂的关系因结果和狼性炎状况而异.
科学领域:
- 产科和妇科 产科和妇科
- 腎臟病學 (nephrology) 是一種醫學.
- 类风湿病学 类风湿病学
背景情况:
- 产前功能,特别是在第二个三个月,可以预测不良的怀孕结果.
- 系统性红斑狼 (SLE) 会增加怀孕并发症的风险.
- 有限的数据存在于第二个三个月的功能和高风险,多样化的人口的怀孕结果.
研究的目的:
- 评估第二个三个月功能与狼患者怀孕期间不良妊娠结果之间的关联.
- 分析这些关联在多样化,高分娩风险人口中.
主要方法:
- 在北美和欧洲对患有狼的孕妇患者 (1995-2017) 的观察性研究.
- 利用第二个三个月的肌素和估计的球过率 (eGFR) 来建模不良结果.
- 在回归分析中使用分数多项式和eGFR的离散配方.
主要成果:
- 分析了684例狼患者的怀孕情况;超过三分之一的患者经历了不良结果.
- 观察到功能和不良妊娠结果之间的复杂,非线性 (U形和线性) 关系.
- 根据狼性炎的诊断 (活跃或缓解) 与没有炎的关系有所不同.
结论:
- 在患有狼,有或没有狼性炎的孕妇患者中,发现了高比例的不良妊娠结果.
- 确定了第二季度功能和不良妊娠结果之间的复杂关联.
- 这些关联是结果特定的,受狼性炎状态的影响.
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