高风险的HPV感染和母体甲状腺功能对不良产科结果的影响
C E Condrat1, D Cretoiu1, S R Iacoban2
1"Carol Davila" University of Medicine and Pharmacy, Bucharest.
概括
高风险的人类乳头瘤病毒 (HPV) 与母亲的并发症相结合,增加了剖腹产和早产的风险. 将HPV状况纳入产前护理可能会改善产科结果.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 不良的产科结果与高风险的人类乳头瘤病毒 (HPV),代谢障碍和之前的剖腹产痕有关.
- 这些因素对怀孕的综合影响尚不清楚.
研究的目的:
- 研究高风险HPV和孕产妇并发症对产科结局的综合影响.
- 评估HPV状况,代谢障碍和先前剖腹产痕与剖腹产和早产之间的关联.
主要方法:
- 进行了一项对185例怀孕的回顾性队列研究.
- 进行了高风险HPVDNA测试,甲状腺分析和并发性疾病 (妊娠高血压,妊娠糖尿病,先前剖腹产痕) 的评估.
- 使用多级逻辑回归来分析HPV状态,并发症和产科结局之间的关联,并调整混因素.
主要成果:
- 22.2%的参与者检测出高风险HPV的阳性.
- 剖腹产的几率在HPV阴性并发症妇女中显著更高 (aOR 2.9),在HPV阳性并发症妇女中最高 (aOR 4.3).
- 在HPV和先前剖腹产痕之间显著的相互作用增加了早产风险 (aOR 2.9). 阳性HPV状况与增加的TSH水平有轻微的关联.
结论:
- 高风险的HPV与母亲的并发症结合,与剖腹产和早产的风险增加有关.
- 将HPV状况纳入产前风险评估可能是有益的.
- 需要更大的前性研究来证实这些发现.
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