[1]马鸿雁.淮北市妇幼保健院临产妇血清胱抑素C、视黄醇结合蛋白、总胆汁酸及前白蛋白正常参考范围研究[J].中国计划生育和妇产科,2018,(7):49-51.
 MA Hong-yan.Study on normal reference range of cystatin C, retinol-binding protein, total bile acid and prealbumin in maternal serum in Huaibei Maternal and Child Health Hospital[J].Chinese Journal of Family Planning & Gynecotokology,2018,(7):49-51.
点击复制

淮北市妇幼保健院临产妇血清胱抑素C、视黄醇结合蛋白、总胆汁酸及前白蛋白正常参考范围研究
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年7期
页码:
49-51
栏目:
论著与临床
出版日期:
2018-07-25

文章信息/Info

Title:
Study on normal reference range of cystatin C, retinol-binding protein, total bile acid and prealbumin in maternal serum in Huaibei Maternal and Child Health Hospital
作者:
马鸿雁
淮北市妇幼保健院检验科
Author(s):
MA Hong-yan
Laboratory,Huaibei Maternal and Child Health Hospital,Huaibei Anhui 235000,P.R.China
关键词:
临产妇胱抑素C视黄醇结合蛋白总胆汁酸前白蛋白
Keywords:
parturient womancystatin C retinol binding proteintotal bile acidprealbumin
分类号:
R 714244
摘要:
目的探讨临产孕妇血清中胱抑素C(cystatin c,Cys-C)、视黄醇结合蛋白(retinol-binding protein ,RBP)、总胆汁酸(total bile acid ,TBA)及前白蛋白(prealbumin,PA)变化与妊娠晚期的相关性以及确定其生化指标正常参考值的范围。方法选取2015年5~7月淮北市妇幼保健院248例健康临产孕妇为研究组,同期100例健康育龄期非妊娠女性为对照组,分别检测两组患者血清中Cys-C、RBP、TBA及PA。结果研究组血清中TBA、Cys-C高于对照组,RBP、PA低于对照组,差异均有统计学意义(P<005)。确定本院临产妇生化指标正常参考值范围为Cys-C(075~135 mg/L)、RBP(216~502 mg/L)、TBA(2~16 umol/L),PA(200~310 mg/L)。结论临产妇的消化系统、内分泌系统及泌尿生殖系统发生一系列变化及胎儿生长发育所需的营养物质增多,导致母体内代谢发生变化,以致上述生化指标发生一系列生理性改变。确定临产妇生化指标的正常参考范围,有利于产科医生对临产妇各项生化指标做出正确判断,区别临产妇正常妊娠和病理妊娠,为产妇及胎儿的安全提供更好的保障。
Abstract:
ObjectiveTo investigate the pregnant women serum cystatin C(Cys-C), retinol binding protein(RBP), total bile acid(TBA) and prealbumin(PA) changes and correlation with late pregnancy, and determine the range of normal reference value of the biochemical indexes. Methods248 healthy pregnant women in labor from May to July 2015 in Huaibei Maternal and Child Health Hospital were selected as the study group and 100 healthy non pregnant women of childbearing age were selected as the control group. The levels of Cys-C, RBP, TBA and PA in the serum of the two groups were detected and compared respectively. ResultsThe serum levels of TBA and Cys-C in the study group were significantly higher than those in the control group(P<005). The serum RBP and PA in the study group were significantly lower than those in the control group(P<005).The normal reference values for the biochemical indicators of maternal women in this study ranged from Cys-C(0.75~1.35 mg/L), RBP(21.6~50.2 mg/L), TBA(2~16 umol/L), and PA(200~310 mg/L).Conclusion A series of changes in the digestive system, endocrine system and urogenital system of maternal women and the increase of nutrients required for fetal growth and development lead to changes in metabolism in the mother's body, resulting in a series of physiological changes in the above biochemical indicators. Determining the normal reference range of maternal biochemical indicators is conducive to the obstetrician making correct judgments on the maternal biochemical indicators, distinguishing maternal normal pregnancy and pathological pregnancy, and providing better protection for maternal and fetal safety.

参考文献/References:

[1]杨春杰,隋晓婵,曹贵文,等.血清视黄醇结合蛋白、胱抑素C联合检测在妊娠期糖尿病早期肾病诊断中的价值 [J].中国妇幼保健,2015,30(2):205-206. [2]孙晓霞,袁丽莉,王一,等.妊娠期妇女常用生化指标的结果与正常参考值范围的分析 [J].中国煤炭工业医学杂志,2014,17(6):901-903. [3]韩静,黄丽萍,陈春秀,等.肾病综合征型妊娠期高血压疾病的诊断与治疗 [J].临床和实验医学杂志,2008,7(1):142-143. [4]袁小松,周慧娜,魏梓雯,等.血清视黄醇结合蛋白和C反应蛋白对妊娠期糖尿病的早期预测价值 [J].中国妇幼保健,2015,30(11):1771-1773. [5]衡旭民.妊娠期血清总胆汁酸测定的临床意义 [J].国际检验医学杂志,2016,37(5):663-664. [6]BOLDT J. Use of albumin: an update [J]. British Journal of Anaesthesia, 2010, 104(3): 276-284. [7]周国超(综述),杨大刚(审校).低蛋白血症的研究进展 [J].贵州医药,2015,40(3):279-281. [8]王泓,江咏梅,石华,等.正常孕妇肝功能指标的序贯性研究 [J].华西医学,2009,24(3): 704- 707.

相似文献/References:

[1]侯卫萍,程兰,黄立,等.血清胱抑素C在妊娠期高血压疾病中的应用[J].中国计划生育和妇产科,2011,(06):0.
 HOU Wei-ping,CHENG Lan,HUANG Li.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(7):0.

更新日期/Last Update: 2018-07-25