孕妇血清学指标监测对子痫前期的诊断价值

Application of serological indexes monitoring in diagnosis of preeclampsia

  • 摘要: 目的 探讨中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)及血小板计数(PLT)对子痫前期(PE)的诊断价值。 方法 回顾性分析在医院正规建卡并于孕晚期确诊为PE的137例孕妇(实验组)以及同期正规建卡的130例健康孕妇(对照组)的临床资料,比较2组孕妇的PLR、NLR及PLT。 结果 实验组NLR水平高于对照组, PLR水平低于对照组,差异有统计学意义(P<0.05); 重度PE组PLT及PLR水平低于轻度PE组, NLR水平高于轻度PE组,差异均有统计学意义(P<0.05)。Logistic回归分析显示, PLR及NLR是PE发生的独立预测因素(P<0.001); NLR与发现血压升高至终止妊娠时间呈负相关(r=-0.173, P=0.043), PLT与发现血压升高至终止妊娠时间呈正相关(r=0.241, P=0.005)。 结论 监测孕期NLR、PLR及PLT水平变化可预测PE的发生和进展。

     

    Abstract: Objective To analyze the value of neutrophils to lymphocytes(NLR)ratio, platelets to lymphocytes(PLR)ratio and platelet count(PLT)in diagnosis of preeclampsia(PE). Methods The clinical data of 137 pregnant women(experimental group)who were formally established cards in our hospital and diagnosed as PE in the late pregnancy and 130 healthy pregnant women(control group)who were formally established cards in the same period was analyzed retrospectively. PLR, NLR and PLT were compared between the experimental group and the control group. Results The level of NLR in the experimental group was significantly higher than that in the control group, the level of PLR was significantly lower than that in the control group(P<0.05); the levels of PLT and PLR in the severe PE group were significantly lower, and the level of NLR was significantly higher than that in the mild PE group(P<0.05). Logistic regression analysis showed that PLR and NLR were independent predictors of PE(P<0.001). The time from onset of high blood pressure to termination of pregnancy were negatively correlated with NLR(r=-0.173, P=0.043), and positively correlated with PLT(r=0.241, P=0.005). Conclusion The occurrence and progress of PE can be predicted by monitoring the changes of NLR, PLR and PLT during pregnancy.

     

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