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Measurement of Amniotic Fluid Erythropoietin (EPO) Concentration in Abnormal Pregnancy and the Its Correlation with Umbilical Vein Serum EPO Levels

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PERINATAL MEDICINE
Issue:
2
DOI:
10.3760/cma.j.issn.1007-9408.2001.02.003
Key Word:
妊娠并发症;高血压;糖尿病;促红细胞生成素;胎儿缺氧

Abstract: 目的检测羊水中促红细胞生成素(EPO)的浓度及脐血中EPO浓度.探讨异常妊娠羊水中EPO浓度与胎儿宫内缺氧的关系. 方法应用化学发光酶标免疫测定法对30例妊娠高血压综合征(简称妊高征)患者,30例妊娠合并糖尿病患者及25例正常妊娠者之剖宫产儿的羊水EPO浓度及脐静脉血清EPO浓度进行定量检测.同时检测脐动脉血(Ua)pH、碱剩余(UaBE)及UapO2等指标. 结果妊高征组,糖尿病组及对照组羊水EPO及脐血EPO浓度实测值的自然对数转换值分别为1.42±0.33与1.63±0.37;1.53±0.25与1.81±0.34;0.91±0.11与1.13±0.14,前两组均高于对照组,差异有非常显著性(P<0.01).三组UapH、UaBE及UapO2分别为7.249±0.049、(-5.1±2.1)mmol/L与(2.00±0.28) kPa(1kPa=7.5 mmHg);7.240±0.068、(-5.3±2.2) mmol/L与(2.04±0.33) kPa;7.272±0.007、(-3.0±1.3) mmol/L与(2.36±0.41) kPa,前两组均低于对照组,差异显著(P<0.05,P<0.01).各组羊水EPO浓度与同组脐血EPO浓度呈显著正相关(r值分别为0.84、0.79及0.64,P<0.01).异常妊娠组LnUVSEPO与UapH及UaBE均呈显著的负相关(r值分别为-0.46与-0.64;-0.68与-0.74 ,P<0.05,P<0.01). 结论羊水EPO浓度可以反映脐血EPO浓度.羊水EPO浓度升高提示胎儿存在慢性缺氧.因此,羊水EPO浓度的检测可以做为产前诊断胎儿有否宫内慢性缺氧的一项指标应用于临床.

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