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孕妇外周血胎儿有核红细胞计数变化及其在不良妊娠结局预测中的应用

刘丽平 水丽君 龚瑞龙 曹江霞 黄秋香 张元珍

山东医药Issue(43):34-35,36,3.
山东医药Issue(43):34-35,36,3.DOI:10.3969/j.issn.1002-266X.2015.43.012

孕妇外周血胎儿有核红细胞计数变化及其在不良妊娠结局预测中的应用

Fetus nucleated red blood cell count changes in peripheral blood of pregnant women and its application in prediction of adverse pregnancy outcomes

刘丽平 1水丽君 2龚瑞龙 1曹江霞 1黄秋香 1张元珍3

作者信息

  • 1. 武汉市妇女儿童医疗保健中心,武汉430016
  • 2. 安徽医科大学第二附属医院
  • 3. 武汉大学中南医院
  • 折叠

摘要

Abstract

Objective To observe the fetus nucleated red blood cell ( NRBC) count changes in the peripheral blood of pregnant women and to investigate its application in prediction of adverse pregnancy outcomes. Methods Blood samples were obtained from 87 pregnant women with the gestational age from 12 to 18 weeks, peripheral blood mononuclear cells were isolated by density gradient centrifugation and then we analyzed the cells marked with PE-GPA/FITC-CD71 mono-clonal antibodies on the flow cytometer. Tracking the pregnancy outcomes, and their correlation between fetus nucleated red blood cell measurement and adverse pregnancy outcomes was analyzed. Results The percentage of fetus NRBC in women with normal pregnancy outcomes was 0. 89% ± 0. 81%, 3. 25% ± 2. 98% in women with adverse pregnancy outcomes, and there was a significant difference between these two groups(P<0. 05). We took fetus NRBC percentage >3. 79% as the cutoff value to predict adverse outcomes of pregnancy, the sensitivity was 76. 9%, and the specificity was 64. 3%. Conclu-sions Compared with women with normal pregnancy outcomes, women with adverse pregnancy outcomes have a higher a-mount of fetus NRBC in the peripheral blood during the gestational age of 12-18 weeks. Measurement of fetus NRBC in ma-ternal peripheral blood has a predictive role in adverse pregnancy outcomes, with a higher sensitivity and specificity.

关键词

有核红细胞/胎儿有核红细胞/妊娠/孕妇/妊娠结局

Key words

nucleated red blood cells/fetus nucleated red blood cells/pregnancy/pregnant women/pregnancy outcome

分类

医药卫生

引用本文复制引用

刘丽平,水丽君,龚瑞龙,曹江霞,黄秋香,张元珍..孕妇外周血胎儿有核红细胞计数变化及其在不良妊娠结局预测中的应用[J].山东医药,2015,(43):34-35,36,3.

基金项目

湖北省武汉市卫生和计划生育委员会2014年立项课题。 ()

山东医药

OA北大核心CSTPCD

1002-266X

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