中国输血杂志2023，Vol.36Issue(11)：1004-1008,5.DOI:10.13303/j.cjbt.issn.1004-549x.2023.11.007
IgG抗-AB对血型抗体效价与胎儿新生儿溶血病患儿血清总胆红素相关性分析的影响
Effect of IgG anti AB antibody on the correlation analysis between the titer of blood group antibodies and total bili-rubin in serum of newborns with hemolytic disease
摘要
Abstract
Objective To investigate the correlation be-tween the titer of anti-A or anti-B antibodies before and after the absorption of IgG anti-AB antibodies in the serum of type O mothers with ABO hemolytic disease of fetus and newborn(ABO-HDFN)and the total bilirubin in the serum of the children.Methods Serum samples from 119 children diagnosed with ABO-HDFN and their mothers sent to the Beijing Red Cross Blood Center from January to December 2020 were selected,and clinical data of the children were collected.Three hemolysis tests and serum total bilirubin(TBIL)determination were con-ducted on the children.IgG anti-A or anti-B antibody titers were tested before and after the mother's serum absorbed IgG an-ti-AB antibodies.Statistical analysis was conducted on the IgG antibody titers and the TBIL results of the children.The differ-ences in TBIL results corresponding to different IgG antibody titers were compared.The Spearman test was used to analyze the correlation between the IgG anti-A or-B antibody titers and TBIL results before and after the absorption of IgG anti-AB anti-bodies.Results There were differences in the TBIL results corresponding to IgG anti-A or anti-B titers at different levels in the serum of type O mothers after absorption by IgG anti-AB antibodies(F=8.401,19.622,P＜0.05).There was no signifi-cant correlation between the IgG anti-A or anti-B titers of maternal serum before absorption by IgG anti-AB antibodies and neonatal TBIL results(r=0.181,0.248,P＞0.05).The IgG anti-A or anti-B titers of maternal serum absorbed by IgG anti-AB antibodies were positively correlated with neonatal TBIL results(r=0.487,0.629,P＜0.05).Conclusion There is a positive correlation between the titer of IgG anti-A or anti-B antibodies in the serum of type O mothers after absorbing IgG an-ti-AB antibodies and the TBIL results of ABO-HDFN children.The trend of increased total bilirubin in newborn serum ban be accurately predicted by detecting the titer level of IgG anti-A or anti-B antibodies in the serum of mothers after absorbing IgG anti-AB antibodies.关键词
IgG抗-AB/ABO血型不合/胎儿新生儿溶血病/高胆红素血症Key words
IgG anti-AB antibody/ABO blood group incompatibility/hemolytic disease of fetus and newborn(HDFN)/hyperbilirubinemia分类
临床医学引用本文复制引用
张怡,程晨,陈怡静,骆群,卓海龙..IgG抗-AB对血型抗体效价与胎儿新生儿溶血病患儿血清总胆红素相关性分析的影响[J].中国输血杂志,2023,36(11):1004-1008,5.基金项目
北京市科技计划项目(Z181100001718213) （Z181100001718213）
