评价母体血清高敏C反应蛋白与白细胞总数和差异计数的相关性对先兆流产结局的预测作用

Abdelsamie Abdelsamie, Rehab Elsheshtawy, Hazem Abdel Hameed
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引用次数: 0

摘要

流产是一种常见的妊娠并发症,在所有临床确认的妊娠中占15%至20%。在许多情况下,流产的原因无法确定;然而,在公认的流产危险因素中,母亲年龄超过34岁,父亲年龄超过40岁,既往有两次或两次以上流产史,以及母亲自身免疫因素。研究目的:评价产妇血清白细胞计数和高敏c反应蛋白(HSCRP)在预测先兆自然流产的自然妊娠中的自然流产。研究对象和方法:将100名孕妇分为两组:先兆流产组和对照组。结果:实验组患者白细胞、中性粒细胞、单核细胞和淋巴细胞的平均值明显升高。比较各组患者血清高敏CRP水平,实验组血清高敏CRP均值显著高于对照组。结论:目前的研究表明,血清总白细胞计数和差异白细胞计数水平的升高以及血清高敏CRP水平的升高是早期妊娠先兆流产的可能机制
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Evaluation of the role of maternal serum high sensitivity C- reactive protein correlation with total and differential leucocytic count in predicting outcome in threatened abortion
Introduction: Miscarriage is a common complication of pregnancy occurring in 15% to 20% of all clinically recognized pregnancies. In many cases, the cause of miscarriage cannot be identified; however, among the recognized risk factors of miscarriage are maternal age over 34 years and paternal age over 40 years, previous history of two or more miscarriages, and maternal autoimmune factors. Aim of the study: Maternal serum differential leucocytic count and high-sensitivity C-reactive protein (HSCRP) were evaluated in predicting spontaneous abortion in spontaneous pregnancies presenting with threatened spontaneous abortion. Subjects and methods: 100 pregnant women were divided into two equal groups: the threatened abortion group and the control group. Results: The mean values of WBCs, neutrophils, monocytes, and lymphocytes were significantly higher in the study group. Comparing the level of High sensitivity CRP among the studied groups showed the higher significant mean values of the high sensitivity- CRP in the sera of the study group than in the control group. Conclusion: The current study recommends that increased serum levels of total and differential leucocytic count and serum levels of High sensitivity- CRP are the possible mechanisms involved in the first trimester threatened miscarriage
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