Sedef NARİN TONGAL, İlksin Pişkin, Cumhur Aydemi̇r, İ. Arikan, Murat Can
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摘要

目的:认为不对称二甲基精氨酸(ADMA)水平在子痫前期孕妇中明显高于健康孕妇,ADMA升高发生在子痫前期临床症状出现之前,ADMA在子痫前期的发病机制中发挥作用。本研究旨在探讨健康孕妇和子痫前期孕妇及其婴儿胎盘样本中血清ADMA、总亚硝酸盐和硝酸盐(NOx)、精氨酸和总抗氧化能力(TAC)及水平是否与子痫前期有关,这些标志物能否提前检测到子痫前期,以及能否预防母婴可能出现的问题。材料与方法:将随访的62例妊娠妇女及其婴儿分为两组;子痫前期孕妇及婴儿31例(第一组),构成患者组;无子痫前期孕妇及婴儿31例(第二组),作为对照组。从母亲出生前、分娩时的脐带、出生后24小时的婴儿身上采集血液样本,并从每位孕妇身上采集胎盘样本,以在研究中进行评估。本研究对诊断为子痫前期和未诊断为子痫前期母亲的年龄、体重、初始妊娠状态、妊娠期、收缩压和舒张压水平,以及新生儿出生体重、性别、治疗过程中出现的问题和并发症、临床和实验室性质、预后、ADMA、精氨酸、NOx和TAC水平进行检测。结果:影响预后的产前因素两组比较差异无统计学意义。血药浓度比较,子痫前期组ADMA水平显著升高(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preeklamptik Anne ve Bebeklerinde Asimetrik Dimetil Arjinin ve Oksidan/Antioksidan Düzeyi
Aim: It is thought that asymmetric dimethyl arginine(ADMA) level is significantly higher in pregnant women with preeclampsia compared to healthy pregnant women, ADMA elevation develops before the clinical signs of preeclampsia, and ADMA plays a role in the pathogenesis of preeclampsia. In this study, it was aimed to investigate whether serum ADMA, total nitrite and nitrate (NOx), arginine and total antioxidant capacity (TAC) and levels in placenta samples taken from healthy and preeclamptic pregnant women and their babies are associated with preeclampsia, whether preeclampsia can be detected beforehand with these markers, and whether possible problems that may develop in the mother and baby can be prevented as a result. Material and Methods: 62 pregnant women and their babies who were followed up in Zonguldak Bülent Ecevit University obstetrics service are divided two groups; 31 preeclamptic pregnant and babies (Group I), formed Patient group; 31 pregnant and babies without preeclampsia (Group II), formed Control Group. Blood samples were obtained from mothers before birth, from the cord during birth, from babies in first 24 hours after birth and placenta samples were obtained from each pregnant to evaluate in the study. Age, weight, initial pregnancy state, pregnancy period, systolic and diastolic blood pressure levels of mothers with and without pre-eclampsia diagnosis, while birth weights, genders, problems and complications during treatment process, clinic and laboratory properties, prognosis, ADMA, arginine, NOx and TAC levels of babies were examined in this study. Results: There was no significant difference between two groups about antenatal factors that effect on prognosis. In the comparison of blood values, ADMA level of preeclamptic group was significantly higher (p
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