首页|子宫动脉血流参数、血清IL-6、IFN-γ水平与复发性流产患者妊娠结局的相关性

子宫动脉血流参数、血清IL-6、IFN-γ水平与复发性流产患者妊娠结局的相关性

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目的 探究子宫动脉血流参数[搏动指数(PI)、动脉收缩末期峰值/舒张末期流速(S/D)、阻力指数(RI)]、血清白介素-6(IL-6)、干扰素-γ(IFN-γ)水平与复发性流产患者妊娠结局的相关性.方法 收集2022年1月至2023年4月于医院就诊的147例复发性流产史早孕期女性作为研究组,根据是否发生不良妊娠结局分为不良组、良好组,选取同期74例无流产史的妊娠女性作为对照组,比较两组入院时血清IL-6、IFN-γ水平及子宫动脉血流参数,比较不良组、良好组一般资料、血清IL-6、IFN-γ水平及子宫动脉血流参数,采用logistic回归分析影响不良妊娠结局的危险因素,采用Pearson分析相关性.结果 研究组、不良组入院时血清IL-6水平低于对照组、良好组,两组入院时血清IFN-γ水平、RI、PI、S/D值均高于对照组、良好组(P<0.05);良好组孕酮、雌二醇及β人绒毛膜促性腺激素(β-hCG)值均高于不良组(P<0.05);IL-6、IFN-γ水平、RI、PI、S/D、孕酮、雌二醇、β-HCG均为出现不良妊娠事件的危险因素(P<0.05);IL-6与孕酮、雌二醇、β-HCG呈正相关,IFN-γ、RI、PI、S/D与孕酮、雌二醇、β-HCG呈负相关(P<0.05).结论 子宫动脉血流动力学参数、血清IFN-γ、IL-6水平与复发性流产患者妊娠结局存在一定相关性.
Correlation Between Uterine Artery Blood Flow Parameters,Serum IL-6,IFN-γ Levels and Pregnancy Outcomes in Patients with Recurrent Abortion
Objective To investigate the correlation between uterine artery flow parameters[pulse index(PI),peak end-systolic/end-diastolic flow rate(S/D),resistance index(RI)],serum interleukin-6(IL-6)and interferon-γ(IFN-γ)levels and pregnancy outcomes in patients with recurrent abortion.Methods A total of 147 early pregnant women with a history of recurrent abortion who were admitted to the hospital from January 2022 to April 2023 were selected as the study group,and they were divided into bad group and good group based on whether adverse pregnancy outcomes have occurred,and 74 pregnant women without a history of abortion were selected as the control group.Serum levels of IL-6,IFN-γ and uterine artery blood flow parameters were compared between the two groups at admission.The general data,serum IL-6,IFN-γ levels and uterine artery blood flow parameters of bad group and good group were compared,and the risk factors affecting adverse pregnancy outcomes were analyzed by logistic regression and the correlation was analyzed by Pearson.Results The serum IL-6 levels in the study group and the bad group were lower than those in the control group and the good group,and the serum IFN-γ levels,RI,PI and S/D values in the two groups were higher than those in the control group and the good group(P<0.05).The values of progesterone,estradiol and β-human chorionic gonadotropin(β-HCG)in the good group were higher than those in the bad group(P<0.05).IL-6,IFN-γ levels,RI,PI,S/D,progesterone,estradiol and β-HCG were all risk factors for adverse pregnancy events(P<0.05).IL-6 was positively correlated with progesterone,estradiol and β-HCG,while IFN-γ,RI,PI and S/D were negatively correlated with progesterone,estradiol and β-HCG(P<0.05).Conclusion There is a correlation between the parameters of uterine arterial hemodynamics,serum IFN-γ and IL-6 levels and the pregnancy outcome of recurrent abortion patients.

uterine artery blood flow parametersinterleukin-6interferon-γrecurrent abortionpregnancy outcomecorre-lation

邵文嘉、崔金全

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郑州大学第二附属医院妇科一,河南郑州 450000

子宫动脉血流参数 白介素-6 干扰素-γ 复发性流产 妊娠结局 相关性

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(4)
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