首页|血清白细胞介素-8在复发性流产妊娠孕妇中的表达及临床意义

血清白细胞介素-8在复发性流产妊娠孕妇中的表达及临床意义

扫码查看
目的 观察血清白细胞介素-8(IL-8)在复发性流产(RSA)妊娠孕妇中的表达,并探讨IL-8水平与再次流产的关系.方法 本研究为前瞻性分析,纳入2020年1月—2022年12月于杭州市临平区第一人民医院妇产科就诊的70例RSA妊娠孕妇作为研究组,另取同期本院建卡的70例正常妊娠孕妇作为对照组,随访孕妇至妊娠结束.检测所有孕妇血清IL-8水平,根据IL-8水平中位数将研究组分为高IL-8组和低IL-8组,比较高IL-8组和低IL-8组RSA妊娠孕妇再次流产发生率,比较再次流产孕妇与未流产孕妇血清IL-8水平,点二列相关性检验血清IL-8水平与RSA妊娠孕妇再次流产的关系,logistic回归分析检验影响RSA妊娠孕妇再次流产的危险因素,受试者工作(ROC)曲线分析检验血清IL-8水平对RSA妊娠孕妇再次流产的预测价值.结果 研究组孕妇血清IL-8水平显著高于对照组,差异有统计学意义(P<0.05).研究组孕妇血清IL-8水平中位数为154.74 pg/ml,据此将孕妇分为高IL-8组(血清IL-8水平≥154.74 pg/ml)和低IL-8组(血清IL-8水平<154.74 pg/ml),各35例RSA妊娠孕妇.随访结果显示,高IL-8组流产率为54.29%,高于低IL-8组的28.57%,差异有统计学意义(P<0.05).经点二列相关性分析,血清IL-8水平与RSA妊娠孕妇再次流产成正相关(r=0.426,P<0.001).经logistic回归检验,血清IL-8水平≥157.74 pg/ml是RSA妊娠孕妇再次流产的危险因素(OR=2.969,P<0.05).经ROC曲线分析,血清IL-8水平对RSA妊娠孕妇再次流产有一定预测价值(AUC=0.737,P=0.001).结论 IL-8可能参与了 RSA的病理过程,血清IL-8高表达在RSA妊娠孕妇再次流产的过程中发挥重要作用,检测血清IL-8水平能预测RSA孕妇再次流产发生状况.
Expression and clinical significance of serum interleukin-8 in pregnant women with recurrent spontaneous abortion
Objective This study aims to observe the expression of serum interleukin-8(IL-8)in pregnant women with recurrent spontaneous abortion(RSA),and to explore the relationship between IL-8 level and recurrent abortion.Methods This study was a prospective analysis.70 pregnant women with RSA who were hospitalized in the First People's Hospital of Linping District,Hangzhou from January 2020 to December 2022 were collected as the study group,and 70 normal pregnant women who were registered in our hospital during the same period as the control group.The pregnant women were followed up till the end of pregnancy.All pregnant women underwent the test of serum IL-8 level,and the study group was divided into high IL-8 group and low IL-8 group based on the median IL-8 level.The incidence of recurrent abortion in pregnant women with RSA in high IL-8 group and low IL-8 group was compared,and the serum IL-8 levels of pregnant women with recurrent abortion and non-abortion were compared.The relationship between serum IL-8 level and recurrent abortion in RSA pregnant women was tested by point two column correlation.Logistic regression analysis was used to test the risk factors of recurrent abortion in RSA pregnant women.Receiver operating characteristic(ROC)curve analysis was used to test the predictive value of serum IL-8 level for recurrent abortion in RSA pregnant women.Results The serum IL-8 level of pregnant women in the study group was significantly higher than that in the control group,with the difference statistically signifi-cant(P<0.05).The median serum IL-8 level of pregnant women in the study group was 154.74 pg/ml.According to the median level,pregnant women were divided into high IL-8 group(serum IL-8 level ≥154.74 pg/ml)and low IL-8 group(serum IL-8 level<154.74 pg/ml),with 3 5 RSA pregnant women in each group.The follow-up results showed that the abortion rate in the high IL-8 group was 54.29%,higher than 28.57%in the low IL-8 group,with the difference statistically significant(P<0.05).By point binary correlation analysis,serum IL-8 levels were positively correlated with recurrent abortion in RSA pregnant women(r=0.426,P<0.001).Logistic regression test showed that serum IL-8 level 154.74 pg/ml was a risk factor for recurrent abortion in RSA pregnant women(OR=2.969,P<0.05).ROC curve analysis presented that serum IL-8 levels have certain predictive value for recurrent abortion in RSA pregnant women(AUC=0.737,P=0.001).Conclusion IL-8 may participate in the pathological process of RSA,and the high expression of serum IL-8 plays an important role in the process of recurrent abortion in pregnant women with RSA.Detecting serum IL-8 levels can predict the occurrence of recurrent abortion in pregnant women with RSA.

Recurrent spontaneous abortionInterleukin-8PregnancyPregnant woman

崔洪银、郎晓林、黄嫦嫦

展开 >

杭州市临平区第一人民医院妇科,浙江 310000

复发性流产 白细胞介素-8 妊娠 孕妇

2023

中国卫生检验杂志
中华预防医学会

中国卫生检验杂志

影响因子:0.771
ISSN:1004-8685
年,卷(期):2023.33(23)
  • 18