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早发型子痫前期患者血清microRNA-26b表达及其与胎盘早剥发生的关系

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目的 分析早发型子痫前期患者血清microRNA-26b(miR-26b)表达及其与胎盘早剥发生的关系.方法 选取2019 年 8 月至2022 年 8 月荆州市中心医院收治的 102 例早发型子痫前期患者作为研究对象.检测所有患者miR-26b相对表达量,随访至患者分娩,根据胎盘早剥发生情况分成胎盘早剥组与非胎盘早剥组,分析早发型子痫前期患者血清 miR-26b 表达及其与胎盘早剥发生的关系.结果 随访至产妇分娩,102 例早发型子痫前期患者胎盘早剥发生率为 17.65%(18/102).胎盘早剥组血清miR-26b相对表达量高于非胎盘早剥组(P<0.05).根据确诊疾病时血清miR-26b四分位数将患者分为Q1 组(n =25)、Q2 组(n =27)、Q3 组(n =24)及Q4 组(n =26),Q4 组胎盘早剥发生率高于Q1组、Q2 组及Q3 组(P<0.05).经点二列相关性分析检验,血清miR-26b与早发型子痫前期患者胎盘早剥发生率呈正相关(r =0.458,P<0.05).绘制受试者工作特征(ROC)曲线,血清miR-26b对早发型子痫前期患者胎盘早剥具有中等预测价值,且当血清miR-26b相对表达量为2.465 时,可获得最佳预测价值.结论 早发型子痫前期患者血清miR-26b与胎盘早剥发生有关,检测血清miR-26b相对表达量能为预测胎盘早剥发生提供重要价值.
Serum microRNA-26b expression and its relationship with placental abruption in patients with early-onset preeclampsia
Objective To analyze serum microRNA-26b(miR-26b)expression and its relationship with placental abruption in patients with early-onset preeclampsia.Methods A total of 102 patients with early-onset preeclampsia admitted to Jingzhou Central Hospital from August2019 to August2022 were selected as the study subjects.The relative expression of miR-26b was measured in all patients,followed up until delivery.The relative expression of miR-26b in all patients was detected and followed up until delivery.According to the occurrence of placental abruption,the patients were divided into placental abruption group and non-placental abruption group.The serum miR-26b expression in patients with early-onset preeclampsia and its relationship with placental abruption were analyzed.Results The incidence of placental abruption in 102 patients with early-onset preeclampsia was 17.65%(18/102).The relative expression level of serum miR-26b in placental abruption group was higher than that of non-placental abruption group(P<0.05).According to the quartile of serum miR-26b at the time of diagnosis,patients were divided into Q1 group(n =25),Q2 group(n =27),Q3 group(n =24),and Q4 group(n =26).The incidence of placental abruption in Q4 group was higher than that in Q1 group,Q2 group,and Q3 group(P<0.05).By point binary correlation analysis,serum miR-26b was positively correlated with the incidence of placental abruption in patients with early-onset preeclampsia(r = 0.458,P<0.05).The receiver operating characteristic(ROC)curve of the subjects was drawn.The serum miR-26b had medium predictive value for placental abruption in patients with early-onset preeclampsia,and the best predictive value could be obtained when the relative expression of serum miR-26b was 2.465.Conclusions Serum miR-26b is related to the occurrence of placental abruption in patients with early-onset preeclampsia,and detecting the relative expression level of serum miR-26b can provide important value for predicting placental abruption.

Early-onset preeclampsiaPlacental abruptionMicroRNA-26b

李晖、焦顺、谈海波、王玲、刘荣

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长江大学附属荆州医院(荆州市中心医院)妇产科,湖北 荆州 434020

早发型子痫前期 胎盘早剥 microRNA-26b

湖北省荆州市科技局科研基金资助项目

2017035

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(2)
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