Dynamic changes and relationship study on plasma D-dimer, T lymphocyte subsets and C- reactive protein in pregnant women with pregnancy-induced hypertension during perinatal period
Zhong Xiaohong
Clinical laboratory of PLA’s 163 hospital, Changsha Hunan 410003
Abstract:Objective:To explorer the dynamic changes and correlation on plasma D-dimer(D-D), T lymphocyte subsets and C- reactive protein(CRP) in pregnant women with pregnancy-induced hypertension (PIH) during perinatal period. Methods:120 pregnant women with PIH were selected as PIH group, and 60 healthy pregnant women were selected as control group. Plasma D-D, CD3+, CD4+ and CD8+T cell lymphocyte subsets and CRP level were detected before and 3d after delivery, and correlation was analyzed between above indicators. Results:There was no statistical difference on plasma D-D, T lymphocyte subsets and CRP before and 3d after delivery in control group (P>0.05). Before delivery, PIH group’s plasma D-D, CRP and CD4+/CD8+ were all higher than those in control group(P<0.01or P<0.05). 3d after delivery, PIH group’s plasma D-D and CRP were both decreased(P<0.05), and CD4+/CD8+ were increased(P<0.05),yet they were all higher than those in control group(P<0.05). Above indicators in PIH group were analyzed by Pearson correlation, and showed that they were both positive correlation with each other(r D-D-CRP=0.62,r D-D- CD4+/CD8+ =0.47,r CRP-CD4+/CD8+ =0.52,P<0.01). Conclusion:Plasma D-D, T lymphocyte subsets and CRP in pregnant women with PIH during perinatal period is high, and is higher than healthy pregnant women before and after delivery, and there is positive correlation with each other among the indicators, so it suggests PIH’s occurrence and development is complex process involving multiple factors, including the pathological process of immune, inflammatory reaction, vascular endothelial cells’ injury, coagulation / fibrinolytic system imbalance and so on, and it maybe synchronized and is interactional process.
钟晓红. 妊娠高血压综合征孕妇围产期血浆D-二聚体、T淋巴细胞亚群与C-反应蛋白的动态变化及其关系研究[J]. 实用预防医学, 2015, 22(7): 866-868.
Zhong Xiaohong. Dynamic changes and relationship study on plasma D-dimer, T lymphocyte subsets and C- reactive protein in pregnant women with pregnancy-induced hypertension during perinatal period. , 2015, 22(7): 866-868.
[1] 付玉芬.妊娠高血压综合征防治方法对母婴预后的影响[J].国际医药卫生导报,2011,17(18):2263-2265. [2] 马晓红,王立敏,栾韶勇,等.妊娠高血压综合征孕妇小于胎龄儿内分泌因子水平的变化[J].中国小儿急救医学,2012,19(6):615-616. [3] 冯志敏,许文,何一川,等.妊娠高血压综合征患者凝血四项和D-二聚体检测分析[J].中国实用医刊,2011,38(12):41-43. [4] 乐杰. 妇产科学[M].(第7版).北京:人民卫生出版社,2008:236-237. [5] Yamada T, Ishikawa S, Kataoka S, et al. Coagulation/fibrinolysis and laboratory characteristics of pregnant pomen with severely depressed antithrombin activity[J].Hypertens Pregnancy,2013,32(3):235-244. [6] Wang L, Liu ZQ, Huo YQ, et al. Change of hs-CRP, sVCAM-1, NT-proBNP levels in patients with pregnancy-induced hypertension after therapy with magnesium sulfate and nifudipine[J].Asian Pac J Trop Med, 2013,6(11):897-901. [7] 罗颉, 陈慧芳, 师妍.孕妇血浆D-D 浓度与妊娠高血压综合征的相关分析[J].放射免疫学杂志, 2013,26(2):246-247. [8] 孙君重,肖文华,于力. CD4 + T 淋巴细胞功能研究新进展[J].中国实验血液学杂志,2010,18(2):544-548. [9] 罗俭权,杨家城,李竞春,等.妊娠高血压综合征患者的同型半胱氨酸与超敏C反应蛋白检测水平的相关性探讨[J].国际医药卫生导报,2013,19(12):1835-1837. [10] 李三中.妊娠高血压疾病妇女D-二聚体及凝血指标检测的意义[J].国际检验医学杂志,2010,31(4):386-387.