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经辅助生殖技术妊娠患者早产的影响因素分析
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作者 粟睿 周璇 +20 位作者 杨殊琳 方晨韵 陈素华 邓东锐 曾万江 刘海意 龚洵 吴媛媛 刘燕燕 肖娟 余俊 何梦舟 李淑芳 王子琢 林星光 乌剑利 王少帅 岳静 靳镭 冯玲 丁文成 《中华产科急救电子杂志》 2024年第3期168-175,共8页
目的探讨经辅助生殖技术(assisted reproductive technology,ART)妊娠患者发生早产的影响因素。方法选取2022年1月至2023年12月期间在华中科技大学同济医学院附属同济医院产科分娩的ART患者369例,其中早产者189例(早产组),足月分娩者180... 目的探讨经辅助生殖技术(assisted reproductive technology,ART)妊娠患者发生早产的影响因素。方法选取2022年1月至2023年12月期间在华中科技大学同济医学院附属同济医院产科分娩的ART患者369例,其中早产者189例(早产组),足月分娩者180例(足月分娩组)。分析两组患者的一般资料、ART相关资料、妊娠期并发症、合并症以及新生儿情况,通过t检验和卡方检验分析两组间差异,通过Logistic回归分析影响早产的独立危险因素。结果早产组与足月分娩组比较,双胎妊娠率(40.7%vs 3.9%,χ^(2)=71.212)、孕前体质指数[(22.78±3.71)kg/m^(2) vs(21.62±3.12)kg/m^(2),t=-2.952]、原发不孕(63.8%vs 35.9%,χ^(2)=21.069)、体外受精(62.1%vs 42.2%,χ^(2)=10.491)、获卵数[(13.94±8.72)个vs(13.54±7.28)个,t=-0.402]、人绒毛膜促性腺激素注射日雌二醇水平[(2906.5±1892.0)pg/ml vs(2598.18±1456.5)pg/ml,t=-1.493]、胎膜早破(9.5%vs 0,χ^(2)=18.022)、妊娠期高血压疾病(16.9%vs 6.1%,χ^(2)=10.484)、宫颈机能不全(6.3%vs 0.6%,χ^(2)=9.105)以及卵巢相关疾病(6.3%vs 1.7%,χ^(2)=5.184)方面的差异均有统计学意义(P<0.05)。多因素Logistic回归分析提示双胎妊娠(OR=25.637,95%CI:8.782~74.844,P<0.001)、妊娠期高血压疾病(OR=2.809,95%CI:1.149~6.865,P<0.05)孕妇发生早产的风险显著增加。结论双胎妊娠、孕前超重和肥胖、原发不孕史、应用体外受精技术、获卵数多、人绒毛膜促性腺激素注射日雌二醇高水平、妊娠期高血压疾病、胎膜早破、宫颈机能不全、卵巢相关疾病均为ART妊娠患者早产的影响因素,其中妊娠期高血压疾病、双胎妊娠为ART患者早产的独立影响因素。 展开更多
关键词 生殖技术 辅助 早产 危险因素
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Role of melatonin receptor 1B gene polymorphism and its effect on the regulation of glucose transport in gestational diabetes mellitus
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作者 Lijie WEI Yi JIANG +13 位作者 Peng GAO Jingyi ZHANG Xuan ZHOU Shenglan ZHU Yuting CheN Huiting ZHANG Yuanyuan DU Chenyun FANG Jiaqi LI Xuan GAO mengzhou he Shaoshuai WANG Ling FENG Jun YU 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2023年第1期78-88,共11页
Melatonin receptor 1B(MT2,encoded by the MTNR1B gene),a high-affinity receptor for melatonin,is associated with glucose homeostasis including glucose uptake and transport.The rs10830963 variant in the MTNR1B gene is l... Melatonin receptor 1B(MT2,encoded by the MTNR1B gene),a high-affinity receptor for melatonin,is associated with glucose homeostasis including glucose uptake and transport.The rs10830963 variant in the MTNR1B gene is linked to glucose metabolism disorders including gestational diabetes mellitus(GDM);however,the relationship between MT2-mediated melatonin signaling and a high birth weight of GDM infants from maternal glucose abnormality remains poorly understood.This article aims to investigate the relationship between rs10830963 variants and GDM development,as well as the effects of MT2 receptor on glucose uptake and transport in trophoblasts.TaqMan-MGB(minor groove binder)probe quantitative realtime polymerase chain reaction(qPCR)assays were used for rs10930963 genotyping.MT2 expression in the placenta of GDM and normal pregnant women was detected by immunofluorescence,western blot,and qPCR.The relationship between MT2 and glucose transporters(GLUTs)or peroxisome proliferator-activated receptorγ(PPARγ)was established by western blot,and glucose consumption of trophoblasts was measured by a glucose assay kit.The results showed that the genotype and allele frequencies of rs10830963 were significantly different between GDM and normal pregnant women(P<0.05).The fasting,1-h and 2-h plasma glucose levels of G-allele carriers were significantly higher than those of C-allele carriers(P<0.05).Besides,the protein and messenger RNA(mRNA)expression of MT2 in the placenta of GDM was significantly higher than that of normal pregnant women(P<0.05).Melatonin could stimulate glucose uptake and GLUT4 and PPARγprotein expression in trophoblasts,which could be attenuated by MT2 receptor knockdown.In conclusion,the rs10830963 variant was associated with an increased risk of GDM.The MT2 receptor is essential for melatonin to raise glucose uptake and transport,which may be mediated by PPARγ. 展开更多
关键词 Gestational diabetes mellitus(GDM) Melatonin receptor 1B(MTNR1B) Single nucleotide polymorphism(SNP) Glucose uptake Glucose transporters(GLUTs) Peroxisome proliferator-activated receptorγ(PPARγ)
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Alteration of heat shock protein 20 expression in preeclampticpatients and its effect in vascular and coagulation function 被引量:4
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作者 Fanfan Li mengzhou he +5 位作者 Meitao Yang Yao Fan Yun Chen Xi Xia Yin Xie Dongrui Deng 《Frontiers of Medicine》 SCIE CAS CSCD 2018年第5期542-549,共8页
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