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格列苯脲联合门冬胰岛素治疗妊娠糖尿病及对患者Irisin和人源甘丙肽水平表达的影响 被引量:26
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作者 兰瑞红 龚护民 《中国现代医学杂志》 CAS 2019年第5期112-116,共5页
目的探索格列本脲联合门冬胰岛素治疗妊娠期糖尿病(GDM)及其对患者血清Irisin及人源甘丙肽(GAL)的影响。方法选取2016年2月-2017年2月海南省人民医院收治的100例妊娠期糖尿病患者为观察对象,将其按照随机数字表法分为对照组和观察组,每... 目的探索格列本脲联合门冬胰岛素治疗妊娠期糖尿病(GDM)及其对患者血清Irisin及人源甘丙肽(GAL)的影响。方法选取2016年2月-2017年2月海南省人民医院收治的100例妊娠期糖尿病患者为观察对象,将其按照随机数字表法分为对照组和观察组,每组50例。对照组应用门冬胰岛素治疗,观察组应用格列本脲联合门冬胰岛素治疗,对比两组患者入组时及治疗后的糖代谢指标﹑血清胱抑素C(Cys C)﹑同型半胱氨酸(Hcy)﹑Irisin及GAL水平,治疗过程中不良反应的发生情况。结果治疗后,两组患者空腹血糖(FPG)、餐后1 h血糖(1 hPG)、餐后2 h血糖(2 hPG)及糖化血红蛋白(HbAlc)水平均下降(P <0.05),观察组上述指标水平均低于对照组(P <0.05);治疗后,两组血清Cys C与Hcy均降低(P <0.05),与对照组比较,观察组Cys C与Hcy水平更低(P <0.05);治疗后,两组血清Irisin升高而GAL降低(P <0.05),观察组Irisin及GAL变化程度优于对照组(P <0.05);两组妊娠高血压征、胎膜早破、产程延长、羊水过多发生率的差异无统计学意义(P>0.05),观察组低血糖及早产儿发生率低于对照组(P <0.05)。结论格列本脲联合门冬胰岛素有助于GDM患者的血糖控制,可通过降低血清Cys C﹑Hcy﹑GAL,升高血清Irisin水平来改善胰岛素抵抗,安全可靠,值得推广。 展开更多
关键词 糖尿病 妊娠 格列本脲 门冬胰岛素
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Significance of highly phosphorylated insulin-like growth factor binding protein-1 and cervical length for prediction of preterm delivery in twin pregnancies 被引量:1
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作者 rui-hong lan Jie Song +3 位作者 Hu-Min Gong Yang Yang Hong Yang Lin-Mei Zheng 《World Journal of Clinical Cases》 SCIE 2021年第18期4553-4558,共6页
BACKGROUND A twin pregnancy can carry greater risks than singleton pregnancies.About 60 in 100 twin pregnancies result in spontaneous birth before 37 wk,which is associated with several complications in the premature ... BACKGROUND A twin pregnancy can carry greater risks than singleton pregnancies.About 60 in 100 twin pregnancies result in spontaneous birth before 37 wk,which is associated with several complications in the premature babies.Clinical detection of biomarkers may help to predict the possibility of premature birth so that corresponding interventions can be given to the pregnant women in a timely manner,in order to reduce the risk of preterm birth and improve the outcomes of the newborn infants.AIM To explore the clinical value of transvaginal ultrasound measurement of cervical length combined with insulin-like growth factor binding protein-1(IGFBP-1)hyperphosphorylation in cervical secretions as predictors of preterm delivery in twin pregnancies.METHODS A total of 254 pregnant women with twin pregnancies,who were admitted to Hainan General Hospital and underwent maternity examination,were selected as the study subjects from January 2015 to December 2018.All participants received transvaginal ultrasound measurement of cervical length and phosphorylated IGFBP-1(phIGFBP-1)test between 24 and 34 wk gestation.The pregnancy outcomes were analyzed.RESULTS Of the women with a positive phIGFBP-1 test result,preterm birth rate was higher in those with a cervical length≤25 mm than those with a cervical length>25 mm(all P<0.05).Similarly,in women with a negative phIGFBP-1 test result,preterm birth rate was higher in those with a cervical length≤25 mm than those with a cervical length>25 mm(all P<0.05).The sensitivity,specificity,and positive and negative predictive values of the phIGFBP-1 test combined with the cervical length test were 95.71%,91.21%,95.12%and 92.22%,respectively,for the prediction of preterm birth.CONCLUSION Cervical length combined with phIGFBP-1 tests is of value for the prediction of outcomes of preterm delivery in twin pregnancies. 展开更多
关键词 Hyperphosphorylated insulin-like growth factor binding protein-1 Cervical length ULTRASOUND Twin pregnancies Preterm delivery
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Clinical significance of lncRNA LINC01410 in preeclampsia and its effect on trophoblast proliferation and invasion
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作者 Yang Yang rui-hong lan Hu-Min Gong 《Journal of Hainan Medical University》 2021年第4期11-15,共5页
Objective:To study the expression of lncRNA LINC01410 in preeclampsia and normal placenta,and to explore its function and mechanism of affecting the proliferation and migration of trophoblast cells.Methods:The express... Objective:To study the expression of lncRNA LINC01410 in preeclampsia and normal placenta,and to explore its function and mechanism of affecting the proliferation and migration of trophoblast cells.Methods:The expression level of LINC01410 in the placenta of preeclampsia patients and pregnant women with normal pregnancy was detected by qRTPCR.After silencing LINC01410 in trophoblast cells HTR-8/Svneo,CCK-8 measured cell proliferation,and Transwell detected trophoblast invasion.Nucleus and chromatin RNA scores were measured,and Fas was detected by qRT-PCR and Western blot to explore the possible mechanisms.Results:The relative expression of LINC01410 in the placenta of the preeclampsia group was 2.564±0.169,which was significantly higher than 0.821±0.052 in the placenta tissue of the normal control group.After silencing LINC01410,the proliferation of trophoblast HTR-8/Svneo slowed down and the invasion ability decreased;The expression in the nucleus is more than in the cytoplasm,and the expression of Fas mRNA and protein is significantly reduced after silencing LINC01410.Conclusion:The high expression of lncRNA LINC01410 in preeclampsia placenta may be a risk factor for preeclampsia,and its mechanism may be to promote the proliferation and invasion of trophoblast cells by upregulating Fas expression. 展开更多
关键词 PREECLAMPSIA LINC01410 TROPHOBLAST Clinical indicator
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