论文部分内容阅读
目的:对妊高征( P I H) 患者进行抗心磷脂抗体( A C A) 和抗 D N A 抗体的检测,以探讨 P I H 与自身抗体间的关系。方法:采用 E L I S A 方法对30 例 P I H 患者进行 A C A - Ig G、 A C A - Ig M 、 A C A Ig A 、抗ds D N A 、抗ss - D N A 抗体测定。结果: P I H患者中 A C A 的阳性率为63 .3 % (19/30) ,正常妊娠妇女为6 .67 % (2/30) ,其差异有高度显著性( P < 0 .01) 。 P I H 患者 A C A的免疫球蛋白类型中,以 Ig G 型 A C A 最为常见, Ig M 型或 Ig A 型 A C A 阳性常伴随有 Ig G 型 A C A 阳性。妊高征组抗ds D N A阳性率明显高于对照组( P < 0 .01) 。两组抗ss - D N A 的阳性率无显著意义。结论: A C A 阳性,尤其是 A C A - Ig G 阳性与妊高征发病有密切关系。因此, 应对孕妇进行 A C A 检测,可作为能否正常妊娠的前瞻性指标。
OBJECTIVE: To detect anticardiolipin antibodies (A C A) and anti-D N A antibodies in patients with pregnancy-induced hypertension (PIH) to explore the relationship between P I H and autoantibodies. Methods: A total of 30 patients with PH were enrolled in this study. A C A - Ig G, A C A - Ig M, A C A - Ig A, anti - ds D N A, anti - ss N D A antibody assay. Results: The positive rate of A C A in P I H patients was 63. 3% (19/30), normal pregnant women 6. 67% (2/30), the difference was highly significant (P <0 .01). IgA-type A C A is the most common immunoglobulin type in PAH patients, and IgC-type or IgA-type A-C-positive is often accompanied by IgG-type A-C-A positive. The positive rate of anti-ds D N A in PIH group was significantly higher than that in control group (P <0.01). The positive rate of anti - ss - D N A in both groups was not significant. Conclusion: A C A positive, especially A C A - Ig G positive, is closely related to the pathogenesis of PIH. Therefore, pregnant women should be A C A test, can be used as a prospective pregnancy index.