墨西哥妇女人群中遗传性血栓的发病率

V. Manuel, Luján Irastorza Jesús Estuardo, Ávila Pérez Felipe de Jesús, Á. Daniela, P. Maruxa, D. Carlos
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引用次数: 3

摘要

目的:报道墨西哥女性人群中血栓形成的发生率及其在血栓形成事件发展中的重要性。方法:对184名育龄妇女进行回顾性、观察性、横断面研究,研究年龄、体重、身高及FVL-G1691A、PT-G20210A、MTHFR-C677T、PAI-1 4G/5G基因的遗传性血栓形成情况。形成4组:1)FVL-G1691A, 2) PT-G20210A, 3) MTHFR-C677T和4)PAI-1 4G/5G,每组通过纯合和杂合突变进行分离。结果:MTHFR-C677T和PAI-1 4G/5G的发病率分别为48.9%和64%,高于FVL-G1691A和PT-G20210A(分别为3.8%和0.5%)(p0.05)。当患者仅出现一种血栓形成时,MTHFR-C677T和PAI-1 4G>5G的发病率最高(16.5%和35.2%)。多发性血栓患者MTHFR-C677T伴PAI-1 4G/5G的发生率为30.2%。结论:我们的研究结果显示,在墨西哥女性人群中,MTHFR-C677T和PAI-1 4G / 5G突变的发病率很高,这使得她们容易发生血栓事件。
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Incidence of hereditary thrombofilies in a population of Mexican women
Objective: To report the incidence of thrombophilias and importance in the development of thrombotic events in a population of Mexican women. Methods: Is a retrospective, observational and cross-sectional study of 184 women of reproductive age, where the age, weight, height and study of hereditary thrombophilias of FVL-G1691A, PT-G20210A, MTHFR-C677T and PAI-1 4G/5G were studied. Four groups were formed: 1) FVL-G1691A, 2) PT-G20210A, 3) MTHFR-C677T and 4) PAI-1 4G/5G, each group was separated by homozygous and heterozygous mutation. Results: MTHFR-C677T and PAI-1 4G/5G present higher incidence (48.9 and 64%), when comparing with FVL-G1691A and PT-G20210A (3.8 and 0.5%) (p<0.05), higher incidence of PAI-1 4G/5G was observed, when compared to MTHFR-C677T (64.6 vs. 48.9%, p<0.05), difference that was not observed when comparing FVL-G1691A with PT-G20210A (3.8 vs. 0.5%, p>0.05). When patients presented only one thrombophilia, the highest incidence is of MTHFR-C677T and PAI-1 4G>5G (16.5 and 35.2%). Patients with multiple thrombophilias had an incidence of MTHFR-C677T with PAI-1 4G/5G of 30.2%. Conclusion: Our results in the population of Mexican women, we report a high incidence of the MTHFR-C677T and PAI-1 4G / 5G mutation, which makes them susceptible to the development of thrombotic events.
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