有和没有先兆子痫母亲的新生儿血液学参数

Ghasem Miri Aliabad, Fatemeh Dahmardeh
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摘要

背景:妊高征、先兆子痫和子痫综合征是多系统疾病,与胎儿循环的适应性改变有关,并导致母体和胎儿的止血系统明显失衡。目的:本研究旨在比较有和无先兆子痫母亲的新生儿血液学参数。方法:本前瞻性病例对照研究纳入30例先兆子痫母亲的新生儿和30例年龄和性别匹配的血压正常母亲的新生儿作为对照组。收集所有新生儿的脐带血样本,并测量全血细胞计数和铁蛋白水平。数据采用SPSS version 21进行分析,采用独立t检验和Mann-Whitney检验比较两组间的差异。结果:子痫前期母亲新生儿平均红细胞体积、平均红细胞血红蛋白、红细胞分布宽度、平均血小板体积、血小板分布宽度均高于对照组,白细胞计数、血小板计数、铁蛋白水平均低于对照组(P < 0.05)。子痫前期产妇新生儿的平均红细胞计数、血红蛋白和红细胞压积均高于对照组,但差异无统计学意义(P > 0.05)。结论:子痫前期母亲的新生儿应仔细评估和监测血液学异常和早期诊断可能的并发症。
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Hematological Parameters in Newborns of Mothers with and Without Preeclampsia
Background: Pregnancy-induced hypertension, preeclampsia, and eclampsia syndrome are multisystem disorders associated with adaptive changes in the fetal circulation and cause a marked imbalance in the hemostatic system of the mother and fetus. Objectives: This study aimed to compare hematological parameters in newborns of mothers with and without preeclampsia. Methods: This prospective case-control study included 30 newborns of mothers with preeclampsia and 30 newborns with normotensive mothers matched for age and sex as a control group. Umbilical cord blood samples were collected from all newborns, and complete blood count and ferritin levels were measured. The data were analyzed using SPSS version 21, and the difference between the two groups was compared using the independent t-test and Mann-Whitney test. Results: The newborns of mothers with preeclampsia had higher mean corpuscular volume, mean corpuscular hemoglobin, red cell distribution width, mean platelet volume, and platelet distribution width but lower white blood cell counts, platelet counts, and ferritin level than those of the control group (P < 0.05). Also, the mean red blood cell count, hemoglobin, and hematocrit was higher in the preeclamptic mothers’ newborns compared to those of the control group, although not significant (P > 0.05). Conclusions: Newborns of mothers with preeclampsia should be carefully evaluated and monitored regarding hematologic abnormalities and early diagnosis of possible complications.
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