
Application value of placental growth factor,soluble fms-like tyrosine kinase-1,and glycosylated fibronectin in the prediction of preeclampsia
Yang Lan, Xiao Jianping, Shi Hao, Su Jingna, Zhao Di, Zhao Li, Tang Ye
Application value of placental growth factor,soluble fms-like tyrosine kinase-1,and glycosylated fibronectin in the prediction of preeclampsia
Objective To explore the value of placental growth factor(PLGF),soluble fms-like tyrosine kinase-1(SFLT-1),and glycosylated fibronectin(GLYFN) in predicting preeclampsia. Methods A total of 188 pregnant women who visited Wuxi Maternal and Child Health Hospital were enrolled in the study and divided into control group(154 normal pregnant women) and preeclampsia group(34 patients with preeclampsia). The concentrations of serum PLGF,SFLT-1,and GLYFN at the 16th to 18th weeks of gestation were measured by immunofluorescence assay. The levels of individual markers were compared between the preeclampsia group and the control group. The receiver operating characteristic(ROC) curves were used to assess the efficiency of the three markers in terms of predictive value. Results During the mid-pregnancy period,the preeclampsia group had a significantly lower concentration of serum PLGF but significantly higher concentrations of serum SFLT-1 and GLYFN compared with the control group(all P=0.000). The areas under the ROC curve(AUC) for the 95% confidence interval were 0.941(0.907-0.974),0.881(0.800-0.962),and 0.951(0.918-0.985) for PLGF,SFLT-1,and GLYFN,respectively. The AUCs for SFLT-1 combined with GLYFN and the combined detection of the three indices were 0.968 and 0.986,respectively. Conclusion There are significant differences between the control group and the preeclampsia group in the marker levels of serum PLGF,SFLT-1,and GLYFN,which has some value in predicting the onset of preeclampsia. The predictive value of SFLT-1 combined with PLGF,SFLT-1 combined with GLYFN,and the combination of the three markers are greater than that of any single index.
preeclampsia / placental growth factor / soluble fms-like tyrosine kinase-1 / glycosylated fibronectin
1 |
曹泽毅. 中华妇产科学[M]. 2版. 北京:人民卫生出版社,2004:39.
|
2 |
|
3 |
|
4 |
|
5 |
Gestational hypertension and preeclampsia:ACOG practice bulletin,number 222[J]. Obstet Gynecol,2020,135(6):e237-e260.
|
6 |
|
7 |
孙文静,胡孟彩,崔世红,等. 妊娠相关血浆蛋白A、胎盘生长因子联合胆红素对子痫前期的预测价值[J]. 中外医学研究,2021,19(4):74-77.
|
8 |
|
9 |
Hypertension in pregnancy. report of the American college of obstetricians and gynecologists’ task force on hypertension in pregnancy[J]. Obstet Gynecol,2013,122(5):1122-1131.
|
10 |
|
11 |
|
12 |
|
13 |
|
14 |
|
15 |
|
16 |
常梓殷,沈 琦,杨小风,等. 胎盘生长因子水平联合唐氏筛查结果预测子痫前期的价值[J]. 医药论坛杂志,2021,42(23):7-10,17.
|
17 |
邱德稳,钟 师,曾辛. 血脂指标与胎盘生长因子联合检测对子痫前期的诊断价值[J]. 检验医学与临床,2021,18(6):781-784.
|
18 |
|
19 |
马锦琪,李 鹰,黄建荣,等. 胎盘生长因子荧光免疫层析法检测的临床性能评估[J]. 南京医科大学学报(自然科学版),2021,41(1):54-58,64.
|
20 |
|
21 |
|
/
〈 |
|
〉 |