妊娠期高脂血症, 高密度脂蛋白,抗炎抗氧化功能,总胆固醇," /> 妊娠期高脂血症, 高密度脂蛋白,抗炎抗氧化功能,总胆固醇,"/> Hyperlipidemia during pregnancy, High-density lipoprotein, Anti-inflammatory and antioxidant function,Total cholesterol
,"/> <span style="font-size:14px;line-height:2;">妊娠期高脂血症孕妇高密度脂蛋白抗炎 抗氧化功能的变化</span>
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发育医学电子杂志  2021, Vol. 9 Issue (2): 109-113    DOI: 10.3969/j.issn.2095-5340.2021.02.005
  围产医学   论著 |产科 |
妊娠期高脂血症孕妇高密度脂蛋白抗炎 抗氧化功能的变化
曲冬颖 陈佳 韩悦 孙静莉
北部战区总医院 妇产科,辽宁 沈阳 110003
The changes in the anti-inflammatory and anti-oxidation function of high-density lipoprotein cholesterol in pregnant women with hyperlipidemia
Qu Dongying, Chen Jia, Han Yue, et al
Department of Obstetrics and Gynecology, General Hospital of Northern Command, Liaoning, Shenyang 110003, China
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摘要 【摘要】 目的  探讨妊娠期高脂血症孕妇的高密度脂蛋白(high-density lipoprotein,HDL)抗炎抗氧化功
能的变化。 方法 选取2015 年8 月至10 月在北部战区总医院产科门诊就诊的妊娠期高脂血症孕妇
21 例作为观察组,按照1 ∶ 1 的比例选取妊娠期正常孕妇21 例作为对照组。应用全自动生化分析仪检
测两组孕妇的血脂[血浆总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)];采用酶联免疫吸附法(enzyme linked immunosorbent assay,ELISA)检测两组孕妇的血清髓过氧化酶(myeloperoxidase,MPO)、C- 反应蛋白(C-reactive protein,CRP)、对氧磷酶-1(paraoxonase-1,PON1)、1- 磷酸鞘氨醇(sphingosine-1-phosphate,S1P)、血清淀粉样蛋白A(serum amyloid A,SAA)水平。并采用独立样本t 检验或Mann-Whitney U 检验分析其组间差异。 结果  观察组PON1[(8 ± 9) μg/L]和S1P[(287± 152)nmol/L]低于对照组[分别为(24± 62) μg/L、(826 ± 644) nmol/L]。观察组SAA[(4.5±1.8)mg/L]、TC[(5.8±1.0)mmol/L]、TG[(3.0±1.0)mmol/L]、LDL-C[(3.4±0.9) mmol/L]高于对照组[分别为(3.2±1.5)mg/L、(4.8±0.7)mmol/L、(1.7±0.3)mmol/L、(2.5±0.7)mmol/L],差异均有统计学意义(P<0.05);两组CRP、MPO、HDL-C 比较差异均无统计学意义(P>0.05)。 结论 妊娠期高脂血症孕妇HDL 的抗炎抗氧化功能下降,SAA、PON1 和S1P 可以作为临床检测妊娠高脂血症病理学改变的潜在标志物。
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关键词:  妊娠期高脂血症')" href="#">妊娠期高脂血症  高密度脂蛋白  抗炎抗氧化功能  总胆固醇    
Abstract: 【Abstract】 Objective To explore changes in the anti-inflammatory and anti-oxidation function of highdensity lipoprotein (HDL) in pregnant women with hyperlipidemia. Methods According to 1 ∶ 1 ratio,
21 pregnant women with hyperlipidemia (observation group) and 21 healthy pregnant women (control
group) were selected from the Department of Obstetrics in General Hospital of Northern Theater Command from August to October 2015. Blood lipids, including total cholesterol (TC), triglyceride (TG), highdensity lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) were tested by
automatic biochemical analyzer. Serum myeloperoxidase (MPO), C-reactive protein (CRP), paraoxonase-1
(PON1), sphingosine-1-phosphate (S1P) and serum amyloid A (SAA) levels were detected by enzyme linked immunosorbent assay (ELISA). The differences of the above indexes between the two groups were analyzed by independent sample t test or Mann-Whitney U test. Results The serum levels of PON1[(8 ± 9) μg/L] and S1P [(287±152) nmol/L] in observation group were lower than those in the control group [(24±62) μg/L,(826±644) nmol/L respectively] , and SAA [(4.5±1.8) mg/L], TC [(5.8±1.0) mmol/L], TG [(3.0± 1.1) mmol/L], LDL-C [(3.4±0.9) mmol/L] were higher than those in the control group [(3.2±1.5) mg/L,(4.8±0.7) mmol/L, (1.7±0.3) mmol/L, (2.5±0.7) mmol/L respectively], and all of the differences were statistically significant (P<0.05). The differences of CRP, MPO and HDL-C between the two groups were notsignificant (P>0.05). Conclusions Hyperlipidemia may be associated with the decline in anti-inflammatory and anti-oxidation function of HDL. SAA , PON1 and S1P may be used as indicators to monitor the changes of the disease.

Key words:  Hyperlipidemia during pregnancy')" href="#">Hyperlipidemia during pregnancy    High-density lipoprotein    function')" href="#"> Anti-inflammatory and antioxidant function    ')" href="#">Total cholesterol
收稿日期:  2020-01-10                     发布日期:  2021-04-01     
基金资助: 2017 年中国人民解放军第二〇二医院院课题(2017Y016)
通讯作者:  孙静莉    E-mail:  zg3416@sina.com
引用本文:    
曲冬颖 陈佳 韩悦 孙静莉. 妊娠期高脂血症孕妇高密度脂蛋白抗炎 抗氧化功能的变化[J]. 发育医学电子杂志, 2021, 9(2): 109-113.
Qu Dongying, Chen Jia, Han Yue, et al. The changes in the anti-inflammatory and anti-oxidation function of high-density lipoprotein cholesterol in pregnant women with hyperlipidemia. Journal of Developmental Medicine(Electronic Version), 2021, 9(2): 109-113.
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