妊娠期糖尿病与妊娠结局的临床分析

目的:探讨妊娠期糖尿病(GDM)对孕妇妊娠结局和胎儿健康的影响。方法:回顾性分析2009年8月~2012年12月在我院分娩的184例GDM患者及200例健康孕妇的临床资料,并对两组孕妇的妊娠结局进行比较。结果:GDM组妊高症35例(19.0%)、羊水过多17例(9.2%)、早产21例(11.4%)、产后出血14例(7.6%)、产褥感染12例(6.5%),发生率均显著高于对照组(P0.05);GDM组中发生巨大儿48例(26.1%)、新生儿低血糖31例(16.8%),与对照组比较均显著增高(P0.05),而胎儿宫内窘迫的发生率(3.3%)也较对照组升高,但差异无统计学意义(P0.05);GDM组剖宫产141例(76.6%),阴道产43例(23.4%),剖宫产比例较对照组显著升高(P0.05)。结论:GDM对孕妇的妊娠结局有不利影响,孕妇应加强孕期保健,规范治疗妊娠期糖尿病,减少各种并发症的发生。     

从细胞因子的分泌探讨过敏孕妇脐血来源树突状细胞的功能特点

目的通过分析过敏孕妇脐血单核细胞来源树突状细胞（Dendritic cells,DCs）分泌细胞因子水平与正常孕妇来源DCs的差异,了解过敏来源树突状细胞功能的特点,为过敏性疾病的细胞学研究奠定基础,并为防治过敏性疾病寻找最佳时期。方法分离过敏及正常孕妇脐血内单核细胞,在GM-CSF及IL-4的作用下诱导生成未成熟DCs,在培养的第7天加入LPS（1μg/ml）诱导细胞成熟,阴性对照组仅加入细胞因子及培养基。于培养第9天收集培养上清,用ELISA法检测培养上清中IL-12p70及IL-10的分泌水平。结果过敏孕妇来源树突状细胞分泌细胞因子IL-12p70及IL-10的能力明显低于正常孕妇组。结论过敏孕妇来源树突状细胞可能存在功能上的缺陷,这可能是导致有过敏家庭史婴儿易患过敏性疾病的细胞学基础,孕期可能为防治过敏性疾病发生的最佳时期。     

Dynamics of an enclosed population of pine mice,Microtus pinetorum

Enclosed populations of pine mice were studied over a 28-month period and compared with populations in surrounding natural areas. The enclosed populations reached densities far greater than any observed in surrounding natural areas. It is suggested that the restriction placed on dispersal by the enclosure walls and the addition of food in the form of trap bait could have allowed the enclosed populations to reach higher densities than normally observed at SRP.     

Tryptophan Overload in the Pregnant Rat: Effect on Brain Amino Acid Levels and In Vitro Protein Synthesis

The concentration of most amino acids was higher in the brains of 19- and 21-day rat fetuses than in their respective mothers. After an intraperitoneal load of tryptophan to the mother, the intracerebral concentration of several amino acids (including leucine) decreased not only in the mothers, but also in their fetuses. The in vitro incorporation of pHJleucine into proteins in brain postmitochondrial supernatant fractions was enhanced in both the mothers and fetuses after tryptophan administration, but this effect disappeared when protein synthesis was calculated by using specific activities corrected for the amount of unlabeled leucine in the preparation. By this criterion, protein synthesis activity appeared similar in the brains of 19- and 21-day pregnant rats but was higher in their fetuses, especially in the 21-day subjects. Thus, protein synthesis in the brain was not altered by marked changes in the amino acid pool and more profound and prolonged metabolic disturbances must occur to cause permanent damage in the developing brain.     

弥漫性血管内凝血产妇围术期凝血与纤溶系统指标的检测及临床意义

目的:探讨弥漫性血管内凝血(DIC)产妇围术期凝血与纤溶系统指标检测的临床意义。方法:选择2017年1到2017年12月在我院接受治疗的DIC孕妇57例(DIC组)为研究对象,采取分层抽样的方法选择同期在我院进行产检的正常孕妇57例(健康孕妇组)及在我院体检的健康非孕妇57例(非孕妇组)作为对照,比较各组凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、D-二聚体(D-D)及血小板计数(PLT)变化,根据DIC组的治疗结果分为有效组和无效组,并比较两亚组治疗前PT、TT、APTT、FIB、D-D、PLT,采用Pearson相关分析法分析DIC组治疗前各检测指标间的相关性。结果:与健康孕妇组、非孕妇组比较,DIC组PT、TT、APTT延长(P0.05),D-D水平升高(P0.05),FIB、PLT水平降低(P0.05);与非孕妇组比较,健康孕妇组PT、TT、APTT缩短(P0.05),D-D水平降低(P0.05),FIB、PLT水平升高(P0.05)。DIC组患者治疗后有效组治疗前的PT、TT、APTT短于无效组(P0.05),D-D水平低于无效组(P0.05);FIB、PLT水平高于无效组(P0.05)。Pearson相关分析结果显示,除PT与APTT之间无明显相关性(P0.05)外,其他凝血、纤溶系统指标之间均存在一定的相关性(P0.05)。结论:DIC孕妇围术期凝血与纤溶系统指标异常改变,检测凝血与纤溶系统指标对DIC孕妇的诊疗具有重要意义。     

Genotoxicity of cigarette smoking in maternal and newborn lymphocytes

Tobacco smoke contains a large number of substances known to induce DNA damage and to be hazardous to human health. Several reviews and meta-analyses have reported an association between maternal or paternal smoking habits and genetic-related diseases, such as cancer, in children. The aim of the present study was to evaluate the level of DNA damage in lymphocytes of active- and passive-smoking mothers and in their newborns, using the comet assay. A total of 40 active smokers, 40 passive smokers, and 40 non-smokers, and their respective newborns, were evaluated. The active smokers presented a statistically significant increase of DNA damage when compared to the non-smokers and passive-smokers. No significant difference was observed between passive and non-smoking women. Similar results were detected in newborns. Those born to active-smoking mothers presented higher levels of DNA damage than those from passive- and non-smoking mothers. Additionally, no significant difference was detected between newborns from non-smoking and passive-smoking mothers. Also, no statistically significant difference in DNA damage was observed between mothers and their respective newborns, and a positive correlation in the level of DNA damage was detected between them. Logistic regression analyses showed positive associations between DNA damage, spontaneous abortion and smoking status. In conclusion, our data indicate that tobacco exposure during pregnancy has genotoxic effects for both mother and child, and it can be considered an important risk factor for childhood cancer or other genetic-related diseases.