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Prenatal Exposure to Polycyclic Aromatic Hydrocarbons and Birth Weight in China 被引量:2
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作者 Qiong Chen Tongzhang Zheng +13 位作者 Bryan A. Bassig Yibin Cheng Brian Leaderer shaobin lin Theodore Holford Jie Qiu Yawei Zhang Kunchong Shi Yong Zhu Jianjun Niu Yonghong Li Huan Guo Xiaobin Hu Yinlong Jin 《Open Journal of Air Pollution》 2014年第4期100-110,共11页
Adverse birth outcomes are a leading cause of mortality in children in China, but the environmental influences of these conditions remain largely unexplained in this population. We aimed to evaluate the levels of poly... Adverse birth outcomes are a leading cause of mortality in children in China, but the environmental influences of these conditions remain largely unexplained in this population. We aimed to evaluate the levels of polycyclic aromatic hydrocarbons (PAHs) in Chinese pregnant women and their newborns, and to examine the association between levels of PAHs and infant birth weight. We conducted a cross-sectional study including 81 pairs of mothers and newborns from four hospitals in four different cities in China. High Performance Liquid Chromatography was used to measure the concentration of nine PAHs in maternal and cord blood and multiple linear regression analyses were used to evaluate the associations of these PAHs with infant birth weight. Anthracene (ANT) had the highest average concentration and detection rate (geometric mean = 69.54 ng/g and 76.5%, respectively) in maternal serum samples, while fluoranthene (FLT) had the highest concentration and detection rate (geometric mean = 68.4 ng/g and 50.6%, respectively) in the cord blood. Most of the measured PAHs in maternal serum and three PAHs in cord blood were inversely but non-significantly associated with birth weight. The strongest associations were observed for higher concentrations of benzo (a) pyrene (BaP) in maternal serum (230.7 g decrease for levels > median vs. < LOD;p = 0.151) and for ANT in cord blood (153.1 g decrease for levels < median vs. < LOD;p = 0.208). Ant and FLT were the predominant PAHs in the maternal and cord blood serum. Serum concentrations of several measured PAHs were associated with a decreased birth weight, although not significantly, suggesting that further studies with larger sample sizes are needed to validate our findings. 展开更多
关键词 MATERNAL Exposure POLYCYCLIC Aromatic Hydrocarbon BIRTH Weight FETAL Development MATERNAL Serum
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系列遗传学检测法评估真性胎儿染色体嵌合体的价值 被引量:6
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作者 商梅娇 刘权瑞 +4 位作者 吴坚柱 刘婧宇 赵婧雅 林少宾 周祎 《中华围产医学杂志》 CAS CSCD 北大核心 2023年第4期292-297,共6页
目的探讨染色体核型分析、染色体微阵列分析(chromosomal microarray analysis,CMA)及荧光原位杂交(fluorescence in situ hybridization,FISH)技术在真性胎儿染色体嵌合体产前诊断中的应用价值。方法2018年4月至2021年8月,有明确产前... 目的探讨染色体核型分析、染色体微阵列分析(chromosomal microarray analysis,CMA)及荧光原位杂交(fluorescence in situ hybridization,FISH)技术在真性胎儿染色体嵌合体产前诊断中的应用价值。方法2018年4月至2021年8月,有明确产前诊断指征并在中山大学附属第一医院行羊膜腔穿刺术或/和脐静脉穿刺术产前诊断的单胎妊娠孕妇共4071例,其中产前诊断为胎儿真性染色体嵌合体的40例孕妇纳入回顾性分析。分析其染色体核型分析、CMA及FISH结果及嵌合染色体分布、嵌合比例及妊娠结局。采用χ2检验进行统计学分析。结果(1)真性胎儿染色体嵌合体的检出率为0.98%(40/4071)。(2)性染色体嵌合体占42.5%(17/40),其他染色体嵌合体包括21、22、18、16、7、12、15、17和20号染色体及染色体平衡易位嵌合。(3)真性胎儿染色体嵌合体在羊水染色体核型分析中的检出率为77.4%(24/31);在羊水CMA中的检出率为76.7%(23/30);在脐血染色体核型分析中的检出率为10/19;在脐血CMA中的检出率为7/11。(4)40例孕妇中的20例行FISH验证(14例同时行羊水及脐血FISH验证,5例行羊水FISH验证,1例行脐血FISH验证),均证实嵌合体诊断。对于嵌合比例<30%的低比例嵌合体检出率,羊水FISH的检出率(14/19)高于羊水CMA的检出率[43.5%(10/23)],差异有统计学意义(χ2=3.88,P=0.049)。(5)40例孕妇中5例失访,18例选择终止妊娠,17例分娩。17例新生儿娩出后及生后6~24个月电话随访未见智力及生长发育异常。14例FISH验证嵌合比例<30%的孕妇,8例选择继续妊娠至分娩,生后随访未见智力及生长发育异常。结论对于产前诊断真性胎儿染色体嵌合体,性染色体嵌合体发生率最高。产前发现胎儿染色体嵌合体,FISH验证可提高诊断率,且可较精确确定嵌合比例。FISH、CMA与染色体核型分析的联合应用可显著提高染色体嵌合体的检出率,并较精确评估嵌合比例,对预后咨询有指导价值。 展开更多
关键词 产前诊断 镶嵌现象 核型分析 微阵列分析 原位杂交 荧光 妊娠结局
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