Objective:To explore the clinical correlation between the detection of irregular antibodies in red blood cell blood groups and hemolytic disease of the newborn.Methods:This study selected newborns who underwent examin...Objective:To explore the clinical correlation between the detection of irregular antibodies in red blood cell blood groups and hemolytic disease of the newborn.Methods:This study selected newborns who underwent examinations and were diagnosed with hemolytic disease at our hospital from October 2024 to October 2025 as the research subjects.Based on the severity of their hemolytic disease,the infants were divided into a severe group and a mild group.All the infants underwent detection for irregular antibodies in their red blood cell blood groups.General information,blood types,and irregular antibody test results of the two groups were recorded.Univariate analysis was conducted,and variables with statistical significance from the univariate analysis were included in a multivariate logistic regression analysis to explore the clinical correlation between the detection of irregular antibodies in red blood cell blood groups and hemolytic disease of the newborn.Results:Through univariate analysis,it was found that IgG1 and IgG3 subclass antibodies,as well as ABO blood group incompatibility,were statistically significant(p<0.05).When these factors were included in a multivariate logistic regression analysis,it was discovered that IgG1(OR=2.461,95%CI:1.859-2.709),IgG3(OR=2.509,95%CI:1.918-2.893),and ABO blood group incompatibility(OR=2.998,95%CI:2.149-3.493)all exhibited a positive correlation with hemolytic disease of the newborn.Conclusion:As levels of IgG1,IgG3,and ABO blood group incompatibility increase,the incidence of hemolytic disease of the newborn also rises,warranting clinical attention.展开更多
Objective:To investigate the phenotype distribution of five antigens of Rh blood group system and the specificity of Rh blood group irregular antibodies in pregnant women with second child.To analyze the relationship ...Objective:To investigate the phenotype distribution of five antigens of Rh blood group system and the specificity of Rh blood group irregular antibodies in pregnant women with second child.To analyze the relationship between Rh blood group antibody and hemolytic disease of the newborn(HDN)in second-child pregnant women,and to provide laboratory basis for the diagnosis and treatment of hemolytic disease of the newborn(Rh-HDN).Methods:500 pregnant women with second child were collected as the study group and 500 pregnant women with first pregnancy as the control group(all pregnant women underwent obstetric examination in the integrated obsteric clinic of our hospital from January 2020 to January 2021).To detectethe Rh blood group antigens(D,C,c,E,e)of the two groups of samples,screene the irregular antibodies,identify the specificity of irregular antibodies,determine the titer and record the hemolytic disease of the newborn of pregnant women with positive Rh blood group antibodies.Results:There were 11 Rh phenotypes in the pregnant women with second child in the study group:CCDee(152cases,30.4%),CcDEe(136cases,27.2%)CcDee(84cases,16.8%),ccDEE(30cases,6%),ccDee(31cases,6.2%),CCDEe(14cases,2.8%),ccDEe(9cases,1.8%),cc dee(18cases,3.6%),CCDEE(2cases,0.4%),CcdEe(12cases,2.4%),Ccdee(6cases,1.2%),CCd ee(6cases,1.2%).A total of 42 cases(8.4%)in the pregnant women with second child were negative for RhD.There were 10 Rh phenotypes in the pregnant women with first pregnancy in the control group:CCDee(144cases,28.8%),CcDEe(138cases,27.6%),CcDee(90cases,18%),ccDEE(42cases,8.4%),ccDee(28cases,5.6%),CCDEe(10cases,2%),ccDEe(8cases,1.6%),cc dee(19cases,3.8%),CCDEE(1cases,0.2%),CcdEe(11cases,2.2%),Ccdee(9cases,1.8%).A total of 39 cases(7.8%)in the pregnant women with first pregnancy were negative for RhD.In the pregnant women with second child in the study group,the positive rate of irregular antibody screening was 4.0%(20/500),and the specificity of Rh blood group antibodies was found as follows:anti-E 1.8%(9/500),anti-D 1.4%(7/500),anti-C 0.4%(2/500)and anti-Ec 0.4%(2/500).The positive rate of irregular antibody screening in the pregnant women with first pregnancy in the control group was 0,and the difference between the two groups was statistically significant(P<0.05).Rh-HDN was found in 10 newborns(2%)of the 20 women with positive irregular antibodies in the pregnant women with second child,and the antibody titer during pregnancy was more than 32.No Rh-HDN occurred in newborns in the pregnant women with first pregnancy,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Pregnancy stimulation can increase the probability of irregular antibodies in pregnant women,and irregular antibodies in Rh blood group can easily cause Rh-HDN,so attention should be paid to routine detection of five antigens of Rh blood group and irregular antibody screening during prenatal examination.It is helpful for the early detection of Rh-blood irregular antibodies and the assessment of fetal or neonatal risk of Rh-HDN.展开更多
文摘Objective:To explore the clinical correlation between the detection of irregular antibodies in red blood cell blood groups and hemolytic disease of the newborn.Methods:This study selected newborns who underwent examinations and were diagnosed with hemolytic disease at our hospital from October 2024 to October 2025 as the research subjects.Based on the severity of their hemolytic disease,the infants were divided into a severe group and a mild group.All the infants underwent detection for irregular antibodies in their red blood cell blood groups.General information,blood types,and irregular antibody test results of the two groups were recorded.Univariate analysis was conducted,and variables with statistical significance from the univariate analysis were included in a multivariate logistic regression analysis to explore the clinical correlation between the detection of irregular antibodies in red blood cell blood groups and hemolytic disease of the newborn.Results:Through univariate analysis,it was found that IgG1 and IgG3 subclass antibodies,as well as ABO blood group incompatibility,were statistically significant(p<0.05).When these factors were included in a multivariate logistic regression analysis,it was discovered that IgG1(OR=2.461,95%CI:1.859-2.709),IgG3(OR=2.509,95%CI:1.918-2.893),and ABO blood group incompatibility(OR=2.998,95%CI:2.149-3.493)all exhibited a positive correlation with hemolytic disease of the newborn.Conclusion:As levels of IgG1,IgG3,and ABO blood group incompatibility increase,the incidence of hemolytic disease of the newborn also rises,warranting clinical attention.
基金Youth Fund Program of Hainan Provincial Natural Science Fundation of China(No.820QN410)。
文摘Objective:To investigate the phenotype distribution of five antigens of Rh blood group system and the specificity of Rh blood group irregular antibodies in pregnant women with second child.To analyze the relationship between Rh blood group antibody and hemolytic disease of the newborn(HDN)in second-child pregnant women,and to provide laboratory basis for the diagnosis and treatment of hemolytic disease of the newborn(Rh-HDN).Methods:500 pregnant women with second child were collected as the study group and 500 pregnant women with first pregnancy as the control group(all pregnant women underwent obstetric examination in the integrated obsteric clinic of our hospital from January 2020 to January 2021).To detectethe Rh blood group antigens(D,C,c,E,e)of the two groups of samples,screene the irregular antibodies,identify the specificity of irregular antibodies,determine the titer and record the hemolytic disease of the newborn of pregnant women with positive Rh blood group antibodies.Results:There were 11 Rh phenotypes in the pregnant women with second child in the study group:CCDee(152cases,30.4%),CcDEe(136cases,27.2%)CcDee(84cases,16.8%),ccDEE(30cases,6%),ccDee(31cases,6.2%),CCDEe(14cases,2.8%),ccDEe(9cases,1.8%),cc dee(18cases,3.6%),CCDEE(2cases,0.4%),CcdEe(12cases,2.4%),Ccdee(6cases,1.2%),CCd ee(6cases,1.2%).A total of 42 cases(8.4%)in the pregnant women with second child were negative for RhD.There were 10 Rh phenotypes in the pregnant women with first pregnancy in the control group:CCDee(144cases,28.8%),CcDEe(138cases,27.6%),CcDee(90cases,18%),ccDEE(42cases,8.4%),ccDee(28cases,5.6%),CCDEe(10cases,2%),ccDEe(8cases,1.6%),cc dee(19cases,3.8%),CCDEE(1cases,0.2%),CcdEe(11cases,2.2%),Ccdee(9cases,1.8%).A total of 39 cases(7.8%)in the pregnant women with first pregnancy were negative for RhD.In the pregnant women with second child in the study group,the positive rate of irregular antibody screening was 4.0%(20/500),and the specificity of Rh blood group antibodies was found as follows:anti-E 1.8%(9/500),anti-D 1.4%(7/500),anti-C 0.4%(2/500)and anti-Ec 0.4%(2/500).The positive rate of irregular antibody screening in the pregnant women with first pregnancy in the control group was 0,and the difference between the two groups was statistically significant(P<0.05).Rh-HDN was found in 10 newborns(2%)of the 20 women with positive irregular antibodies in the pregnant women with second child,and the antibody titer during pregnancy was more than 32.No Rh-HDN occurred in newborns in the pregnant women with first pregnancy,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Pregnancy stimulation can increase the probability of irregular antibodies in pregnant women,and irregular antibodies in Rh blood group can easily cause Rh-HDN,so attention should be paid to routine detection of five antigens of Rh blood group and irregular antibody screening during prenatal examination.It is helpful for the early detection of Rh-blood irregular antibodies and the assessment of fetal or neonatal risk of Rh-HDN.
