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应用放免分析可检出尿白蛋白的微量增加,本研究尿微白蛋白对妊娠高血压(PIH)的预测价值。199例产前保健孕妇,年龄17～40(平均27. 2)岁,初孕146例,经产53例,排除常规检查有蛋白尿、收缩压>140mmHg 或舒张压>90mmHg、及有慢性高血压、糖尿病或肾脏病史者,均未应用影响血压或血小板功能的药物,饮食未加限制。空腹尿标本在20孕周和/或30孕周收集,用放免法测定尿白蛋白,用 Hitachi705自动分析仪测定尿肌酐,以白蛋白*/肌酐比值(FU Alb/Cr,mg/g)加以校正。分娩时复查保健卡,以收缩压升高30mmHg以上或舒张压升高15mmHg 以上、收缩压>140mmHg 或舒张压>90mmHg 定为 PIH。
The application of radioimmunoassay can be detected trace increase of urinary albumin, urinary microalbumin in this study on the prediction of pregnancy-induced hypertension (PIH) value. 199 cases of prenatal care pregnant women, aged 17 to 40 (average 27.2) years of age, 146 cases of first trimester, the production of 53 cases, ruled out routine examination with proteinuria, systolic blood pressure> 140mmHg or diastolic blood pressure> 90mmHg, and chronic high Blood pressure, diabetes or history of kidney disease, no application of blood pressure or platelet function of the drug, diet is not limited. Fasting urine samples were harvested at 20 weeks of gestation and / or 30 weeks of gestation. Urinary albumin was measured by radioimmunoassay. Urinary creatinine was measured with a Hitachi 570 automatic analyzer and was given as albumin * / creatinine ratio (FU Alb / Cr, mg / g) Correction. Health check card during childbirth, systolic blood pressure above 30mmHg or diastolic blood pressure increased more than 15mmHg, systolic blood pressure> 140mmHg or diastolic blood pressure> 90mmHg as PIH.