Correlation study of uterine spiral artery blood flow characteristics with placental development and hypoxia in patients with preeclampsia

摘要

Objective:To study the correlation of uterine spiral artery blood flow characteristics with placental development and hypoxia in patients with preeclampsia.Methods:A total of 66 patients diagnosed with preeclampsia in our hospital between June 2013 and May 2016 were selected as the preeclampsia group (PE group) of the study and healthy women who gave birth in our hospital during the same period were selected as control group. At 32-37 weeks of gestation, uterine spiral artery ultrasonography was conducted to determine blood flow parameters PI, RI and S/D, and peripheral blood was collected to separate mononuclear cells and then determine CTLA-4 and CD28 mRNA level; after childbirth, placenta tissue was collect to determine the levels of placental development-related cytokines and apoptotic molecules.Results: Uterine spiral artery RI, PI and S/D of PE group were significantly higher than those of control group; PLGF, NGF, EGF, IGF-I, VEGF, Xiap, Survivin, bcl-2 and CD28 content in placenta tissue of PE group were significantly lower than those of control group and negatively correlated with uterine spiral artery PI, RI and S/D while GDF-15, caspase-3, caspase-9 and CTLA-4 content were significantly higher than those of control group and positively correlated with uterine spiral artery PI, RI and S/D; CTLA-4 mRNA level in peripheral blood mononuclear cells of PE group was significantly higher than that of control group and positively correlated with uterine spiral artery were PI, RI and S/D while CD28 mRNA level was significantly lower than that of control group and negatively correlated with uterine spiral artery PI, RI and S/D.Conclusion:Uterine spiral artery blood flow resistance increases and blood flow volume decreases in patients with preeclampsia, and the above blood flow characteristics will hinder the placental development, induce cell apoptosis and aggravate the placental hypoxia.