摘要
非典型抗磷脂抗体和不良妊娠结局之间的关联性为当前临床研究的重点。非典型抗磷脂抗体属于能够和细胞表面上带负电荷的磷脂特异性结合的抗体,容易导致患者出现不同类型临床症状,即非典型抗磷脂抗体综合征。结合当前临床实际可以发现,非典型抗磷脂抗体和孕妇不良妊娠结局存在有一定关联性。非典型抗磷脂抗体可能增加女性出现流产、不孕以及子痫前期、胎盘功能不全等病症的发生率。当关于非典型抗磷脂抗体和不良妊娠结局之间的关联性临床尚未有统一的定论。本次主要针对当前非典型抗磷脂抗体和不良妊娠结局的关联以及机制研究进展进行分析。
关键词: 非典型抗磷脂抗体;不良妊娠结局;关联;机制
Abstract
The association between atypical antiphospholipid antibodies and adverse pregnancy outcomes is currently a focus of clinical research. Atypical antiphospholipid antibodies belong to antibodies that can specifically bind to negatively charged phospholipids on the cell surface, which can easily lead to different types of clinical symptoms in patients, namely atypical antiphospholipid antibody syndrome. Based on current clinical practice, it can be found that there is a certain correlation between atypical antiphospholipid antibodies and adverse pregnancy outcomes in pregnant women. Atypical antiphospholipid antibodies may increase the incidence of miscarriage, infertility, preeclampsia, placental dysfunction, and other conditions in women. There is no unified clinical consensus on the association between atypical antiphospholipid antibodies and adverse pregnancy outcomes. This analysis mainly focuses on the current research progress on the association and mechanism between atypical antiphospholipid antibodies and adverse pregnancy outcomes.
Key words: Atypical antiphospholipid antibody; Adverse pregnancy outcomes; Relation; Mechanism
参考文献 References
[1] 吴李平,常晓玲,王红梅. 维生素D、抗磷脂抗体在不明原因复发性流产患者中的应用价值分析 [J]. 航空航天医学杂志, 2025, 36 (11): 1284-1287.
[2] 李强,张海桥,万萍,等. 穴位注射治疗孕早期抗磷脂抗体阳性患者血栓前状态临床观察 [J]. 山西中医, 2025, 41 (09): 37-39.
[3] 唐之雅,付萍. 抗核抗体和抗核抗体谱及抗磷脂抗体与不良妊娠结局的关系及用药情况分析 [J]. 中国医药, 2025, 20 (07): 1058-1062.
[4] 戚建锋,何健英,叶玉玲,等. 抗磷脂抗体各亚型与原发性不孕和复发性自然流产的相关性及小剂量阿司匹林的预防效果分析 [J]. 中国妇幼保健, 2025, 40 (14): 2618-2622.
[5] 任冰冰,赵颖杰,马莹莹,等. 抗磷脂抗体对SLE及UCTD患者妊娠结局的影响 [J]. 现代妇产科进展, 2025, 34 (07): 511-516.
[6] 张膑,李思吟,邹晋梅,等. 生物可利用度维生素D在抗磷脂抗体阳性的复发性流产患者中的临床意义 [J]. 实用医院临床杂志, 2025, 22 (03): 105-109.
[7] 陆雅佩,余怀英. 狼疮抗凝物和抗磷脂抗体与复发性流产的相关性 [J]. 中国妇幼保健, 2025, 40 (09): 1640-1644.
[8] 李冉,陈荔闽,代玉红,等. 非标准抗磷脂抗体阳性不良妊娠结局预测模型的建立和验证 [J]. 中国计划生育和妇产科, 2024, 16 (11): 54-58.
[9] 夏建妹,杜雯琪,项国谦,等. 复发性流产患者维生素D与抗磷脂抗体水平相关性研究 [J]. 重庆医学, 2024, 53 (23): 3559-3564.
[10] 黄艳芳,向兰,周敏,等. 渝东北地区育龄期女性复发性流产的影响因素 [J]. 中外医药研究, 2024, 3 (25): 144-147.