بررسی ارتباط سطح اینترلوکین-۶ و CRP سرم مادر در سه ماهه اول بارداری با وقوع دیابت بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، گروه بهداشت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

2 دانشیار گروه بهداشت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

3 استادیار گروه بهداشت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

چکیده

مقدمه: دیابت، شایع‌ترین عارضه طبی در حاملگی است. شناسایی عامل خطر جدید می‌تواند به تشخیص زودهنگام اختلال کمک نماید. CRP و اینترلوکین-۶ دو مارکر التهابی، می‌توانند برخی از پیامدهای نامطلوب بارداری را پیش‌بینی کنند. مطالعه حاضر با هدف بررسی ارتباط سطح اینترلوکین-۶ و CRP سرم مادر در سه‌ماهه اول بارداری با وقوع دیابت بارداری انجام شد.
روش‌کار: این مطالعه مقطعی توصیفی- تحلیلی در سال 95-1394 بر روی ۵۰۰ زن با سن بارداری کمتر از ۱۴ هفته در آزمایشگاه نیلو تهران انجام شد. سطح سرمی CRP، اینترلوکین-۶ و لیپید و قندخون ناشتا اندازه‌گیری شد. غربالگری دیابت بارداری در 28-24 هفته انجام و نتایج ثبت شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های کولموگروف اسمیرنوف، کای‌دو، من‌ویتنی و رگرسیون لجستیک استفاده شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: دیابت بارداری در ۷۸ نفر (6/15%) مشاهده شد. میانه سطح CRP در گروه دیابتی و غیر‌دیابتی (۸/۴ در مقابل 22/5 میلی‌گرم در لیتر) (089/0=p) و اینترلوکین-۶ (۴۵/۱ در مقابل ۵/۱ پیکوگرم در میلی‌لیتر) متفاوت بود، ولی اختلاف آماری معنی‌داری نداشت (574/0=p). پس از تعدیل متغیرهای مخدوش‌گر در مدل رگرسیون لوجستیک، سطوح سرمی CRP (07/۱-96/۰=CI، ۹۵%، 01/۱=OR) (50/0=p) و اینترلوکین-۶ (۴۶/۱-89/۰=CI، 95%، 0۱/۱=OR) ارتباط معناداری با دیابت بارداری نداشت (88/0=p).
نتیجه‌گیری: سطح CRP و اینترلوکین-۶ ارتباط معنی‌داری با دیابت بارداری ندارند.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between maternal serum Interleukin-6 and CRP levels at first trimester of pregnancy and gestational diabetes occurrence

نویسندگان [English]

  • Fazeleh Hezareh 1
  • Lida Moghaddam-Banaem 2
  • Shadab Shahali 3
1 PhD student of Reproductive Health , Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2 6. Associate Professor, Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
3 Assistant Professor, Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
چکیده [English]

Introduction: Diabetes is the most common medical complication of pregnancy. Identifying the new risk factor can help to early diagnosis of the disorder. CRP and Interleukin-6 are two inflammatory markers which can anticipate some pregnancy adverse complications. This study was performed with aim to assess the relationships between maternal serum CRP and Interleukin-6 (IL-6) at first trimester of pregnancy and gestational diabetes Mellitus (GDM) occurrence.
Methods: This descriptive-analytical cross-sectional study was performed in 2015-2016 on 500 pregnant women with gestational age < 14 weeks in Nilou laborator, Tehran. Serum levels of CRP, IL-6, fasting blood sugar (FBS) and lipid profile were measured. GDM screening was performed in 24-28 weeks of gestation. Data were analyzed by SPSS statistical software (version 21) and Kolmogorov-Smirnov, Chi-square, Mann-Whitney tests and Logistic regression model. P<0.05 was considered statistically significant.
Results: GDM was found in 78 women (15.6%). Median CRP levels in GDM and non-GDM groups (4.8 vs. 5.22 mg/ml) (P=0.089) and median IL-6 (1.45 vs. 1.5 pg/ml) (P=0.574) was different, but the difference was not statistically significant. After adjusting the confounding variables in the logistic regression model, there were no statistically significant relations between serum level of CRP (OR=1.01, CI95%=0.96-1.07) (P=0.50) and IL-6 (OR=1.01, CI95%=0.89-1.46) (P=0.88) with GDM occurrence.
Conclusion: CRP and IL-6 levels are not significantly associated with the occurrence of GDM.

کلیدواژه‌ها [English]

  • CRP
  • Gestational diabetes
  • IL-6
  • pregnancy
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