1.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
2.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
3.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
4.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
5.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
6.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
7.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
8.Clinical Significance of Peripheral Blood Immune Cell Population Detection in Diagnosis and Treatment of Unexplained Recurrent Spontaneous Abortion
Yang YANG ; Huibo RU ; Kun XU ; Chun WU ; Shusong WANG ; Lirong DU
Journal of Practical Obstetrics and Gynecology 2024;40(9):745-750
Objective:To detect the expression levels of various immune cells in peripheral blood,and to ex-plore their relationship with unexplained recurrent spontaneous abortion(URSA)and its clinical significance in di-agnosis and treatment.Methods:A total of 351 patients with URSA who visited Hebei Reproductive Health Hospi-tal between January 2020 and September 2022 were enrolled as the URSA group,while a control group compri-sing 30 healthy women who had experienced uncomplicated term delivery once and had no history of adverse pregnancy outcomes during the same period was selected.The levels of various immune cell subsets in peripheral blood during the luteal phase were measured and compared between the two groups.Receiver operating charac-teristic(ROC)curve analysis was performed to determine the optimal cutoff values of immune cell levels that could assist in URSA diagnosis and treatment,while logistic regression analysis was conducted to identify factors influ-encing URSA occurrence.Results:The number and percentage of CD3+CD8+cells in the peripheral blood of the URSA group were significantly lower compared to those in the control group(P<0.05).Conversely,the per-centage of NK cells was significantly higher in the URSA group than in the control group(P<0.05).Logistic re-gression analysis revealed that the increase in CD3+CD8+cell count in peripheral blood during the luteal phase was a protective factor of URSA(OR<1,P<0.05).ROC curve analysis determined optimal cutoff values for im-mune cell levels to assist in the diagnosing and treating URSA:702.82 cells/μl for CD3+CD8+cell count,28.39%for CD3+CD8+cell percentage,and 12.33%for NK cell percentage.After using the optimal cutoff value to convert continuous variables into binary variables,Logistic regression analysis showed that a CD3+CD8+cell count<702.82 cells/μl and an NK cell percentage>12.33%were independent risk factors for URSA(OR>1,P<0.05).Conclusions:The decrease of CD3+CD8+cells in peripheral blood during midluteal phase is closely related to the occurrence of URSA.The number of CD3+CD8+cells(702.82 cells/μl)and the percentage of NK cells(12.33%)can be used as reference values for the diagnosis and treatment of URSA.
9.Construction Idea and Method of Standard Research Platform in National Chinese Medicine Clinical Research Base (HuBei)
Fan YANG ; Lanbo FEI ; Dan XIE ; Xiaodong LI ; Shusong MAO
World Science and Technology-Modernization of Traditional Chinese Medicine 2013;(5):1121-1123
The standard research platform construction is one of the business construction tasks in the national Chinese medicine clinical research base. The base of HuBei province focused on tasks of base construction, clinical scientific research of key disease study to present the idea and method of standard research platform construction in order to complete the construction task .
10.Exploration on Research Type Clinic Mode Construction
Xiaochuan DENG ; Jianzhong LIU ; Guoguang SHENG ; Xiaodong LI ; Huikun WU ; Fan YANG ; Hui LI ; Jingjing HUANG ; Shusong MAO ; Mingxing GUO
World Science and Technology-Modernization of Traditional Chinese Medicine 2013;(5):1140-1142
In order to better construct important diseases of traditional Chinese medicine ( TCM ) clinical re-search base , and strengthen the construction of medical and clinical research of TCM information sharing sys-tem, Hubei Provincial Hospital of Traditional Chinese Medicine has constructed research type clinic. The con-struction idea of research type clinic is the mode of real world TCM clinical research . The construction of research type clinic mode was from three aspects, which were the clinical research, health management and distinctive diagnosis and treatment .

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