孕妇维生素D缺乏及其对胎儿的影响
Vitamin D deficiency in pregnant women and its effect on the newborns
  
DOI:10.3969/j.issn.1006-7108.2014.06.011
中文关键词:  女性  妊娠  维生素D缺乏  出生大小
英文关键词:Women  Pregnancy  Vitamin D deficiency  Birth size
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作者单位
宋淑军1 张文颖2 刘俊丽1 周玲2 贾海英3 周金莲1 吴洁4 杨乐冰3 司少艳1 1.中国人们解放军第306医院病理实验科北京100101 2.中国人们解放军第306医院妇产科北京100101 3.中国人们解放军第306医院体检中心北京100101 4.中国人们解放军第306医院门诊部北京100101 
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中文摘要:
      目的 维生素D缺乏累及的人群非常广泛,而且与多种疾病的发生有关,特别是孕妇维生素D缺乏还可能影响到胎儿的健康。目前关于我国女性维生素D的资料报道很少。本研究的目的是了解健康孕妇(孕15~21w)以及同龄未孕对照组妇女维生素D水平以及孕妇维生素D水平对新生儿出生大小的影响。方法 本文随机选取单胎妊娠孕妇63例和同龄对照妇女35例,用酶联免疫的方法测定血中25-羟维生素D水平。结果 显示99%的检测病例25-羟维生素D水平低于正常值(≥75 nmol/L),有近93%的妇女为维生素D缺乏(<50 nmol/L)。孕妇25-羟维生素D水平(28.40±9.19 noml/L)明显低于对照组妇女(38.46±10.77 noml/L; P<0.001),两组维生素D缺乏的比率分别为孕妇96.8%,对照组85.7%,但重度维生素D缺乏的病例孕妇组接近半数,而对照组为零。新生儿身长与孕妇25-羟维生素D水平成显著正相关(r=0.323; P<0.01。结论 我国北方女性特别是孕妇是维生素D缺乏患病的高危人群,而且孕妇维生素D缺乏可能会影响到胎儿的生长发育。应该积极采用有效的措施防治维生素D的缺乏,从而减少维生素D缺乏对健康的影响对提高人口质量将具有重要的意义。
英文摘要:
      Objective Vitamin D deficiency is very common and associated with various diseases, especially in pregnant women, which may affect the fetal health. At present, little is known about the vitamin D status in Chinese women. The aim of this study was to investigate the vitamin D status in healthy pregnant women (15~21 weeks) and a group of age-matched non-pregnant control women, and to observe the effect of the vitamin D status on the size of the newborns. Methods Sixty-three pregnant women and 35 non-pregnant women were selected. The serum 25-hydroxyvitamin D (25-(OH)D) level was determined using enzyme-linked immunosorbent assay. Results The serum 25-(OH)D level in 99% subjects was lower than 75 nmol/L (normal range). And 93% subjects had 25-(OH)D deficiency (<50 nmol/L). The serum 25-(OH)D level in pregnant women (28.40±9.19 nmol/L) was significantly lower than that in non-pregnant women (38.46±10.77 nmol/L; P<0.001). The rate of vitamin D deficiency in pregnant women and non-pregnant women was 96.8% and 85.7%, respectively. Near half of the pregnant women had severe vitamin D deficiency, while none in the control group. The height of the newborns was significantly positively correlated with the maternal 25-(OH)D levels (r=0.323; P<0.01). Conclusion Women, especially the pregnant women in the northern part of China, are high risk population of vitamin D deficiency. Fetal development may be influenced by maternal vitamin D deficiency. Measures should be taken to prevent women from vitamin D deficiency in China, thus reducing the effect of vitamin D deficiency on the health of population.
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