赣州地区孕妇血清维生素D水平研究  

Study on Maternal Serum Vitamin D Level in Ganzhou Area

作　　者：刘小勇[1] 刘金华[1] 陈霞[1] 曾夷[1] 

机构地区：[1]赣南医学院第三附属医院,江西赣州341000

出　　处：《中国医学创新》2014年第27期66-68,共3页Medical Innovation of China

摘　　要：目的:探讨赣州地区孕妇血清维生素D水平。方法:抽取2134例孕妇空腹静脉血液进行血清25-OH维生素D检查,记录检查结果并统计学分析后,对189例维生素D缺乏孕妇再次实施25(OH)VitD检测,之后将其按抽签方式随机分为A组、B组和C组,A组每日给予800 IU维生素D制剂;B组每日给予400 IU维生素D制剂;C组未给予任何药物干预措施。记录三组孕妇妊娠并发症发生率、25(OH)VitD检测结果。结果:2134例孕妇中34.96%孕妇维生素D检测结果正常,8.86%孕妇体内维生素D检测结果缺乏。C组孕妇发生妊娠并发症几率高达46.03%,与A、B组比较差异均有统计学意义(P<0.05);C组产妇并发症发生率最高,新生儿Apgar评分小于7分所占比例最高,且上述指标与A、B组比较差异均有统计学意义(P<0.05)。结论:临床医生应及时有效的监测孕妇各时期体内维生素D含量,给予正确的饮食指导,必要时采用药物补充机体所需维生素D,降低妊娠并发症发生率,保障母婴身心健康。Objective： To investigate the serum vitamin D levels in pregnant women of Ganzhou area.Method： 2134 patients were tested by venous blood serum 25-OH vitamin D, the results and conclusion were analyzed. Thereafter, 89 cases of patients vitamin D deficiency were implemented with 25 （ OH ） VitD test again using digital table method, and randomly iv divided into the group A, group B and group C. The group A was treated with 800 IU of vitamin D at each day and the group B was treated with 400 IU of vitamin D everyday, but the group C was did not gave any drug. The pregnancy complications and 25 （ OH ） VitD were recorded in three groups, and the resuhs and conclusion were analyzed statistically. Result： 2134 pregnant women in 34.96% of normal pregnant women vitamin D test result, 8.86% of pregnant women lack of vitamin D test result; the group C pregnant women increased risk of pregnancy complications was 46.03%, compared with the group A, B, the differences were statistically significant （ P〈0.05 ） ; maternal complications of the group C was highest, and neonatal Apgar score〈7 had the highest percentage, compared with the group A, B, the differences were statistically significant （ P〈0.05 ） .Conclusion： Clinicians should be timely and effective monitoring of pregnant women vitamin D levels in the body, each period to give the correct guidance, using drugs to supplement the body needs vitamin D when necessary, reduce the incidence of pregnancy complications, ensure maternal and child health of body and mind.

关 键 词：孕妇 血清维生素D 缺乏原因 妊娠并发症相关性 

分 类 号：R714.15[医药卫生—妇产科学]