连云港地区孕妇静脉血常见微量元素水平分析  

Analysis on the levels of blood copper,zinc,calcium,magnesium, iron and lead in pregnant women in Lianyungang

作　　者：王震文[1] 左玉[1] 徐雯[2] 王宏栋 杨芳 周保成[1] WANG Zhenwen;ZUO Yu;XYU Wen;WANG Hongdong;YANG Fang;ZHOU Baocheng(Department of Medical Laboratory,Lianyungang Maternal and Child Health Hospital,Lianyungang,Jiangsu 222000,China;Department of Obstetrics,Lianyungang Maternal and Child Health Hospital,Lianyungang,Jiangsu 222000,China)

机构地区：[1]江苏省连云港市妇幼保健院检验科,江苏连云港222000 [2]江苏省连云港市妇幼保健院产科

出　　处：《公共卫生与预防医学》2019年第6期106-109,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的掌握连云港地区孕妇铜、锌、钙、镁、铁和铅元素含量水平和缺乏情况,为改善孕妇在不同孕周的营养状况提供依据。方法选取2016-2017年12月在连云港市妇幼保健院就诊的孕妇2 831例,按孕周分为3个组,采用原子吸光光度法检测铜、锌、钙、镁、铁和铅6种微量元素含量,同时对各元素缺乏率以及地区差异进行分析。结果铁含量随孕周的增长呈下降的趋势(r=-0.19,P<0.05);铜、锌、钙和镁的含量在早孕组和其他组相比差异有统计学意义(P<0.05),铁含量在3个组中差异均有统计学意义(P<0.05);铁、锌、钙的缺乏率在各个组中都比较高,总体缺乏率分别为13.07%、14.19%和18.76%,铅的超标率为0.04%;不同地区锌、钙和铁的缺乏率差异有统计学意义(P<0.05)。结论连云港地区孕妇钙、铁、锌元素在各个孕周均存在一定程度的缺乏,中孕期时钙缺乏率最高,铁和锌在晚孕期的缺乏率最高。在此基础上,合理地补充微量元素,保证孕妇的健康和胎儿的良好发育。Objective To provide a reference for prevention and treatment of trace elements deficiency in pregnant women by investigating the distribution, variation of trace elments of pregnant women in Lianyungang. Methods Six kinds of trace elements including copper, zinc, calcium, magnesium, iron and lead of 2 831 pregnant women who were divided into three groups in this area were detected by atomic absorption spectrophotometer. The content distribution in different groups and abnormity rate of trace elements and the difference in different areas were analyzed. Results Among the six kinds of trace elements, the trend of the level of iron was downward with the gestational weeks increasing, but the levels of other trace elements were waved. The levels of copper, zinc, magnesium and iron between the early pregnancy group and other groups were significantly different(P<0.05). The levels of iron in different groups were significantly different(P<0.05). It was common for the deficiency of iron, zinc and calcium in all age groups. The total deficiency rates of iron, zinc and calcium were 13.07%, 14.19% and 18.76% respectively, and the rates were significantly different in different areas. Conclusions The levels of copper and magnesium of pregnant women in Lianyungang were relatively reasonable, but there was scarcity of zinc, calcium and iron to some degree. So we should strengthen the guidance on the trace elments whose abnormity rates were relatively high, and make reasonable dietary structure and supplement nutrition scientific in order to ensure the health of pregnant women and good growth of the fetus.

关 键 词：孕妇 孕期保健 微量元素 

分 类 号：R173[医药卫生—妇幼卫生保健]