先兆子痫/子痫女性的 25(OH)维生素 D 状态:长期困境再现

Sruthi Nagarajan
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引用次数: 0

摘要

子痫前期是一种危及生命的多系统妊娠疾病,在 2%-10%的妊娠中都会出现。维生素 D 缺乏症的发病率为 15% 到 80%。维生素 D 缺乏与子痫前期的发生有关。本研究旨在了解子痫前期/子痫和正常孕妇中维生素 D 缺乏症的患病率,确定维生素 D 缺乏症是子痫前期的致病因素,并阐明 25 (OH) 维生素 D 状态与严重子痫前期之间的关系。研究人员采集了 50 名血压正常的孕妇(对照组)和 50 名患有子痫前期/子痫的高血压孕妇(病例)的血样,并通过化学发光免疫测定法测定了 25 (OH) 维生素 D 水平。在先兆子痫/子痫组中,32 人(64%)缺乏维生素 D,18 人(36%)维生素 D 不足。在对照组中,30 名孕妇(60%)缺乏维生素 D,19 名孕妇(38%)维生素 D 不足,只有一名孕妇(2%)的维生素 D 水平足够。虽然很难证明维生素 D 水平与子痫前期之间的相关性,但全球普遍存在孕期维生素 D 缺乏症。因此,在印度的产前保健计划中可以常规补充维生素 D。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
25(OH) Vitamin D Status among Females with Preeclampsia/Eclampsia: A Long-term Plight Readdressed
Preeclampsia is a life-threatening multisystem disorder of pregnancy which has been observed in 2%–10% of pregnancies. The prevalence of Vitamin D deficiency ranges from 15% to 80%. Deficiency of Vitamin D is associated with the development of preeclampsia. This study was done to find out the prevalence of Vitamin D deficiency among preeclamptic/eclamptic and normal pregnant females, to establish Vitamin D deficiency as a causal factor of preeclampsia, and to elucidate the relation between 25 (OH) Vitamin D status and the severe preeclampsia. Blood samples were collected from 50 normotensives (controls) and 50 hypertensive pregnant females with preeclampsia/eclampsia (cases), and 25 (OH) Vitamin D level was measured by chemiluminescence Immunoassay. Among the preeclamptic/eclamptic group, 32 (64%) were noted with Vitamin D deficiency and 18 (36%) with Vitamin D insufficiency. In the control group, 30 (60%) pregnant women showed Vitamin D deficiency, 19 (38%) with Vitamin D insufficiency, and a sufficient level of Vitamin D was observed in one woman (2%). Although it is difficult to demonstrate the correlation between Vitamin D levels and preeclampsia, there is a widespread global prevalence of Vitamin D deficiency during pregnancy. Hence, Vitamin D supplementation can be included routinely in the antenatal care program in India.
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