妊娠不良结局孕妇孕期血清微量元素的变化分析

Analysis of Serum Trace Element Changes during Pregnancy of Women with Adverse Pregnancy Outcomes

目的 分析妊娠不良结局孕妇孕期血清微量元素的变化。方法 选取的80例妊娠不良结局孕妇进行回顾性分析,根据不同妊娠时间分为研究A组（≤12周）24例、研究B组（〉12~〈28周）32例、研究C组（≥28周）24例,另选取同期非妊娠健康妇女38例设为对照组。各组均予以血清微量元素检测,对比各组微量元素水平及微量元素缺乏情况。结果研究A、B、C组Mg、Zn、Ca含量均比对照组低,且Cu含量比对照组高（P〈0.05）;研究A组Fe含量比对照组高,但研究C组Fe含量比对照组低（P〈0.05）;研究组A、B、C组Fe、Zn、Ca含量缺乏率均比对照组高（P〈0.05）。结论 微量元素异常均可能导致孕妇妊娠不良结局的发生,孕妇需注意摄入富含Fe、Zn、Ca等微量元素的动、植食物,这对预防妊娠不良结局的发生具积极意义。

Objective To analyze the serum trace element changes during pregnancy with adverse preg- nancy outcomes. Methods 80 cases of adverse pregnancy outcomes of pregnant women were retrospectively ana- lyzed, setting research groups into the study group A（ ≤12 weeks） depending on the time of pregnancy 24 cases, the study group B（ 〉 12 -28 weeks） 32 cases, and the study group C（ i〉28 weeks） 24 cases, meanwhile choosing another 38 cases of non - pregnant healthy women as control group. Serum trace elements in each group were detected, and the trace elements and trace element deficiency situation of each group were compared. Results A, B, C groups contain fewer Mg, Zn, Ca but more Cu than the control group （P 〈 0.05） ; Fe content is higher of study group A than that of the control group, but is lower in study group C than that of the control group （P 〈 0.05 ） ; the deficiency rate of Fe, Zn and Ca is higher in study group A, B, C than that of control group（P 〈 0.05）. Conclusion The trace element anomalies in pregnant women may result in the occurrence of adverse pregnancy outcomes, pregnant women should pay attention to intaking meator plant food rich in Fe, Zn, Ca and other trace el- ements move, which plays a positive role in the prevention of the occurrence of adverse pregnancy outcomes.