孕产妇“孕产期肢体综合征”血清钙、镁、磷浓度临床分析

Correlation between Serum Levels of Calcium,Magnesium,Phosphorus and Limb Syndrome in Pregnancy

目的:通过比较孕产妇产前及产后血清钙、镁、磷浓度变化分析探讨孕产妇"孕产期肢体综合征"的形成原因。方法:对我院2010年10月至2015年9月住院分娩的3 400例孕产妇中发生"孕产期肢体综合征"的973例研究组进行产前与产后血清钙、镁、磷浓度生化检验,并将其与随机抽取的未发生"孕产期肢体综合征"的1 000例孕产妇对照组产前与产后血清钙、镁、磷浓度进行对比分析。结果:研究组产前产后的血清钙、镁、磷浓度与对照组有显著差异,两组比较,差异有统计学意义(P<0.05)。结论:孕产妇产前产后血清钙、镁、磷浓度偏低是"孕产期肢体综合征"形成的主要原因之一,也是引起该病典型症状的主要临床基础。针对病因及早识别,可有效降低和控制"孕产期肢体综合征"的发生。

Objective To compare the serum level changes of calcium, magnesium and phosphorus between gravida antepar- turn and postpartum, and explore their relati.onship with the ineidence of limb syndrome. Methods From October 2010 to September 2015,3 400 gravidas hospitalized in our hospital, in which 973 cases occurred limb syndrome.The serum levels of calcium,magnesium and phosphorus in the 973 cases were compared with another randomly selected 1 000 gravidas without limb syndrome. Results The serum levels of calcium, magnesium and phosphorus in observation group had significant differ- ences with control in both antepartum and postpartum （P〈 0.05 ）. Conclusion The low levels of calcium, magnesium and phosphorus in gravida antepartum and postpartum may be one of the main factors of limb syndrome, which also are the main typical clinical symptom.Early identification of the cause could effectively reduce the incidence of limb syndrome.