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妊娠晚期及分娩后妇女骨代谢的变化 被引量:2

Changes of bone metabolism in late term pregnant and postpartum women
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摘要 本文测定了妊娠晚期及分娩后妇女(31例)及相应年龄非妊娠妇女(48例)血清中25羟基维生素D3(25OHD3)、骨钙素(BGP)的水平,尿羟脯氨酸与肌酐(HOP/Cr)、钙与肌酐(Ca/Cr)、Ⅰ型胶原交联N末端肽与肌酐(NTX/Cr)比值。结果显示:血清25OHD3水平,在妊娠晚期,分娩后42天明显低于非妊娠妇女(P<0.01)。血清BGP水平,在妊娠晚期、分娩后42天显著低于非妊娠妇女(P<0.01)。尿HOP/Cr比值,在妊娠晚期,分娩后42天明显高于非妊娠妇女(P<0.01),尿Ca/Cr比值,在妊娠晚期明显高于非妊娠妇女(P<0.05),产后明显低于非妊娠妇女(P<0.01)。尿NTX/Cr比值,在妊娠晚期,分娩后42天非常显著高于非妊娠妇女(P<0.001)。以上研究结果表明:孕妇在妊娠晚期及分娩后42天处于维生素D缺乏和负钙平衡状态,骨吸收明显增加,骨形成明显降低。 Serum levels of osteocalin(BGP),25 hydroxyvitamin D 3(25OHD 3)and the ratio of urine type Ⅰ collagen crosslinked N telopeptides(NTX),hydroxyproline(HOP)and calcium(Ca) to urine creatinine(Cr)were measured in 31 late term pregnant and postpartum women,and also in another 48 healthy non pregnant women as controls.The results showed that serum levels of 25 OHD 3 and BGP significantly decreased( P <0.01)in late term pregnant and postpartum women while ratio of urine HOP/Cr,Ca/Cr and NTX/Cr significantly increased ( P <0 01)in late term and postpartum women.This study demonstrates that there is vitamin D deficiency and negative calcium balance in late term pregnant and pastpartum women;bone resorption significantly increases and bone formation significantly decreases in these women.
出处 《中国骨质疏松杂志》 CAS CSCD 1999年第2期21-23,共3页 Chinese Journal of Osteoporosis
关键词 分娩后 妊娠晚期 非妊娠妇女 比值 肌酐 血清 骨代谢 HD 骨吸收 维生素D缺乏 Hydroxyvitamin D 3\ \ Osteocalcin\ \ Type I collagen crosslinked N telopeptides Pregnancy\ \ Bone metabolism
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