|
|||||
|
|
| 围生期孕妇骨量及骨代谢影响因素的临床分析 | |
| 引用本文： | 李晶晶,曾定元,陈江鸿,张静. 围生期孕妇骨量及骨代谢影响因素的临床分析[J]. 实用妇产科杂志, 2009, 25(6) |
| 作者姓名： | 李晶晶 曾定元 陈江鸿 张静 |
| 作者单位： | 广西医科大学第四附属医院,广西,柳州,545005 |
| 基金项目： | 广西壮族自治区卫生厅科研专项基金 |
| 摘 要： | 目的:探讨整个孕期影响骨代谢的相关因素.方法:选择在我院产科单胎足月分娩的健康产妇168名为调查对象,取入院待产后空腹血和晨尿,测定尿钙(Ca)、肌酐(Cr)、血碱性磷酸酶(ALP),产后3天内用双能X线骨密度仪测量左股骨颈骨密度.了解孕产史、母系骨质疏松家族史、孕期补钙及喝牛奶情况.结果:①发生骨量减少的产妇82例(48.8%),其中5例达到骨质疏松;②初产年龄及分娩前体重与左侧股骨颈骨密度值呈正相关(r=0.159,P=0.037);③发生骨量减少的孕妇中伴有母系骨质疏松家族史11例(73.3%),较骨量正常的孕妇伴母系骨质疏松家族史4例(26.7%)明显增多,差异有统计学意义(χ2=3.965,P=0.046);④持续补钙组孕妇左侧股骨颈骨密度高于未持续补钙组,骨形成指标血ALP、骨吸收指标尿Ca/Cr低于未持续补钙组,差异均有统计学意义(P<0.05).结论:孕期容易发生骨量减少,尤其对于伴有母系骨质疏松家族史的孕妇.孕期适当增加体重、持续补钙可以防治孕期骨质疏松,降低骨转换率. |
| 关 键 词： | 围生期孕妇 骨量 骨代谢 骨密度 |
The Bone Mass and the Bone Metabolism Related Factors in Pregnant Women in Perinatal Stage |
|
| LI Jingjing,ZENG Dingyuan,CHEN Jianghong,et al. The Bone Mass and the Bone Metabolism Related Factors in Pregnant Women in Perinatal Stage[J]. Journal of Practical Obstetrics and Gynecology, 2009, 25(6) | |
| Authors: | LI Jingjing ZENG Dingyuan CHEN Jianghong et al |
| Affiliation: | The Fourth Affiliated Hospital of Guangxi Medical University;Liuzhou Guangxi 545005;China |
| Abstract: | Objective:To probe the bone metabolism related factors in pregnancy.Methods:168 healthy parturients with singleton and term delivery were selected in our hospital.Fasting blood and morning urine were collected after admission.Urine calcium(Ca),creatinine(Cr),blood alkaline phosphatase(ALP)were determined.We measured BMD of left neck of femur by dual energy X-ray absorptiometry(DEXA) within three days after postpartum.The history of gravidity and parity,family history of maternal line osteoporosis,calcium su... |
| Keywords: | Pregnant women in perinatal stage Bone mass Bone metabolism Bone mineral density |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |