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孕期营养与双生子散光眼形成的关系
引用本文:周文娣,张佩斌.孕期营养与双生子散光眼形成的关系[J].南京医科大学学报,2010(5):705-708.
作者姓名:周文娣  张佩斌
作者单位:南京医科大学第一附属医院儿童保健科江苏省妇幼卫生保健中心;
基金项目:中疾控妇幼保健中心资助(20050125)
摘    要:目的:探讨孕期营养与双生子散光眼形成的关系。方法:对28对双生子于生后3个月、6个月至少进行1次屈光检查,将双生子的眼散光状况与孕母孕期及双生子出生前、后的相关因素进行分析。同期随机抽取56例单胎儿作为对照。结果:双生子柱镜≥2D散光眼的检出率为53.57%,显著高于单胎婴儿(χ2=21.35,P<0.05)。双生子中有和无散光家族史的两组间,散光值比较差异有统计学意义(F=6.33,P=0.01)。母亲有早孕反应(OR=1.40,95%CI:1.10~5.13)、母亲孕中期骨密度(OR=1.44,95%CI:1.30~6.19)、血色素(OR=1.69,95%CI:1.03~2.78)、分娩时血清镁(OR=1.39,95%CI:1.03~1.89)、维生素A(OR=1.03,95%CI:1.01~1.06)、双生子脐血维生素D(OR=1.02,95%CI:1.00~1.04)和出生体重(OR=1.02,95%CI:1.00~1.03)与双生子散光眼的关联有统计学意义(P<0.05)。结论:母孕期营养状况影响双生子散光眼的形成,应在整个孕期针对性地对孕母进行营养指导,以降低婴儿散光眼的发生率。

关 键 词:双生子  婴儿  散光眼  孕期  营养  

Relationship between nutrition in pregnancy and astigmatism formation in twins
ZHOU Wen-di and ZHANG Pei-bin.Relationship between nutrition in pregnancy and astigmatism formation in twins[J].Acta Universitatis Medicinalis Nanjing,2010(5):705-708.
Authors:ZHOU Wen-di and ZHANG Pei-bin
Institution:Department of Child Heaith Care/a>;the First Affiliated Hospital of NJMU/a>;Jiangsu Province Maternity and Child Health Care Center/a>;Nanjing 210036/a>;China
Abstract:Objective:To examine the association between nutritional status of pregnant mothers and the risk of astigmatism in twins.Methods:Twenty-eight twin pairs were recruited from Jiangsu Province Hospital.Noncycloplegic refraction was measured by vision screening instrument 3 and 6 months after birth.Detailed perinatal history and postnatal data were collected.The relationship between astigmatism and related factors of pregnant mothers and infants was analyzed.Meanwhile 56 cases of singleton were randomly selecte...
Keywords:twins  infant  astigmatism  pregnancy  nutrition  
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