新生儿及其母血清钙,磷和碱性磷酸酶水平测定和临床意义

目的：为了了解产妇钙缺乏状况、产妇血清和新生儿脐血钙、磷和碱性磷酸酶（AKP）水平及其关系。方法：用意大利半自动生化分析仪行比色法测定产妇血清和脐血。结果：产妇血清钙明显低于对照组，其中AKP明显高于对照组（P均＜0．01）；脐血钙、磷明显高于产妇，（P分别＜0．01和＜0．05），其AKP明显低于产妇（P＜0．01）；且产妇血清Ca2＋≥2．145mmol／L组的配对新生儿脐血钙明显高于产妇血清Ca2＋＜2．145mmol／L组的配对新生儿的脐血钙。结论：孕妇在孕期常规补充钙和维生素D制剂可预防低钙血症对母子引起的并发症。

Measurement of Serum Calcium, Phosphorus and Alkaline Phosphatase in Puerperants and Their Newborn Infants

Objective: To investigate the insufficiency levels of serum calcium, phosphorus (P), alkaline phosphatase (AKP) and the relation among them in puerperants and thair newbom infants. methods: Using colorimetry the paramentrs in puerpermts sera and Umbilical conl bled were detelmined by send - automaticanalysor. Results: Ca concentlations in Pues were sighficandy lower, but their AKP coneentlation werehigher than those in the control groups (P < 0.001); the leVels of calcium and Phospholus in umbilical coldbind were siedcantly higher, but their AKP levels were lower than those in Puerperants (P < 0.01); and Ca levels in umbilical cord bloods of newborn infants, whose mothers serum Ca levels were more than 2. 145mmol/L, were higher than those of newborn infants, whose mothers serum Ca levels were less than 2. 145mmol/L.Conclusion: Giving routinely some -dose of calcium and vitamin D to pregnant wemen may efficiently prevent the low - calcium complications of her and her newbom infants.