Dawson E B, Evans D R, Kelly R, Van Hook J W
Department of Obstetrics & Gynecology, The University of Texas Medical Branch, Galveston 77555, USA.
Biol Trace Elem Res. 2000 May;74(2):107-16. doi: 10.1385/BTER:74:2:107.
This study compares the red blood cell (Rbc) levels of lead (Pb), calcium (Ca), and magnesium (Mg) in relation to blood pressure in 39 pregnant women in the third trimester of pregnancy. The study population included 20 women with normal pregnancies, 15 with mild hypertension, and 4 with severe hypertension and preeclampsia. The mean +/- SD for each group was calculated and the difference between the means of the normotensive and the other groups were compared by analysis of variance. Significant differences from normal to the preeclamptic pregnancies were in (1) elevated Rbc Pb (p < or = 0.001), (2) lower Rbc Ca (p < or = 0.001), and (3) lower Rbc Mg/Pb ratio (p < or = 0.0001). Pearson's rank correlation between blood pressure showed a direct relation to the Rbc Pb level (p < or = 0.01) and an inverse relation to the Rbc Ca and Mg/Pb ratio (p < or = 0.004, < or = 0.007). Apparently, prenatal blood pressure is directly proportional to Rbc Pb content and related or modified by Rbc Ca and Mg.
本研究比较了39名妊娠晚期孕妇的红细胞中铅(Pb)、钙(Ca)和镁(Mg)水平与血压的关系。研究对象包括20名正常妊娠女性、15名轻度高血压女性以及4名重度高血压和先兆子痫女性。计算了每组的均值±标准差,并通过方差分析比较了血压正常组与其他组均值之间的差异。从正常妊娠到先兆子痫妊娠的显著差异在于:(1)红细胞铅升高(p≤0.001);(2)红细胞钙降低(p≤0.001);(3)红细胞镁/铅比值降低(p≤0.0001)。血压之间的Pearson等级相关性显示与红细胞铅水平呈正相关(p≤0.01),与红细胞钙和镁/铅比值呈负相关(p≤0.004,≤0.007)。显然,产前血压与红细胞铅含量成正比,并与红细胞钙和镁有关或受其影响。