Nakai A, Oya A, Kobe H, Asakura H, Yokota A, Koshino T, Araki T
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
J Nippon Med Sch. 2000 Dec;67(6):434-9. doi: 10.1272/jnms.67.434.
Our goal was to characterize the changes in maternal lipid peroxidation levels and antioxidant enzymatic activities before and after delivery.
Predelivery and 1, 24, and 48 hours post-partum plasma concentrations of malondialdehyde, erythrocyte enzyme superoxide dismutase, glutathione peroxidase and catalase were measured in uncomplicated pregnancies.
Malondialdehyde levels increased slightly from predelivery to 24 hours post-partum and then decreased significantly at 48 hours post-partum. At one hour post-partum superoxide dismutase and catalase levels increased significantly to about 125% and 170% of predelivery levels, respectively. Thereafter, these values decreased significantly from one hour to 48 hours post-partum. The relative changes in superoxide dismutase and catalase levels at one hour post-partum compared to predelivery values correlated significantly with the duration of labor.
The results suggest that the uncontrolled lipid peroxidation caused by reactive oxygen species, which are produced in consequence of tissue reoxygenation, may occur during labor and that prolonged labor, may cause maternal oxidative stress.
我们的目标是描述分娩前后母体脂质过氧化水平和抗氧化酶活性的变化。
在无并发症的妊娠中,测量分娩前以及产后1小时、24小时和48小时血浆中丙二醛、红细胞超氧化物歧化酶、谷胱甘肽过氧化物酶和过氧化氢酶的浓度。
丙二醛水平从分娩前到产后24小时略有升高,然后在产后48小时显著下降。产后1小时,超氧化物歧化酶和过氧化氢酶水平分别显著升高至分娩前水平的约125%和170%。此后,这些值在产后1小时至48小时显著下降。产后1小时超氧化物歧化酶和过氧化氢酶水平与分娩前值的相对变化与产程显著相关。
结果表明,组织再氧合产生的活性氧导致的脂质过氧化失控可能在分娩期间发生,产程延长可能导致母体氧化应激。