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胎儿循环中的氧化应激并不取决于分娩方式。

Oxidative stress in the fetal circulation does not depend on mode of delivery.

作者信息

Fogel Itay, Pinchuk Ilya, Kupferminc Michael J, Lichtenberg Dov, Fainaru Ofer

机构信息

Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, and Department of Obstetrics and Gynecology, Lis Maternity Hospital, Israel.

出版信息

Am J Obstet Gynecol. 2005 Jul;193(1):241-6. doi: 10.1016/j.ajog.2004.10.637.

Abstract

OBJECTIVE

We tested whether neonates are subject to oxidative stress by comparing the susceptibility of umbilical blood lipids with copper-induced peroxidation.

STUDY DESIGN

Umbilical arterial and venous blood samples were drawn from 32 pregnant women who delivered by elective cesarean section (CS) and from 32 pregnant women who delivered by spontaneous vaginal delivery (SVD) in a tertiary care center. Oxidative stress was evaluated by spectrophotometric monitoring of copper-induced peroxidation of serum samples.

RESULTS

The lag preceding lipid peroxidation in umbilical arterial blood was shorter than the lag in umbilical venous blood, irrespective of mode of delivery (14.0+/-1.8 vs 50.6+/-8.25 min, P=.0004 in SVD group; 17.7+/-1.6 vs 39.2+/-7.6 min, P=.006 in CS group).

CONCLUSION

Umbilical arterial lipids are more susceptible to peroxidation than umbilical venous lipids, indicating high oxidative stress in the fetal circulation irrespective of mode of delivery.

摘要

目的

通过比较脐血脂质对铜诱导的过氧化反应的敏感性,来检测新生儿是否受到氧化应激影响。

研究设计

在一家三级护理中心,从32例行择期剖宫产(CS)的孕妇以及32例自然阴道分娩(SVD)的孕妇中采集脐动脉血和脐静脉血样本。通过分光光度法监测血清样本铜诱导的过氧化反应来评估氧化应激。

结果

无论分娩方式如何,脐动脉血中脂质过氧化反应之前的延迟时间均短于脐静脉血中的延迟时间(SVD组中分别为14.0±1.8分钟和50.6±8.25分钟,P = 0.0004;CS组中分别为17.7±1.6分钟和39.2±7.6分钟,P = 0.006)。

结论

脐动脉脂质比脐静脉脂质更容易发生过氧化反应,这表明无论分娩方式如何,胎儿循环中均存在高氧化应激。

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