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[胎盘钙化是否仅揭示母亲吸烟情况?]

[Do calcification of placenta reveal only maternal cigarette smoking?].

作者信息

Szymanowski Krzysztof, Chmaj-Wierzchowska Karolina, Florek Ewa, Opala Tomasz

机构信息

Katedra i Klinika Zdrowia Matki i Dziecka, Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu.

出版信息

Przegl Lek. 2007;64(10):879-81.

Abstract

Maternal smoking during pregnancy is associated with not only obstetrical and pediatrician complications with fetus, newborn and child but also with placenta. The aim of the work was the estimation of placental calcification between maternal cigarette smoking and non-smoking pregnant women. All women have taken vitamin supplements during time of experiment. The study group consisted of 200 pregnant women (100 smokers and 100 non-smokers). All patients were admitted and delivered singleton births in the Gynecological and Obstetric Clinical Hospital in Poznan, between 2004-2007. A questionnaire was used as a study tool. s. The study groups were similar under age, education, obstetrical interview and cigarette smoking (5-10 cigarettes/day). Ultrasound investigations showed placental calcification in 36% vs 45% pregnancy at 30 +/- 2 weeks of gestation and in 52% vs 57% at 40 +/- 2 weeks of pregnancy as well as in 55% vs 58% placentas in macroscopic examination, between smoking and non-smoking women. Cigarette smoking should not be considered as exclusive factor leading to formation deposits of calcium in placenta. The consumption of vitamin supplements probably also involve calcification of placenta tissue.

摘要

孕期母亲吸烟不仅与胎儿、新生儿及儿童的产科和儿科并发症有关,还与胎盘有关。这项工作的目的是评估吸烟与不吸烟孕妇之间胎盘钙化的情况。在实验期间,所有女性都服用了维生素补充剂。研究组由200名孕妇组成(100名吸烟者和100名不吸烟者)。2004年至2007年期间,所有患者均在波兹南的妇产科临床医院入院并分娩单胎。使用问卷作为研究工具。研究组在年龄、教育程度、产科访谈和吸烟情况(每天5 - 10支香烟)方面相似。超声检查显示,在妊娠30±2周时,吸烟女性与不吸烟女性胎盘钙化率分别为36%和45%;在妊娠40±2周时,分别为52%和57%;在宏观检查中,胎盘钙化率分别为55%和58%。吸烟不应被视为导致胎盘钙沉积形成的唯一因素。维生素补充剂的摄入可能也与胎盘组织钙化有关。

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