Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.
Trop Med Int Health. 2012 Feb;17(2):191-6. doi: 10.1111/j.1365-3156.2011.02907.x. Epub 2011 Dec 11.
Vitamin C alone or in combination with vitamin E has been proposed to prevent pre-eclampsia. In this study, we assayed the plasma vitamin C in women of reproductive age in Kampala and assessed its association with pre-eclampsia.
Participants in this study were 215 women with pre-eclampsia, 400 women with normal pregnancy attending antenatal clinic and 200 non-pregnant women attending family planning clinic at Mulago Hospital's Department of Obstetrics and Gynaecology from 1st May 2008 to 1st May 2009. Plasma vitamin C was assayed using the acid phosphotungstate method; differences in the means of plasma vitamin C were determined by ANOVA.
Mean plasma vitamin C levels were 1.72 (SD 0.68)×10(3)μg/l in women with pre-eclampsia, 1.89 (SD 0.73)×10(3)μg/l in women with normal pregnancy and 2.64 (SD 0.97)×10(3)μg/l in non-pregnant women. Plasma vitamin C was lower in women with pre-eclampsia than in women with normal pregnancy (P=0.005) and non-pregnant women (P<0.001).
Health workers need to advise women of reproductive age on foods that are rich in vitamin C, as this may improve the vitamin status and possibly reduce the occurrence of pre-eclampsia.
单独或联合使用维生素 C 和维生素 E 已被提议用于预防子痫前期。本研究检测了坎帕拉育龄妇女的血浆维生素 C 水平,并评估了其与子痫前期的关系。
本研究的参与者为 2008 年 5 月 1 日至 2009 年 5 月 1 日期间在穆拉戈医院妇产科产前门诊就诊的 215 例子痫前期妇女、400 例正常妊娠妇女和 200 例非妊娠妇女。采用酸磷钨酸法检测血浆维生素 C;采用方差分析(ANOVA)确定血浆维生素 C 均值的差异。
子痫前期妇女的平均血浆维生素 C 水平为 1.72(SD 0.68)×10(3)μg/l,正常妊娠妇女为 1.89(SD 0.73)×10(3)μg/l,非妊娠妇女为 2.64(SD 0.97)×10(3)μg/l。子痫前期妇女的血浆维生素 C 水平低于正常妊娠妇女(P=0.005)和非妊娠妇女(P<0.001)。
卫生工作者需要向育龄妇女建议富含维生素 C 的食物,因为这可能改善维生素状况,并可能减少子痫前期的发生。