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[孕妇体内锌和铜的状态及其在子痫前期的变化]

[Status of zinc and copper in pregnant women and their changes during preeclampsia].

作者信息

Monia Malek-Mellouli, Fethi Ben Amara, Wafa Loussaief-Ben Amara, Hédi Reziga

机构信息

Service de gynécologie obstétrique B, Centre de maternité et de néonatologie, Tunis, Tunisia.

出版信息

Ann Biol Clin (Paris). 2012 Jul-Aug;70(4):423-9. doi: 10.1684/abc.2012.0732.

Abstract

In order to evaluate the status of zinc and copper in pregnant women and in preeclampsia, we conducted a prospective case-control study. It involved 56 pregnant women compared with 30 non-pregnant women selected as controls. For pregnant women, serum levels of zinc, copper and ceruloplasmin were determined quarterly. These same measurements were performed once in controls. The comparison of various parameters in normal pregnancy and in control women revealed a statistically significant decrease in serum levels of zinc from 1st to 3rd quarter. The serum levels of copper were normal both in controls and in parturients. However, a significant increase of copper levels from 1st to 3rd quarter of pregnancy was found. The serum levels of ceruloplasmin appear to be invariable during pregnancy. Moreover, we noted a disturbance of these parameters in preeclampsia (hypozincemia, hypocupremia and a significant increase of ceruloplasmin). Zinc and copper are essential for the development and fetal growth. Their involvement in several maternal-fetal complications is not currently in any doubt.

摘要

为了评估孕妇及子痫前期患者体内锌和铜的状况,我们开展了一项前瞻性病例对照研究。该研究纳入了56名孕妇,并与30名作为对照的非孕妇进行比较。对于孕妇,每季度测定血清锌、铜和铜蓝蛋白水平。对照组仅进行一次相同检测。正常妊娠组与对照组女性各项参数的比较显示,血清锌水平从第一季度到第三季度有统计学意义的下降。对照组和产妇的血清铜水平均正常。然而,发现妊娠第一季度到第三季度铜水平显著升高。妊娠期间血清铜蓝蛋白水平似乎不变。此外,我们注意到子痫前期患者这些参数存在紊乱(低锌血症、低铜血症以及铜蓝蛋白显著升高)。锌和铜对胎儿发育和生长至关重要。它们与多种母胎并发症有关,目前这一点毋庸置疑。

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