Pasiński Jacek, Swierczewski Arkadiusz, Estemberg Dorota, Kowalska-Koprek Urszula, Karowicz-Bilińska Agata
Klinika Patologii Ciazy I Katedra Ginekologii i Potoznictwa Uniwersytet Medyczny w Łodzi, Polska.
Ginekol Pol. 2013 Jan;84(1):32-7. doi: 10.17772/gp/1537.
Hypertension occurs in 6 to 10 percent of pregnancies. It remains one of the most common disorders in pregnancy and the leading causes of maternal and fetal morbidity The changes in blood vessel endothelium have impact on the pathogenesis of hypertension and preeclampsia.
The aim of this study was to establish endothelin- 1 and lipids peroxides content in blood during hypertension and the influence of vitamin C and E supplementation on the concentration of both parameters.
Two study groups (pregnancy complicated with hypertension, pregnancy complicated with hypertension treated with vitamins C and E) and a control group with uncomplicated pregnancies were distinguished. Blood samples from maternal peripheral venous circulation were collected and ET-1 and lipids peroxides levels were determined from the blood samples.
Concentration of endothelin-1 in the group with hypertension and with vitamin supplementation was INCREASED (66.18 +/- 26.66 pg/ml) in comparison with normal pregnant (36.50 +/- 13.25) and hypertension group (41.02 +/- 15.98). The difference was significant. Lipid peroxides concentrations were significantly higher in the group with hypertension (1.18 +/- 0.69) in comparison with both groups - controls (0.73 +/- 0.35) and the group with hypertension and vitamin supplementation (0.77 +/- 0.42).
No significant differences in the endothelin- 1 level between healthy pregnant and pregnant women with hypertension were found. Vitamin supplementation decreases the concentrations of lipid peroxides.
6%至10%的孕妇会出现高血压。它仍然是孕期最常见的疾病之一,也是孕产妇和胎儿发病的主要原因。血管内皮的变化会影响高血压和先兆子痫的发病机制。
本研究的目的是确定高血压期间血液中内皮素-1和脂质过氧化物的含量,以及补充维生素C和E对这两个参数浓度的影响。
区分了两个研究组(妊娠合并高血压组、妊娠合并高血压并接受维生素C和E治疗组)和一个妊娠未合并并发症的对照组。采集孕妇外周静脉血样本,测定血样中ET-1和脂质过氧化物水平。
与正常孕妇组(36.50±13.25)和高血压组(41.02±15.98)相比,高血压组及补充维生素组的内皮素-1浓度升高(66.18±26.66 pg/ml)。差异具有统计学意义。与对照组(0.73±0.35)和高血压补充维生素组(0.77±0.42)相比,高血压组的脂质过氧化物浓度显著更高。
未发现健康孕妇和高血压孕妇的内皮素-1水平有显著差异。补充维生素可降低脂质过氧化物的浓度。