Vafaei Homeira, Dalili Maryam, Hashemi Seyed Amin
Maternal-fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Clinical Research Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Iran J Reprod Med. 2015 Jan;13(1):23-6.
Preeclampsia is a disorder of pregnancy without any specific reasons that characterized by high blood pressure and large amounts of protein in the urine. This disorder is caused by multiple factors and finding any factor related to this disorder can help on time prevention of this disease.
In this study, serum levels of calcium (Ca), magnesium (Mg) and zinc (Zn) were evaluated in preeclampsia women and compared to normotensive ones.
This was a case-control study on 40 normotensive pregnancies as controls, 20 mild and 20 severe preeclamptic pregnancies as case groups. The women were studied in their 28-40 weeks of pregnancy. Simple random sampling was done based on inclusion and exclusion criteria and data were collected by blood sampling.
The serum Ca levels of 4.96±0.62, 4.89±0.34, 5.05±0.35 mg/dL, Mg levels of 0.83±0.08, 0.85±0.11, 0.84±0.11 mg/dL and Zn levels of 107.55±22.74, 108.00±22.40, 107.50±22.30 mg/dL was detected in normotensive, mild and severe preeclampsia, respectively. Statistical analysis revealed that there were no significant differences between three groups in serum levels of Ca (p=0.6), Mg (p=0.827) and Zn (p=0.997).
The findings of this study showed that the assessment of serum Ca, Mg and Zn levels does not have any clinical values for predicting and/or managing of preeclampsia. However, based on the positive relationship between serum Ca and Mg concentration and the severity of preeclampsia in this study, we recommend assessment of serum levels of these two mineral elements as indices of the severity of preeclampsia.
子痫前期是一种无特定病因的妊娠疾病,其特征为高血压和大量蛋白尿。该疾病由多种因素引起,找出任何与该疾病相关的因素有助于及时预防此病。
本研究评估了子痫前期女性的血清钙(Ca)、镁(Mg)和锌(Zn)水平,并与血压正常的女性进行比较。
这是一项病例对照研究,以40例血压正常的妊娠妇女作为对照组,20例轻度子痫前期妊娠妇女和20例重度子痫前期妊娠妇女作为病例组。对妊娠28 - 40周的妇女进行研究。根据纳入和排除标准进行简单随机抽样,并通过采血收集数据。
血压正常组、轻度子痫前期组和重度子痫前期组的血清钙水平分别为4.96±0.62、4.89±0.34、5.05±0.35mg/dL,血清镁水平分别为0.83±0.08、0.85±0.11、0.84±0.11mg/dL,血清锌水平分别为107.55±22.74、108.00±22.40、107.50±22.30mg/dL。统计分析显示,三组血清钙(p = 0.6)、镁(p = 0.827)和锌(p = 0.997)水平无显著差异。
本研究结果表明,评估血清钙、镁和锌水平对子痫前期的预测和/或管理没有任何临床价值。然而,基于本研究中血清钙和镁浓度与子痫前期严重程度之间的正相关关系,我们建议评估这两种矿物质元素的血清水平作为子痫前期严重程度的指标。