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孟加拉国迈门辛地区妊娠中期和晚期低密度脂蛋白胆固醇水平的比较。

Comparison of Low Density Lipoprotein Cholesterol Level in Second and Third Trimester of Pregnancy in Mymensingh Region of Bangladesh.

作者信息

Haque S, Muttalib M A, Rahman M M, Islam M A, Haque N, Haque N, Saha K R, Tabbasum R

机构信息

Dr Shakila Haque, Assistant Professor, Department of Biochemistry, AICHI Medical College, Uttara, Dhaka, Bangladesh.

出版信息

Mymensingh Med J. 2016 Oct;25(4):717-720.

Abstract

Altered metabolic and hormonal status of the body in pregnancy leads to changes in lipid profile. High Lipid profile, a major factor behind atherosclerosis may leads to unconsciousness. To avoid such problems during pregnancy this longitudinal study was carried out in the Department of Biochemistry, Mymensingh Medical College in co-operation with the Department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital and Community Based Medical College Hospital, Bangladesh during the period from July 2011 to December 2012 to compare the changes in low density lipoprotein cholesterol level during 2nd and 3rd trimester of pregnancy. A total of one hundred subjects were participated in this study comprising of second and third trimester of pregnancy. All subjects were made to fast overnight at least for a minimum of 8 hrs. Blood samples were taken and analyzed by enzymatic colorimetric kit method. Pregnancy has being found to be associated with changes in lipid profile and this differs with each trimester. The average results were analyzed with respect to each pregnancy for the whole group. The study proves that serum Low Density Lipoprotein (LDL) cholesterol increases in third trimester (174.83±13.78 mg/dl) than second trimester (156.77±7.96 mg/dl) of pregnancy. Therefore, lipid profile estimation and monitoring should be made as a part of routine investigation during antenatal period.

摘要

孕期身体代谢和激素状态的改变会导致血脂谱的变化。高血脂是动脉粥样硬化的主要因素之一,可能导致昏迷。为避免孕期出现此类问题,2011年7月至2012年12月期间,迈门辛医学院生物化学系与孟加拉国迈门辛医学院医院妇产科及社区医学院医院合作,开展了这项纵向研究,以比较孕期第二和第三阶段低密度脂蛋白胆固醇水平的变化。共有100名处于孕期第二和第三阶段的受试者参与了本研究。所有受试者至少禁食8小时。采集血样并采用酶比色试剂盒法进行分析。研究发现,孕期血脂谱会发生变化,且每个阶段有所不同。对整个组中每个孕期的平均结果进行了分析。研究证明,孕期第三阶段(174.83±13.78毫克/分升)的血清低密度脂蛋白(LDL)胆固醇水平高于第二阶段(156.77±7.96毫克/分升)。因此,血脂谱评估和监测应作为产前常规检查的一部分。

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