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[冬季给孕妇单次注射100,000国际单位维生素D3。对新生儿血钙水平的影响]

[Administration of a single dose of 100,000 U.I. of vitamin D3 in the pregnant woman in winter. The effect on blood calcium level of the newborn infant].

作者信息

Zeghoud F, Garabedian M, Jardel A, Bernard N, Melchior J

机构信息

C.N.R.S. UA 583, Université Paris V, Hôpital des Enfants-Malades.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1988;17(8):1099-105.

PMID:2853185
Abstract

Serum levels of 25-hydroxyvitamin D [25-(OH)D], calcium, phosphate and alkaline phosphatase activity were measured between December and July in 110 pregnant women during the last trimester of pregnancy, and in their infants on the fifth day of life. This study showed a fall, during spring, below 6 ng/ml, of the maternal 25-(OH)D concentration at the time of delivery, and a fall of the 25-(OH)D and calcium concentrations in newborns. The existence of a positive correlation between calcium and 25-(OH)D levels in the newborns suggests that the low calcium concentrations found in the infants born in spring is related to a vitamin D deficiency of the infant and therefore of the mother. The administration of a single low dose of vitamin D3 (100,000 I.U.) on the sixth or seventh month of pregnancy allowed to prevent the seasonal fall in serum calcium and 25-(OH)D concentrations. This dosage appears therefore to be sufficient to reduce the risk of vitamin D deficiency of the newborn and the occurrence of neonatal hypocalcemia.

摘要

在12月至7月期间,对110名妊娠晚期孕妇及其出生后第五天的婴儿,测定了血清25-羟维生素D [25-(OH)D]、钙、磷水平以及碱性磷酸酶活性。该研究表明,在春季分娩时,母亲的25-(OH)D浓度降至6 ng/ml以下,新生儿的25-(OH)D和钙浓度也有所下降。新生儿钙和25-(OH)D水平之间存在正相关,这表明春季出生婴儿中发现的低钙浓度与婴儿维生素D缺乏有关,进而与母亲维生素D缺乏有关。在妊娠第六或第七个月单次给予低剂量维生素D3(100,000国际单位)可预防血清钙和25-(OH)D浓度的季节性下降。因此,该剂量似乎足以降低新生儿维生素D缺乏风险和新生儿低钙血症的发生率。

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