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补充镁对妊娠结局的影响:一项随机对照试验。

Effect of Magnesium Supplement on Pregnancy Outcomes: A Randomized Control Trial.

作者信息

Zarean Elaheh, Tarjan Amal

机构信息

Department of Obstetrics and Gynecology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2017 Aug 31;6:109. doi: 10.4103/2277-9175.213879. eCollection 2017.

Abstract

BACKGROUND

Magnesium (Mg) is an essential mineral required to regulate body temperature, nucleic acid, and protein synthesis with an important role in maintaining nerve and muscle cell electrical potentials. It may reduce fetal growth restriction and preeclampsia as well as increase birth weight. This study aimed to assess the effects of consuming Mg supplementation during pregnancy on pregnancy outcomes.

MATERIALS AND METHODS

This is a randomized controlled trial with three sixty populated groups of pregnant women. Participants were randomized to treatment or control groups through random table numbers. Participants with Mg serum levels more than 1.9 mg/dl considered as control group A randomly. They just received one multimineral tablet once a day until the end of pregnancy participants with hypomagnesemia consider as Group B and C. Participants in Group B received one multimineral tablet daily until the end of pregnancy. Participants in Group C received 200 mg effervescent Mg tablet from Vitafit Company once daily for 1 month, and also they consumed one multimineral tablet from Alhavi Company, which contains 100 mg Mg, once a day until the end of pregnancy. Intrauterine growth retardation, preterm labor, maternal body mass index, neonatal weight, pregnancy-induced hypertension, preeclampsia, gestational diabetes mellitus, cramps of the leg Apgar score were compared between three groups.

RESULTS

In all pregnancy outcomes, Group C that received effervescent Mg tablet plus multimineral showed a better result than other groups, and frequency of complications of pregnancy was fewer than the other two groups and showed a significant difference.

CONCLUSION

Mg supplement during pregnancy likely decrease probability occurrence of many complications of pregnancy.

摘要

背景

镁(Mg)是调节体温、核酸和蛋白质合成所必需的矿物质,在维持神经和肌肉细胞电位方面发挥着重要作用。它可能会减少胎儿生长受限和先兆子痫,并增加出生体重。本研究旨在评估孕期补充镁对妊娠结局的影响。

材料与方法

这是一项随机对照试验,有三组每组60名孕妇。通过随机数字表将参与者随机分为治疗组或对照组。血清镁水平超过1.9mg/dl的参与者被随机视为对照组A。他们每天仅服用一片多种矿物质片直至妊娠结束。低镁血症的参与者被视为B组和C组。B组参与者每天服用一片多种矿物质片直至妊娠结束。C组参与者每天服用一片来自Vitafit公司的200mg泡腾镁片,持续1个月,并且他们每天还服用一片来自Alhavi公司的含有100mg镁的多种矿物质片直至妊娠结束。比较三组之间的宫内生长迟缓、早产、孕妇体重指数、新生儿体重、妊娠高血压、先兆子痫、妊娠期糖尿病、腿部抽筋、阿氏评分。

结果

在所有妊娠结局方面,服用泡腾镁片加多种矿物质片的C组比其他组表现更好,妊娠并发症的发生率低于其他两组,且差异有统计学意义。

结论

孕期补充镁可能会降低许多妊娠并发症发生的概率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432e/5590399/5d38f10aae34/ABR-6-109-g001.jpg

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