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孕期补充镁与血压:一项双盲随机多中心研究

Magnesium Supplementation and Blood Pressure in Pregnancy: A Double-Blind Randomized Multicenter Study.

作者信息

Bullarbo Maria, Mattson Helena, Broman Anna-Karin, Ödman Natalia, Nielsen Thorkild F

机构信息

Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Department of Gynecology, Närhälsan, Mölndal, Sweden.

出版信息

J Pregnancy. 2018 May 29;2018:4843159. doi: 10.1155/2018/4843159. eCollection 2018.

DOI:10.1155/2018/4843159
PMID:30002931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5996415/
Abstract

OBJECTIVE

To investigate the effect of magnesium (Mg) supplementation in healthy pregnant women for prevention of blood pressure increase. Secondary outcomes were comparison of biomarkers for hypertensive disorders and labour and fetal outcomes between the groups.

METHODS

Two hundred nulliparous healthy pregnant women were double-blind randomized to receive Mg daily or placebo.

RESULTS

There were no differences in blood pressure increase. However, among the Mg-treated women, there was a significant negative correlation between increase in blood levels of magnesium and increase in systolic blood pressure ( = 0.042). Magnesium supplementation seems to be safe for both mother and infant.

CONCLUSION

Magnesium supplementation in healthy first-time pregnant women is not to be recommended for prevention of blood pressure increase. Supplementation in risk pregnancies needs to be further investigated. The study is listed on the ISRCTN registry with study ID 13890849.

摘要

目的

研究补充镁(Mg)对健康孕妇预防血压升高的效果。次要结果是比较两组间高血压疾病的生物标志物、分娩及胎儿结局。

方法

200名未生育的健康孕妇被双盲随机分组,分别每日接受镁或安慰剂。

结果

血压升高情况无差异。然而,在接受镁治疗的女性中,血液镁水平升高与收缩压升高之间存在显著负相关(P = 0.042)。补充镁对母婴似乎都是安全的。

结论

不建议健康初产妇补充镁来预防血压升高。有风险妊娠的补充情况需要进一步研究。该研究已在国际标准随机对照试验编号注册库注册,研究编号为13890849。

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Hypertensive complications of pregnancy: A clinical overview.妊娠高血压并发症:临床概述。
Metabolism. 2018 Sep;86:102-111. doi: 10.1016/j.metabol.2017.11.011. Epub 2017 Nov 21.
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Aspirin versus Placebo in Pregnancies at High Risk for Preterm Preeclampsia.阿司匹林与安慰剂用于有早产先兆子痫高危风险的妊娠。
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Dietary Magnesium Intake Modifies the Association Between Vitamin D and Systolic Blood Pressure: Results From NHANES 2007-2014.膳食镁摄入量改变维生素D与收缩压之间的关联:2007 - 2014年美国国家健康与营养检查调查结果
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Oral Magnesium Supplementation for the Prevention of Preeclampsia: a Meta-analysis or Randomized Controlled Trials.口服镁补充预防子痫前期:荟萃分析或随机对照试验。
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Is Supplementation with Micronutrients Still Necessary during Pregnancy? A Review.孕期补充微量营养素是否仍有必要?一篇综述。
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