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先兆流产患者体内微量元素和重金属水平的变化。

Change of the levels of trace elements and heavy metals in threatened abortion.

机构信息

Department of Gynecology, Private Gynecology and Obstetrics Clinic, Van, Turkey.

Department of Nutrition, Faculty of Health Sciences, Yuzuncu Yil University, Tuşba, Van, Turkey.

出版信息

J Chin Med Assoc. 2019 Jul;82(7):554-557. doi: 10.1097/JCMA.0000000000000077.

Abstract

BACKROUND

This study aimed to investigate the impact of changes in the serum levels of trace elements and heavy metals in threatened abortion, which is a common complication in early pregnancy. Earlier studies have shown that changes in the serum levels of some trace elements and increased serum concentrations of heavy metals are associated with spontaneous abortion; however, this relationship has not been fully clarified.

METHODS

The patient group consisted of 45 pregnant women diagnosed with threatened abortion. There were 40 healthy nonpregnant women in the control group. Blood samples were obtained from the patients and the healthy controls, and the concentrations of serum trace elements and heavy metals were measured using atomic absorption spectrophotometry.

RESULTS

Statistically significant decreases were found in the serum zinc (Zn), iron (Fe), magnesium (Mg) and manganese (Mn) levels, and significant increases were found in the serum copper (Cu), cadmium (Cd) and lead (Pb) levels in cases of threatened abortion in comparison to the controls (p < 0.001). However, there was no difference between the groups in terms of the serum cobalt (Co) levels (p > 0.001).

CONCLUSION

Changes in the balance of some essential trace elements (especially decreases in Fe and Zn) and elevated concentrations of some toxic heavy metals in the blood may be important diagnostic and prognostic parameters for threatened abortion.

摘要

背景

本研究旨在探讨威胁性流产患者血清微量元素和重金属水平变化的影响,威胁性流产是妊娠早期常见的并发症。早期研究表明,一些微量元素血清水平的变化和重金属血清浓度的增加与自然流产有关;然而,这种关系尚未完全阐明。

方法

患者组包括 45 名被诊断为威胁性流产的孕妇。对照组有 40 名健康未怀孕的妇女。从患者和健康对照者采集血样,采用原子吸收分光光度法测定血清微量元素和重金属浓度。

结果

与对照组相比,威胁性流产患者的血清锌(Zn)、铁(Fe)、镁(Mg)和锰(Mn)水平显著降低,而血清铜(Cu)、镉(Cd)和铅(Pb)水平显著升高(p<0.001)。然而,两组之间的血清钴(Co)水平没有差异(p>0.001)。

结论

一些必需微量元素(尤其是 Fe 和 Zn)平衡的变化和血液中一些有毒重金属浓度的升高,可能是威胁性流产的重要诊断和预后参数。

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