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补充维生素D对合并胎儿生长受限的妊娠期胎儿生长速率的影响

Effect of Vitamin D Supplementation on the Fetal Growth Rate in Pregnancy Complicated by Fetal Growth Restriction.

作者信息

Jakubiec-Wisniewska Karolina, Huras Hubert, Kolak Magdalena

机构信息

Department of Obstetrics and Perinatology, Jagiellonian University Medical College, 23 Kopernika Street, 31-501 Krakow, Poland.

出版信息

Children (Basel). 2022 Apr 12;9(4):549. doi: 10.3390/children9040549.

Abstract

BACKGROUND

Fetal growth restriction (FGR) increases the risk of intrauterine fetal death, infant death and complications in childhood, and diseases that appear in adulthood. Vitamin D may affect fetal vascular flow. The aim of the study was to check if the rate of fetal growth in pregnant women with FGR differs depending on whether the patient was supplemented with vitamin D in the recommended dose of 2000 IU, not supplemented at all, or supplemented with vitamin D in low doses.

METHODS

Patients were divided into two groups: suboptimal vitamin D dosage and an accurate dosage of 2000 IU. Fetal growth progress was observed for 14 days.

RESULTS

Fetal weight was higher at the beginning, after 1 and 2 weeks of observation in the optimal vit. D group compared with the suboptimal group. The analysis was adjusted to the mother's age, gestational week, and the number of pregnancies.

CONCLUSIONS

Greater fetal weight gain can be observed in women with FGR (fetal growth restriction) who intake vitamin D at the recommended dose of 2000 IU compared with women with FGR and with a vitamin D intake dosage lower than 500 IU.

摘要

背景

胎儿生长受限(FGR)会增加胎儿宫内死亡、婴儿死亡以及儿童期并发症和成年期出现疾病的风险。维生素D可能会影响胎儿的血管血流。本研究的目的是检查FGR孕妇的胎儿生长速率是否因患者是否补充了推荐剂量2000 IU的维生素D、完全未补充或低剂量补充维生素D而有所不同。

方法

将患者分为两组:维生素D剂量不足组和准确剂量2000 IU组。观察胎儿生长进展14天。

结果

与剂量不足组相比,在最佳维生素D组中,观察开始时、观察1周和2周后胎儿体重更高。分析对母亲的年龄、孕周和妊娠次数进行了校正。

结论

与FGR且维生素D摄入量低于500 IU的女性相比,FGR(胎儿生长受限)且摄入推荐剂量2000 IU维生素D的女性可观察到更大的胎儿体重增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76d/9025187/e69d7e0b395f/children-09-00549-g001.jpg

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