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[母体血浆、羊水、脐带血、新生儿血浆、初乳以及过渡乳和成熟母乳中的维生素C浓度]

[Vitamin C concentrations in maternal plasma, amniotic fluid, umbilical cord blood, the plasma of newborn infants, colostrum and transitory and mature breast milk].

作者信息

Heinz-Erian P, Achmüller M, Berger H, Brabéc W, Nirk S, Rufer R

出版信息

Padiatr Padol. 1987;22(2):163-78.

PMID:3614950
Abstract

Vitamin C concentrations have been measured in the plasma of 200 mothers and their newborns as well as in amniotic fluid and breastmilk. Out of this group 19 mother-infant-pairs were taken as normal control group with no risk factors, complications or diseases during pregnancy or delivery or in the newborn infant. Vitamin C concentrations in plasma showed great variability. This is true for both the entire study group and the normal control group. A positive correlation was found between the vitamin C concentrations in maternal plasma at the time of admission to the obstetric unit and that in the second stage of labor immediately before delivery. Cord blood and newborn plasma vitamin C concentrations were nearly twice as high compared to maternal concentrations. They too correlate with the concentrations in the maternal plasma. A further correlation was found between maternal plasma and amniotic fluid at the time of delivery (ratio about 1:3). No more significant correlations of vitamin C concentrations have been found in the normal control group. Various diseases or risk factors in mother and/or child were shown to be associated with lower vitamin C concentrations. Vitamin C concentrations were considerably lower in all biological fluids in smokers and mothers with diabetes. Other statistical correlations will be shown and possible casualties will be discussed. In this study vitamin C concentrations in groups with abnormal states are documented only with small numbers of cases and are therefore considered as a basis for further more specific investigations.

摘要

已对200名母亲及其新生儿的血浆、羊水和母乳中的维生素C浓度进行了测量。在该组中,19对母婴被作为正常对照组,孕期、分娩期或新生儿期均无危险因素、并发症或疾病。血浆中的维生素C浓度显示出很大的变异性。整个研究组和正常对照组都是如此。在产妇入院产科时的母体血浆维生素C浓度与分娩前即刻第二产程时的浓度之间发现了正相关。脐血和新生儿血浆中的维生素C浓度几乎是母体浓度的两倍。它们也与母体血浆中的浓度相关。在分娩时母体血浆与羊水之间还发现了进一步的相关性(比例约为1:3)。在正常对照组中未发现维生素C浓度有更显著的相关性。母亲和/或孩子的各种疾病或危险因素与较低的维生素C浓度有关。吸烟者和患有糖尿病的母亲的所有生物体液中的维生素C浓度都显著较低。将展示其他统计相关性并讨论可能的因果关系。在本研究中,异常状态组的维生素C浓度仅记录了少量病例,因此被视为进一步更具体研究的基础。

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