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早产及宫内生长模式新生儿母亲与脐血中锌和铜水平的相关性

Correlation of Zinc and Copper Levels In Mothers and Cord Blood of Neonates With Prematurity and Intrauterine Growth Pattern.

作者信息

Garlapati Srinija, Venigalla Nagaraja, Mane Shailaja, Dharmagadda Amulya, Sravanthi Kasireddy, Gupta Aryan

机构信息

Pediatrics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.

Pediatrics, Ankura Hospital for Women and Children, Vijayawada, IND.

出版信息

Cureus. 2024 Jul 2;16(7):e63674. doi: 10.7759/cureus.63674. eCollection 2024 Jul.

Abstract

Background Trace elements like zinc and copper are indispensable for human growth and development, exerting significant influence on a multitude of physiological processes. Acting as pivotal components for transcription factors and catalytic cofactors for enzymes, these elements play essential roles in cellular differentiation and maturation Objective The objective of this study was to study serum zinc and copper levels in mothers and neonates in relation to prematurity and intrauterine growth retardation (IUGR). Methods This was a cross-sectional study that included 100 mothers who met the inclusion criteria. Maternal history was recorded, and gestational age was estimated using the New Ballard scoring system. Maternal and cord blood samples were taken for zinc and copper analysis. Results The comparison of maternal copper and zinc levels between term and preterm neonates revealed a statistically significant difference with both trace elements found in less concentration in preterm when compared to the term patients (p= 0.03 for Zinc; 0.0001 for copper). We also report a statistically significant difference in maternal and cord blood copper and zinc levels in cases with IUGR compared to normal neonates. Conclusion The findings show that maternal zinc and copper levels are critical for the intrauterine growth of the fetus and for appropriate gestational age.

摘要

背景 锌和铜等微量元素对人类生长发育不可或缺,对众多生理过程有重大影响。这些元素作为转录因子的关键成分和酶的催化辅因子,在细胞分化和成熟中发挥着重要作用。目的 本研究旨在探讨母亲和新生儿血清锌和铜水平与早产及宫内生长受限(IUGR)的关系。方法 这是一项横断面研究,纳入了100名符合纳入标准的母亲。记录母亲病史,使用新巴拉德评分系统估计孕周。采集母亲和脐带血样本进行锌和铜分析。结果 足月儿和早产儿母亲的铜和锌水平比较显示,与足月儿相比,早产儿体内这两种微量元素的浓度均较低,差异具有统计学意义(锌,p = 0.03;铜,p = 0.0001)。我们还报告,与正常新生儿相比,IUGR病例的母亲和脐带血铜和锌水平存在统计学显著差异。结论 研究结果表明,母亲的锌和铜水平对胎儿的宫内生长和适当孕周至关重要。

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