Cong K J, Wang T T, Liu G R
Beijing Obstetrics and Gynecology Hospital.
Zhonghua Fu Chan Ke Za Zhi. 1994 Nov;29(11):651-3, 697-8.
Lipid metabolism was studied in 30 healthy non-pregnant women, 35 normal pregnant women and 34 patients with pregnancy induced hypertension (PIH). Total cholesterol (TC), triglycerides (TG), high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), LDL-C/HDL-C ratio, and athero-sclerosis index (AI) were determined. In comparison with the non-pregnant status, lipid levels did not increased during normal mid-trimester pregnancy, but significantly increased at late trimester of normal pregnancy (P < 0.05). There was no significant difference in lipid levels between normal late pregnancy and PIH of mild and moderate degree, but TG and AI were significantly higher in cases with severe PIH. It showed that: lipid profiles in severe PIH was characterized by type IV hyperlipidemia; high lipid levels during normal late pregnancy might be a physiological phenomenon which presents a risk factor for PIH; marked increase of TG and AI in severe PIH may result in a rise of lipid peroxide (LPO).
对30名健康未孕女性、35名正常孕妇和34名妊娠高血压综合征(PIH)患者进行了脂质代谢研究。测定了总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、LDL-C/HDL-C比值和动脉粥样硬化指数(AI)。与未孕状态相比,正常孕中期脂质水平未升高,但正常妊娠晚期显著升高(P<0.05)。正常妊娠晚期与轻度和中度PIH患者的脂质水平无显著差异,但重度PIH患者的TG和AI显著更高。结果表明:重度PIH患者的血脂谱以IV型高脂血症为特征;正常妊娠晚期脂质水平升高可能是一种生理现象,是PIH的一个危险因素;重度PIH患者TG和AI显著升高可能导致脂质过氧化物(LPO)升高。