川北医学院学报2025,Vol.40Issue(1) :108-112.DOI:10.3969/j.issn.1005-3697.2025.01.024

南充市妊娠早期孕妇血清25-羟维生素D浓度及其影响因素

The concentration and influencing factors of serum 25-(OH)D levels of women in early pregnancy in Nanchong

范金银 甘艳琼 张又文 李秋霞 范波
川北医学院学报2025,Vol.40Issue(1) :108-112.DOI:10.3969/j.issn.1005-3697.2025.01.024

南充市妊娠早期孕妇血清25-羟维生素D浓度及其影响因素

The concentration and influencing factors of serum 25-(OH)D levels of women in early pregnancy in Nanchong

范金银 1甘艳琼 1张又文 2李秋霞 1范波1
扫码查看

作者信息

  • 1. 川北医学院附属医院产科,四川南充 637000
  • 2. 川北医学院附属医院护理部,四川南充 637000
  • 折叠

摘要

目的:探讨南充市妊娠早期孕妇血清25-羟维生素D浓度及其影响因素.方法:选取1 098例居住于南充市各地区的妊娠早期孕妇为研究对象.采用高效液相色谱-串联质谱法检测孕妇血清25-羟维生素D浓度,分析25-羟维生素D分布情况及其影响因素.结果:南充市妊娠早期孕妇血清25-羟维生素D浓度为(43.24±20.53)nmol/L,缺乏率为67.85%.随着年龄增加,25-羟维生素D浓度逐渐升高,最高为≥35岁组.与无合并症妊娠早期孕妇相比,试管婴儿(IVF-ET)术后、合并甲状腺功能减退症或免疫系统疾病的孕妇妊娠早期血清25-羟维生素D浓度均较高(P<0.05).体质量指数(BMI)增加及血清维生素A浓度降低是妊娠早期孕妇发生血清25-羟维生素D缺乏的风险因素(P<0.05).结论:南充市妊娠早期孕妇维生素异常情况主要表现为血清25-羟维生素D浓度缺乏,且不同年龄血清25-羟维生素D浓度存在统计学差异,产检时可为不同孕妇制定个体化的维生素补充方案;维持血清维生素A浓度的适宜水平可减少发生血清25-羟维生素D缺乏的风险.

Abstract

Objective:To explore the serum 25-(OH)D levels of early pregnant women in Nanchong and their influencing fac-tors.Methods:1,098 pregnant women living in various regions of Nanchong were selected.The serum 25(OH)D values of early preg-nant women were detected by high performance liquid chromatography-tandem mass spectrometry.The present situation of vitamin D levels in pregnant women and their influencing factors were analyzed.Results:The serum 25-(OH)D level of pregnant women was 43.24±20.53 nmol/L in the early pregnancy.The deficiency rate was 67.85%.As individuals age,the levels of 25-(OH)D showed a gradual rise,peaking in the 35-year-old group.Compared with women without complications in the first trimester,the serum 25(OH)D level of early pregnant women after IVF-ET and with hypothyroidism or immune system diseases was higher(P<0.05).The increase in body mass index(BMI)and the decrease in serum vitamin A concentration were risk factors for serum 25-(OH)D deficiency in early pregnancy(P<0.05).Conclusion:The abnormal situation of vitamin among women in early pregnancy in Nanchong is the lack of ser-um 25(OH)D concentration.There are statistically significant differences in serum 25-(OH)D concentration in different ages,so indi-vidualized vitamin supplementation programs can be made for different pregnant women during prenatal examination.Maintaining the normal level of serum vitamin A concentration can reduce the risk of serum 25-(OH)D deficiency.

关键词

妊娠早期/25-羟维生素D/年龄/季节/维生素A

Key words

Early pregnancy/25-(OH)D/Age/Season/Vitamin A

引用本文复制引用

出版年

2025
川北医学院学报
川北医学院

川北医学院学报

CSTPCD
影响因子:0.958
ISSN:1005-3697
段落导航相关论文