首页|妊娠期糖尿病患者孕期维生素A、E水平与重度子痫前期的相关性

妊娠期糖尿病患者孕期维生素A、E水平与重度子痫前期的相关性

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目的 探究妊娠期糖尿病患者孕期维生素A、E水平变化与重度子痫前期的相关性.方法 回顾性分析162例妊娠期糖尿病患者的临床资料,测定其建卡当天(T1)和确诊时(T2)的维生素A、E水平,并依据T2时患者有无子痫前期分为对照组(未合并子痫前期,76例)及研究组(合并子痫前期,86例).对比两组患者各时点维生素A、E水平,分析孕期维生素A、E水平与重度子痫前期的相关性.结果 T2时,研究组维生素A、E水平均低于对照组(P<0.05).T2时,研究组中子痫前期者占比55.81%,重度子痫前期者占比44.19%.T1及T2时,重度子痫前期组维生素A、E水平均低于子痫前期组(P<0.05).Logistic回归分析结果显示,缺乏维生素A、E会影响重度子痫前期的进展(P<0.05).结论 临床可考虑以孕期维生素A、E水平为依据对妊娠期糖尿病合并子痫前期严重与否进行判断,以便积极采取早期治疗.
Correlation between vitamin A and E levels during pregnancy and severe preeclampsia in patients with gestational diabetes mellitus
Objective To investigate the correlation between vitamin A and E levels and severe preeclampsia in patients with gestational diabetes mellitus.Methods The clinical data of 162 patients with gestational diabetes mellitus were retrospectively analyzed,the levels of vitamin A and E on the day of establishment(T1)and at the time of diagnosis(T2)were determined,and the patients were divided into the control group(76 cases without preeclampsia)and the study group(86 cases with preeclampsia)according to the presence or absence of preeclampsia at T2.The vitamin A and E levels were compared between the two groups at different time points,and the correlation between vitamin A and E levels during pregnancy and severe preeclampsia was analyzed.Results At T2,the levels of vitamin A and E in the study group were lower than those in the control group(P<0.05).At T2,55.81%of the study group had preeclampsia and 44.19%had severe preeclampsia.At T,and T2,the levels of vitamin A and E in the severe preeclampsia group were lower than those in the preeclampsia group(P<0.05).Logistic regression analysis showed that vitamin A and E deficiency affected the progression of severe preeclampsia(P<0.05).Conclusion The levels of vitamin A and E during pregnancy can be considered as the basis for judging the severity of gestational diabetes mellitus combined with preeclampsia,so as to actively take early treatment.

Gestational diabetesVitamin AVitamin ESevere preeclampsia

刘银梅、沈丽、卞桂萍

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靖江市人民医院产科,江苏靖江 214500

妊娠期糖尿病 维生素A 维生素E 重度子痫前期

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(14)