首页|孕期维生素D营养状况与新生儿佝偻病发生的相关性分析

孕期维生素D营养状况与新生儿佝偻病发生的相关性分析

扫码查看
目的:探讨孕妇孕期维生素D营养状况与新生儿佝偻病发生的相关性。方法:收集2023年1月—2024年2月在西昌市人民医院住院的1000例新生儿和母亲作为研究对象。采用调查问卷及电子病历收集孕妇和新生儿一般情况,通过既往产检病历资料中获取孕妇血清25(OH)D水平作为维生素D营养状况判定指标,新生儿维生素D营养状况则采用血清25(OH)D水平进行评估。另外,对新生儿血钙(Ca)、磷(P)及碱性磷酸酶(ALP)水平检测。对孕妇孕期维生素D营养状况和新生儿佝偻病发生情况进行统计,并对两者间关系进行探讨。结果:新生儿佝偻病发生率为12。20%,孕妇孕期维生素不足/缺乏率为27。70%。新生儿出生季节为冬/春季、血Ca、P及血清25(OH)D水平低,血ALP高是新生儿发生佝偻病的危险因素(OR>1,P<0。05);孕妇孕期补充维生素D、孕期维生素D营养状况正常是新生儿发生佝偻病的保护因素(OR<1,P<0。05)。结论:新生儿佝偻病发生率及孕妇孕期维生素D不足/缺乏率均较高,且孕妇孕期维生素D营养状况与新生儿佝偻病的发生密切相关,应关注孕妇孕期维生素D营养状况,并进行补充,以预防新生儿佝偻病的发生发展。
Analysis of The Correlation Between Maternal Vitamin D Nutritional Status During Pregnancy and The Development of Rickets in Newborns
[Objective]To investigate the correlation between maternal vitamin D nutritional status during pregnancy and the develop-ment of rickets in newborns.[Method]Totally 1000 cases of newborns and mothers hospitalised in Xichang People's Hospital from January 2023 to February 2024 were collected as study subjects. Questionnaires and electronic medical records were used to collect the general conditions of pregnant women and newborns,and the serum 25(OH)D level of pregnant women was obtained as an indicator for determining vitamin D nutritional status through the data of previous obstetrics records,while the vitamin D nutritional status of newborns was assessed using the serum 25(OH)D level. In addition,blood calcium (Ca),phosphorus (P) and alkaline phosphatase (ALP) levels were measured in newborns. The nutritional status of vitamin D in pregnant women during pregnancy and the occurrence of rickets in newborns were counted and the relationship between the two was investigated.[Result]The incidence of rickets in newborns was 12.20 per cent,and the rate of vitamin insufficiency/deficiency during pregnancy in pregnant women was 27.70 per cent. Neonatal season of birth in winter/spring,low blood Ca,P and serum 25(OH)D levels,and high blood ALP were risk factors for the development of rickets in neonates (OR>1,P<0.05). Maternal vitamin D supplementation during pregnancy,and normal vitamin D nutritional status during pregnancy were protective factors for the development of rickets in neonates (OR<1,P<0.05).[Conclusion]The incidence of neonatal rickets and the rate of vitamin D insufficiency/deficiency in pregnant women during pregnancy are high,and the nutritional status of vitamin D in pregnant women during pregnancy is closely related to the occurrence of neonatal rickets,which should be paid attention to the nutritional status of vitamin D in pregnant women during pregnancy and supplementation should be carried out in order to prevent the development of neonatal rickets.

pregnant womenvitamin Dnewbornricketscorrelation

宋丽娟、罗吉平、俞琼

展开 >

四川省西昌市人民医院新生儿科,四川西昌 615000

孕妇 维生素D 新生儿 佝偻病 相关性

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(11)