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中晚期孕妇血清25-羟维生素D与骨代谢标志物水平及关系

孙红 陈士华 王良平 郑晓群

浙江医学2018,Vol.40Issue(6):627-630,4.
浙江医学2018,Vol.40Issue(6):627-630,4.DOI:10.12056/j.issn.1006-2785.2018.40.6.2017-1902

中晚期孕妇血清25-羟维生素D与骨代谢标志物水平及关系

Relationships of serum 25-hydroxyvitamin D levels with bone metabolism markers in the second and third trimester of pregnant women

孙红 1陈士华 2王良平 2郑晓群2

作者信息

  • 1. 325000 温州医科大学检验医学院
  • 2. 平湖市第一人民医院检验科
  • 折叠

摘要

Abstract

Objective To investigate the relationships of serum 25-hydroxyvitamin D levels with bone metabolism markers in the second and third trimester of pregnancy women.Methods A total of 1090 pregnant women(13-40 weeks gestational age) and 120 healthy nulliparous were enrolled.The levels of serum 25 (OH)D,N-MID,β-CTX were determined by electrochemical luminescence.Results The average serum 25 (OH)D level was (11.23 ± 5.82)ng/ml in the second and third trimester of pregnancy.There 917 cases (84.13%) with 25(OH)D deficiency,152 cases (13.94%) with insufficiency and 21 cases (1.93%) with sufficiency.The serum 25(OH)D level in winter and spring was lower than that in summer and autumn (9.97 ± 5.28 ng/ml vs.12.24 ± 5.77 ng/ml,P<0.05).There were significant differences in serum 25 (OH)D,N-MID and β-CTX levels among pregnant women in different age groups (P<0.05).The level of Vitamin D was not correlated with N-MID(r=-0.017,P >0.05),negatively correlated with β-CTX (r=-0.090,P<0.05);and N-MID was positively correlated with β-CTX (r=0.586,P<0.05).Conclusion Vitamin D deficiency is common during the second and third trimester of pregnant women,particularly in winter and spring seasons.The serum 25(OH)D and N-MID,β-CTX levels are different in pregnant women of different ages.The level of serum 25 (OH)D shows no significant correlation with N-MID but negative correlation with β-CTX.

关键词

妊娠/25-羟维生素D/N-端骨钙素/β-胶原特殊序列

Key words

Pregnant/25-hydroxyvitamin D/N-MID/β-CTX

引用本文复制引用

孙红,陈士华,王良平,郑晓群..中晚期孕妇血清25-羟维生素D与骨代谢标志物水平及关系[J].浙江医学,2018,40(6):627-630,4.

浙江医学

OACSTPCD

1006-2785

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