血清维生素水平、氧化应激损伤与孕妇子痫前期的相关性研究

Correlation between serum vitamin level, oxidative stress injury and preeclampsia in pregnant women

  • 摘要: 目的 探讨孕妇血清维生素水平、氧化应激损伤与子痫前期的相关性。 方法 选取46例子痫前期孕妇为研究组,另选取50例同期健康体检正常的孕妇为对照组。分析2组孕妇血清维生素水平、血管内皮损伤指标及氧化应激损伤指标等。 结果 2组血清维生素A水平差异无统计学意义(P>0.05); 研究组血清维生素C、维生素E水平均低于对照组,差异有统计学意义(P<0.05); 研究组可溶性内皮因子(sEng)、人内皮素-1(ET-1)水平高于对照组,血管内皮生长因子(VEGF)水平低于对照组,差异有统计学意义(P<0.05); 研究组超氧化物歧化酶(SOD)、过氧化氢酶(CAT)水平低于对照组,活性氧簇(ROS)水平高于对照组,差异有统计学意义(P<0.05); 研究组基质金属蛋白酶-9(MMP-9)、胎盘生长因子(PLGF)、总抗氧化能力(T-AOC)水平低于对照组,差异有统计学意义(P<0.05)。 结论 子痫前期孕妇血清维生素E、维生素C相对缺乏,氧化应激反应介导的血管内皮功能损伤参与子痫前期的发展过程,上述指标可作为子痫前期的重要预测指标。

     

    Abstract: Objective To investigate the correlation between serum vitamin level, oxidative stress injury and preeclampsia in pregnant women. Methods A total of 46 pregnant women with preeclampsia were selected as study group, and another 50 normal pregnant women with healthy physical examination during the same period were selected as control group. The serum vitamin level, vascular endothelial injury index and oxidative stress injury index of pregnant women in the two groups were compared and analyzed. Results There was no significant difference in serum vitamin A level between the two groups(P>0.05); the serum levels of vitamin C and vitamin E in the study group were significantly lower than those in the control group(P<0.05); the levels of soluble endoglin(sEng)and endothelin 1(ET-1)in the study group were significantly higher than those in the control group, and the level of vascular endothelial growth factor(VEGF)was significantly lower than that in the control group(P<0.05); the levels of superoxide dismutase(SOD)and catalase(CAT)in the study group were significantly lower than those in the control group, and the level of reactive oxygen species(ROS)was significantly higher than those in the control group(P<0.05); the levels of matrix metalloproteinase-9(MMP-9), placental growth factor(PLGF)and total antioxidant capacity(T-AOC)in the study group were significantly lower than those in the control group(P<0.05). Conclusion Serum vitamin E and vitamin C are relatively deficient in preeclampsia pregnant women, and oxidative stress-mediated vascular endothelial function injury is involved in the development of preeclampsia, and these indicators can be taken as important predictors of preeclampsia.

     

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