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目的:探讨孕期妇女钙含量与妊娠期高血压的相关性。方法:选取235例妊娠期高血压孕妇为观察组研究对象,抽取母体血清样本检测血清中微量元素钙的含量。另外选取200例正常妊娠孕妇为对照组,同样检测母血中钙的含量。比较两组孕妇的血钙含量,且对观察组孕妇进行补钙治疗后,检测其血压值的变化,探讨孕期妇女钙含量与妊娠期高血压的相关性。结果:观察组中轻度妊娠期高血压孕妇钙离子的平均浓度为(2.11±0.24)mmol/L,中度妊娠期高血压孕妇钙离子的平均浓度为(2.03±0.21)mmol/L,重度妊娠期高血压孕妇钙离子的平均浓度为(1.98±0.25)mmol/L。观察组中孕妇平均钙离子浓度为(2.05±0.22)mmol/L,而对照组中孕妇钙离子的平均浓度为(2.40±0.28)mmol/L。对照组孕妇钙离子浓度明显高于观察组孕妇(P<0.05)。在观察组孕妇随着血压值的上升,血清钙离子浓度呈下降趋势(P<0.05)。补钙治疗后的原轻度妊娠期高血压孕妇收缩压与舒张压较治疗前有所下降(P<0.05)。中度及重度妊娠期高血压孕妇治疗后收缩压与舒张压较治疗前有明显下降(P<0.01)。结论:妊娠期高血压的发生,可能与孕妇血钙含量有关,加强孕期微量元素钙的摄取,为控制妊娠期高血压的发生和发展提供了新的思路。
Objective: To investigate the correlation between calcium in pregnant women and gestational hypertension. Methods: A total of 235 pregnant women with gestational hypertension were selected as the observation group. Maternal serum samples were collected for the determination of trace elements calcium in serum. Another 200 normal pregnant women as the control group, the same test of maternal blood calcium levels. The blood calcium levels of pregnant women in two groups were compared, and the change of blood pressure in pregnant women in the observation group was measured. The correlation between calcium levels in pregnancy and gestational hypertension was also explored. Results: The average concentration of calcium in pregnant women with mild gestational hypertension was (2.11 ± 0.24) mmol / L in the observation group, and (2.03 ± 0.21) mmol / L in pregnant women with moderate gestational hypertension. The average calcium concentration in pregnant women with gestational hypertension was (1.98 ± 0.25) mmol / L. The mean calcium concentration of pregnant women in observation group was (2.05 ± 0.22) mmol / L, while the average concentration of calcium in pregnant women in control group was (2.40 ± 0.28) mmol / L. The calcium concentration in pregnant women in the control group was significantly higher than that in the observation group (P <0.05). Pregnant women in the observation group with the rise in blood pressure, serum calcium concentration showed a downward trend (P <0.05). The systolic blood pressure and diastolic blood pressure of pregnant women with mild gestational hypertension after treatment of calcium decreased compared with those before treatment (P <0.05). Systolic blood pressure and diastolic blood pressure were significantly decreased in pregnant women with moderate and severe gestational hypertension after treatment (P <0.01). Conclusion: The incidence of gestational hypertension may be related to the blood calcium level in pregnant women. Strengthening the intake of trace elements calcium during pregnancy provides a new idea for controlling the occurrence and development of hypertension during pregnancy.