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目的 :探讨妊娠37～42周孕妇分娩时脐血和母血脂类水平。方法 :选取73例住院产妇为观察对象 ,分娩时留取脐血和母血测定脂类物质包括胆固醇总量 (TC)、甘油三脂 (TG)、高密度脂蛋白胆固醇(HDL -C)、高密度蛋白胆固醇2(HDL2 -C)、高密度脂蛋白胆固醇3(HDL3 -C)、低密度脂蛋白胆固醇(LDL -C)和极低密度脂蛋白胆固醇 (VLDL -C)。结果 :妊娠晚期孕妇血脂水平高于非孕水平。脐血脂水平明显低于母血脂水平 (P<0.001)。合并妊高症孕妇的脐血TC、TG、LDL -C 、VLDL -C明显高于正常妊娠脐血脂水平 (P<0.001, P<0.01)。结论 :妊娠晚期孕妇处于高血脂状态。脐血脂水平明显低于母血脂水平 ,母血脂变化可影响脐血脂变化。
Objective: To investigate the levels of umbilical cord blood and maternal blood lipids in pregnant women 37-42 weeks after delivery. Methods: Seventy-three cases of hospitalized women were enrolled in this study. Umbilical cord blood and maternal blood were taken during childbirth to determine the contents of lipids including total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C) HDL2-C, HDL3-C, LDL-C, and VLDL-C. Results: The blood lipid level of pregnant women in late pregnancy was higher than that of non-pregnant women. Cord blood lipid levels were significantly lower than those of maternal blood lipids (P <0.001). Umbilical blood TC, TG, LDL-C, VLDL-C in pregnant women with pregnancy-induced hypertension were significantly higher than those in normal pregnancy (P <0.001, P <0.01). Conclusion: Pregnant women in late pregnancy are hyperlipidemic. Umbilical blood lipid levels were significantly lower than the level of maternal blood lipids, maternal blood lipids can affect changes in umbilical blood lipids.