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目的分析612名孕妇血脂水平,研究不同民族、不同年龄段孕妇血脂的变化及临床意义。方法用日立7020全自动生化自动仪对612名不同民族、不同年龄段孕妇怀孕12~28周测定其血清中甘油三酯(TG)、总胆固醇(TC)含量。结果汉、维吾尔、蒙古、哈萨克、回族孕妇的甘油三酯(TG)异常率分别为44.8%、51.9%、44.0%、46.2%和50.0%,差异无统计学意义(χ2=0.660,P>0.05);总胆固醇(TC)异常率分别为:21.8%、46.9%、38.0%、53.8%和66.7%,差异有统计学意义(χ2=34.499,P<0.05);不同年龄段孕妇血清中甘油三酯(TG)异常率分别为:41.8%、54.5%和48.8%,总胆固醇(TC)异常率分别为24.3%、36.0%和37.5%,差异均有统计学意义(χ2TC=9.336,χ2TG=8.451,均P<0.05)。结论孕期甘油三酯、胆固醇易升高,维吾尔、蒙古、哈萨克、回族孕妇血清胆固醇含量高于汉族;随着怀孕年龄的增加,孕妇血脂胆固醇、甘油三酯含量也升高。
Objective To analyze the blood lipid levels of 612 pregnant women and to study the changes and clinical significance of blood lipids in pregnant women of different nationalities and ages. Methods The contents of triglyceride (TG) and total cholesterol (TC) in serum of 612 different nationalities and pregnant women of different ages at 12 to 28 weeks of pregnancy were measured by Hitachi 7020 automatic biochemical automatic instrument. Results The abnormal rates of triglyceride (TG) in Han, Uygur, Mongolia, Kazakh and Hui pregnant women were 44.8%, 51.9%, 44.0%, 46.2% and 50.0% respectively, with no significant difference (χ2 = 0.660, P> 0.05 ). The abnormal rates of total cholesterol (TC) were 21.8%, 46.9%, 38.0%, 53.8% and 66.7% respectively, with significant difference (χ2 = 34.499, P <0.05) The abnormal rates of TG were 41.8%, 54.5% and 48.8%, respectively. The abnormal rates of total cholesterol (TC) were 24.3%, 36.0% and 37.5% respectively, with statistical significance (χ2TC = 9.336, χ2TG = 8.451 , All P <0.05). Conclusions Triglyceride and cholesterol are easy to increase in pregnancy. The serum cholesterol of Uygur, Mongolia, Kazak and Hui pregnant women is higher than that of Han nationality. With the increase of pregnant age, the levels of serum cholesterol, triglyceride also increase.