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目的探讨孕妇血清维生素D水平检测的临床意义。方法选取接诊的孕中期孕妇175例,其中2014年6~8月接诊的80例为夏季组,2014年12月-2015年2月接诊的95例为冬季组。所有孕妇均行血清维生素D水平检测,观察、记录组间孕妇维生素D水平,并进行对比分析。结果夏季组孕妇维生素D水平高于冬季组,差异有统计学意义(P<0.05)。冬季组维生素D缺乏率94.74%,高于夏季组的58.75%(P<0.05)。夏季组中,城市组孕妇维生素D水平低于农村组孕妇(P<0.05);冬季组中,城市组与农村组孕妇维生素D水平比较差异无统计学意义(P>0.05)。结论孕妇维生素D水平存在明显季节与城乡差异,其中冬季孕妇普遍缺乏维生素D,夏季尽管缺乏率较低,但城市孕妇维生素D有明显缺乏,应引起重视。
Objective To investigate the clinical significance of serum vitamin D levels in pregnant women. Methods A total of 175 pregnant women of the second trimester were enrolled in this study. Among them, 80 cases of admissions in June-August 2014 were summer, and 95 cases of admissions in December 2014-February 2015 were winter. All pregnant women underwent serum vitamin D levels were detected, observed and recorded between groups of vitamin D levels in pregnant women, and comparative analysis. Results The level of vitamin D in pregnant women in summer group was higher than that in winter group (P <0.05). The vitamin D deficiency rate in winter was 94.74%, higher than that in summer (58.75%, P <0.05). In the summer group, the level of vitamin D in pregnant women in city group was lower than that in rural group (P <0.05). There was no significant difference in vitamin D level between pregnant women in urban group and rural group in winter group (P> 0.05). Conclusion There are obvious differences between urban and rural areas in the level of vitamin D in pregnant women. Among them, pregnant women in winter generally lack vitamin D, although the lack of vitamin D in pregnant women in summer is obviously lacking and should be paid more attention.