Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.61186/jrums
fa
jalali
1384
3
1
gregorian
2005
6
1
4
2
online
1
fulltext
fa
مقایسه میزان سرمی کلسیم کل و یونیزه در خانمهای حامله مبتلا به پرهاکلامپسی و خانمهای با حاملگی طبیعی
The Comparison of Total and Ionised Serum Calcium Level in Preeclamptic Pregnant Women and the Women with Normal Pregnancy
زنان
Gynecology
پژوهشي
Research
<p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 14.15pt 0pt 21.25pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><roundrect id="_x0000_s1026" style="MARGIN-TOP: 1.55pt Z-INDEX: -3 LEFT: 0px MARGIN-LEFT: 8.35pt WIDTH: 465.85pt POSITION: absolute HEIGHT: 420.9pt TEXT-ALIGN: left" arcsize="1083f" ><textbox style="mso-next-textbox: #_x0000_s1026" ><table cellspacing="0" cellpadding="0" width="100%"><tbody><tr><td style="BORDER-RIGHT: #ece9d8 BORDER-TOP: #ece9d8 BORDER-LEFT: #ece9d8 BORDER-BOTTOM: #ece9d8 BACKGROUND-COLOR: transparent"><div><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 0cm 0pt TEXT-ALIGN: left" align="right"><span lang="AR-SA" style="FONT-FAMILY: "></span></p><p></p><p></p><p><font size="2"> </font></p></div></td></tr></tbody></table></textbox /><wrap anchorx="page" ></roundrect /><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 14pt LINE-HEIGHT: 115% FONT-FAMILY: ">خلاصه</span></b><b><span lang="FA" style="FONT-SIZE: 14pt LINE-HEIGHT: 115% FONT-FAMILY: "></span></b></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 14.2pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">سابقه و هدف: </span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">تغییرات متابولیسم کلسیم و نیز کمبود مصرف غذایی کلسیم به عنوان یک عامل در پاتوفیزیولوژی پرهاکلامپسی مطرح است. هدف از این تحقیق، مقایسه سطح سرمی کلسیم کل و یونیزه در دو گروه مبتلا به پرهاکلامپسی و بدون پرهاکلامپسی میباشد.</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "></span></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 14.2pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مواد و روشها:</span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> این مطالعه از نوع مورد</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">-</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> شاهدی</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">بوده و در آن تعداد 100 خانم باردار که حاملگی اول آن</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ها بوده و در محدوده سنی 30-20 سال بودند</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">،</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> انتخاب شدند</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">.</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> سن حاملگی آنها نیز بین 40-28 هفته بود. 50 نفر از افراد فوق مبتلا به پرهاکلامپسی و 50 نفر دیگر حاملگی طبیعی داشتند که </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">میزان </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">سرمی کلسیم کل و یونیزه در هر دو گروه اندازهگیری شد و با هم مقایسه گردید. </span></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 14.2pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">یافتهها:</span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> میانگین سنی دو گروه، با یکدیگر تفاوتی نداشت (7/3</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">02/26 سال در گروه مبتلا به پرهاکلامپسی و 55/3</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">36/25 سال در گروه با حاملگی طبیعی) </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اما </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">میانگین سن حاملگی در دو گروه تفاوت آماری معنیداری داشت</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> (0001/0</span></font><span dir="ltr" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">p<</span><span dir="rtl"></span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "><span dir="rtl"></span><font face="Arial">)</font></span><font face="Arial"><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">. (در زنان مبتلا به پرهاکلامپسی 2/3</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">29/36 هفته و در افراد با حاملگی طبیعی 5/2</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">19/38 هفته بود). مقایسه دو گروه مورد مطالعه از نقطه نظر متغیرهای فشارخون سیستولی، دیاستولی و شاخص توده بدنی حاکی از تفاوت آماری معنیداری بین دو گروه بود</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">(0001/0</span></font><span dir="ltr" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">p<</span><span dir="rtl"></span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "><span dir="rtl"></span><font face="Arial">)</font></span><font face="Arial"><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">. میانگین فشارخون سیستولی در افراد مبتلا به پرهاکلامپسی 39/13</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">8/149 و در افراد با حاملگی طبیعی 73/9</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">7/108 بود و میانگین فشارخون دیاستولی در افراد مبتلا به پرهاکلامپسی 57/8</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">95 و در افراد با حاملگی طبیعی 72/10</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">74/6 بود. شاخص توده بدنی در افراد مبتلا به پرهاکلامپسی 07/2</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">84/22 و در افراد با حاملگی طبیعی 09/2</span><span lang="AR-SA" style="FONT-FAMILY: "><font size="2">±</font></span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">21/21 بود. مقایسه میانگین </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">میزان </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">سرمی متغیرهای مورد مطالعه در دو گروه حاکی از بالاتر بودن میانگین کلسیم کل در گروه مبتلا به پرهاکلامپسی و بالاتر بو</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">د</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ن کلسیم یونیزه در خانمهای بدون ابتلا به پرهاکلامپسی بود. </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اگرچه این </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اختلاف </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">از لحاظ </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">آماری معنیدار ن</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">بو</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">د.</span></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 14.2pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">نتیجهگیری: </span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">در این مطالعه ارتباطی بین </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">میزان </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">سرمی کلسیم کل و یونیزه و پرهاکلامپسی </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مشاهده نگردید.</span></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 14.2pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><rect id="_x0000_s1028" style="MARGIN-TOP: 32.1pt Z-INDEX: 3 LEFT: 0px MARGIN-LEFT: 1.35pt WIDTH: 162pt POSITION: absolute HEIGHT: 27pt TEXT-ALIGN: left" strokecolor="white" ><font face="Arial"></font></rect /><rect id="_x0000_s1027" style="MARGIN-TOP: 76.9pt Z-INDEX: 2 LEFT: 0px MARGIN-LEFT: 1.35pt WIDTH: 2in POSITION: absolute HEIGHT: 9pt TEXT-ALIGN: left" strokecolor="white" ><font face="Arial"></font></rect /><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">واژههای کلیدی: </span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">پرهاکلامپسی، کلسیم کل، کلسیم یونیزه</span></font><b><span dir="ltr" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% mso-bidi-font-family: "></span></b></p><p></p>
<p> <strong> The Comparison of Total and Ionised Serum Calcium Level in Preeclamptic Pregnant Women and the Women with Normal Pregnancy </strong><strong></strong></p><p> </p><p> <strong> Z. Salari </strong>MD<strong><sup>1*</sup>, N. Eftekhari </strong>MD<strong><sup>2</sup></strong> </p><p> <strong> </strong></p><p> <strong> 1- Assistan Professor, Dept of Gynecology, University of Medical Sciences, Kerman, Iran </strong><strong></strong></p><p> <strong>2- Associated Professor, Dept of Gynecology, University of Medical Sciences, Kerman, Iran </strong><strong></strong></p><p> <strong> </strong></p><p> <strong> Background: </strong>Preeclampsia remains one of the important obstetrical problems and changes calcium metabolism and low dietary calcium intake has been suggested in the pathophisiology of preeclampsia. The aim of this project was to determine the total and ionized calcium level in normal pregnancy and preeclamptic women. </p><p> <strong> Materials and Methods: </strong>This case control study included 100 pregnant women, 20 to 30 years who were 28 to 40 weeks pregnant. Patients were divided into two groups, 50 women as case group (preeclampsia) and 50 women as control group (normal pregnancy). The serum total and ionized calcium were measured in both groups. </p><p> <strong> Results: </strong>There were no significant differences between two groups in demographic factors. Duration of pregnancy was significantly different in two groups (36.29±3.2 weeks in case group and 38.19±2.5 in control group) (p<0001). The mean systolic and diastolic blood pressure and body mass index were significantly different in both group (p<0001). The mean systolic blood pressure in preeclamptic women was 149.8±13.39 and in normal group was 108.7±9.73 and the mean diastolic blood pressure in preeclamptic women was 95±8.57 and in normal group was 67.4±10.72, body mass index was 22.84±2.07 in preeclamptic women and in normal pregnancy was 21.21±2.09. There was no significant differences between the two groups in mean serum level of total and ionized calcium (total calcium in preeclamptic women was 9.95 ± 1.28 and in normotensive women was 10.13 ± 1.11) Ionized calcium was 4.7 ± 0.29 vs. 4.55 ± 0.54. </p><p> <strong> Conclusions </strong>There was no significant differences in serum total and ionized calcium between preeclamptic and normotensive pregnant women. </p><p> <strong><i> </i></strong></p><p> <strong> Key words: </strong>Preeclampsia, Total Calcium, Ionised Calcium </p><p> <strong><i> </i></strong></p><p> <strong><i> *Corresponding author,Tel: </i></strong><strong><i>(0341)3222250 </i></strong><strong><i>, Fax:(0341)3221671, E-mail: </i></strong><strong><i>Zohreh_Salari@yahoo.com </i></strong><strong><i></i></strong></p><p> <strong><i> Journal of Rafsanjan University of Medical Sciences and Health Services, 2005, 4(2): 123-128 </i></strong><i /></p>
Preeclampsia, Total Calcium, Ionised Calcium
123
128
http://journal.rums.ac.ir/browse.php?a_code=A-10-113-1&slc_lang=fa&sid=1
Z.
Salari
زهره
سالاری
Zohreh_Salari@yahoo.com
690031947532846002753
690031947532846002753
Yes
N.
Eftekhari
ناهید
افتخاری
690031947532846002754
690031947532846002754
No