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Changes of Serum Ferritin, Folate and Cobalamin Levels Related to Full-Term Delivery

血清含鐵蛋白、葉酸以及維生素B12在足月生產前後之改變

摘要


在28個正常足月孕婦分娩前後,分別測定其血清含鐵蛋白,葉酸以及維生素12之量,以評估分娩對上述營養物之影響。28個孕婦中無一人曾在懷孕時服用補血劑,其平均年齡為27.96歲,而平均懷孕期為39.61週。分娩後之血清含鐵蛋白(32.95 μg/l)比分娩前(19.61 μg/l)為高(p=0.0008)。而分娩前後之平均葉酸濃度(分別為6.70 μg/l及6.17 μg/l)及平均維生素12濃度(分別為199.68及197.67 μg/l)均無統計學上之差異。因此,生產後身體內會發生鐵之改變,而葉酸及維生素12則不受生產影響而改變。其引起產後血清含鐵蛋白增加之可能原因將在文中討論。

並列摘要


Serum ferritin, folate, and cobalamin levels were determined in 28 normal full-term pregnancy women before and after parturition in order to evaluate the influence of parturition on these parameters. None of them had received any hematonic during their pregnancy. The mean age was 28 years and mean duration of pregnancy was 39 4/7 weeks. There was significant change in mean of serum ferritin before (19.61 μg/l) and after (32.95 μg/l) parturition (p=0.0008). The means of serum folate before and after parturition were 6.70 and 6.17 μg/l respectively, and of serum cobalamin were 199.68 and 197.67 ng/l respectively. There were not any significant changes in means of serum folate and serum cobalamin levels before and after parturition. Tues, there was a change in iron homeostasis, but not in the folate or cobalamin status, and this change would probably occur immediately after delivery. The probable causes of increased serum ferritin after parturition were discussed.

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