正常妊娠和复杂妊娠晚期妇女血液中铅、镉、铜和锌的含量

M. Gzhegotskyi, N. Sukhodolska
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引用次数: 2

摘要

在生态系统对人类健康不利影响的现代现实中,WHO专家提出了“人类生殖”研究规划,其主要任务是研究环境因素对生殖功能的负面影响[1-3]。在高技术负荷条件下,重金属结合微量元素失衡对女性机体的有害影响,导致机体大部分系统随着变化的进一步发展,适应储备减少的问题亟待解决[4-6]。最近的研究已经确定了血液中铅水平升高与先兆流产和早产综合征的发展之间的相关性[7,8];铅过量可导致新生儿流产、宫内生长受限、慢性胎儿缺氧、出生缺陷[9,10]。胎盘中高水平的镉会对新生儿的体重、身高、胸围等人体测量数据产生不利影响[4,11]。铜在铁从组织储存到血浆的动员中起着重要作用,在胚胎和胎儿发育期间,铜的缺乏已被发现会导致许多总体结构和生化异常。据报道,超过50%的人类受孕失败,而在植入的人中,大约30%的人由于缺铜而无法足月。慢性宫内缺氧、胎儿发育不全、内脏器官异常的患者血浆铜水平较低[7,12]。锌是一种必需的微量元素,具有多种功能,包括酶的合成,缺乏锌会导致妊娠浪费、先天性异常、胎盘早剥、妊高征、流产和低出生体重[13,14]。妊娠期低血浆锌浓度与先兆子痫、先兆流产、早产综合征、出生缺陷、循环系统疾病、免疫反应障碍和心理发育障碍有关[15,16]。因此,通过调查无并发症和复杂妊娠期妇女血液中有毒元素和微量元素的含量,研究其对妊娠的影响具有重要意义,并进一步阐述孕期生理监测的方法学算法,以便及时实施预防措施。这项研究的目的是评估妊娠晚期妇女血液中铅、镉、铜和锌的含量,并评估其水平与妊娠并发症之间的关系。
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Lead, cadmium, copper and zinc content in women’s blood during the third trimester of uncomplicated and complicated gestation
In modern realities of adverse effects of ecosystem on human health, WHO experts have proposed a program of research “Human reproduction”, whose main task is to study the negative impact of environmental factors on the generative function [1-3]. Under the high technogenic loading conditions, the problem of harmful influence of heavy metals in combination with the imbalance of trace elements on woman’s organisms, which lead to a decrease in adaptation reserves with the further development of changes in most systems of the organism, is urgent [4-6]. Recent studies have already identified a correlation between the elevated levels of lead in the blood and the development of threatened abortion and premature birth syndrome [7,8]; excess of lead causes the miscarriage, intrauterine growth restriction, chronic fetal hypoxia, birth defects in newborn babies [9,10]. High levels of cadmium in the placenta adversely affect the anthropometric data of the newborn – weight, height, chest circumference [4,11]. Copper plays a role in the mobilization of iron to plasma from the tissue stores and copper deficiency during embryonic and foetal development has been found to cause numerous gross structural and biochemical abnormalities. It has been reported that more than 50% of human conception fail to implant and of those implanted, approximately 30% fail to reach term due to copper deficit. Lower plasma copper levels have been found in case of chronic intrauterine hypoxia and fetal hypotrophy, internal organ abnormalities [7,12]. Deficiency of zinc as an essential trace element with wide range of functions including the synthesis of enzymes leads to pregnancy wastage, congenital abnormalities, placental abruption, pregnancy induced hypertension, miscarriage and low birth weight [13,14]. Lower plasma zinc concentrations during the pregnancy is associated with preeclampsia, threatened abortion, premature birth syndrome, birth defects, circulatory disorders, the immune response impairments, and disorders of psychological development [15,16]. In this regard, it is relevant to study the effects of toxic and trace elements on pregnancy through the investigation of their content in women’s blood during uncomplicated and complicated gestation, with further elaboration of methodological algorithms for physiological monitoring of pregnancy for the timely implementation of preventive measures. The aim of this research was to evaluate lead, cadmium, copper and zinc content in women’s blood during III trimester of pregnancy and to assess the correlation between their levels and gestational complications.
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