基础医学与临床 ›› 2026, Vol. 46 ›› Issue (1): 120-123.doi: 10.16352/j.issn.1001-6325.2026.01.0120

• 临床研究 • 上一篇    下一篇

拉萨市不同孕期妇女血清25羟基维生素D水平的比较

尼玛顿珠1, 扎西央宗1, 边珍1, 益西措姆1, 支张卓玛1, 詹明君1, 巴桑央吉1, 秦绪珍2*   

  1. 1.西藏自治区人民医院 检验科,西藏 拉萨 850000;
    2.中国医学科学院 北京协和医学院 北京协和医院 检验科,北京 100730
  • 收稿日期:2024-12-26 修回日期:2025-03-25 出版日期:2026-01-05 发布日期:2025-12-29
  • 通讯作者: *qxz_01@163.com
  • 基金资助:
    西藏自治区人民医院院内科研项目(XZQYY2020034)

Comparison of serum 25-hydroxyvitamin D levels in women at different stages of pregnancy in Lhasa

Nimadunzhu1, Zhaxiyangzong1, Bianzhen1, Yixicuomu1, Zhizhangzhuoma1, ZHAN Mingjun1, Basangyangji1, QIN Xuzhen2*   

  1. 1. Department of Clinical Laboratory,the People's Hospital of Tibet Autonomous Region,Lhasa 850000;
    2. Clinical Laboratory,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730,China
  • Received:2024-12-26 Revised:2025-03-25 Online:2026-01-05 Published:2025-12-29
  • Contact: *qxz_01@163.com

摘要: 目的 了解西藏拉萨市不同孕期妇女血清25羟基维生素D[25-(OH)D]浓度水平,观察不同孕期妇女维生素D(VD)营养状态。方法 选取在2021年7月至2023年4月在西藏自治区人民医院产科门诊就诊的健康孕妇367例为研究对象,取同期209例未妊娠的育龄期体检妇女为正常对照组,采用雅培i2000化学发光仪检测血清25-(OH)D水平,用SPSS统计学软件进行统计分析。结果 367例孕期妇女血清25-(OH)D总体水平为11.5(8.5,17.3)ng/mL。VD充足、不足、缺乏分别占16.6%、30.0%、53.4%;209例健康对照组妇女血清25-(OH)D总体水平为9.9(7.7,13.6)ng/mL。VD充足、不足、缺乏分别占6.7%、27.8%、65.5%。9~13+6周、15~20+6周孕期妇女血清25-(OH)D水平比较差异无统计学意义。结论 拉萨市孕期和未妊娠育龄妇女普遍存在VD不足或缺乏现象,应在备孕及怀孕期间补充VD。

关键词: 孕妇, 25羟基维生素D, 维生素D

Abstract: Objective To investigate the serum 25-hydroxyvitamin D[25-(OH)D] concentration level of pregnant women in Lhasa, Tibet, and to observe the nutritional status of vitamin D(VD) in different pregnant women. Methods A total of 367 healthy pregnant women in obstetric outpatient clinic of Tibet Autonomous Region People's Hospital from July 2021 to April 2023 were selected as the study subjects, and 209 non-pregnant women of childbearing age who had undergone physical examination during the same period were selected as the normal control group, and the serum 25-(OH)D level was detected by Abbott chem.-iluminescence method, and the statistical analysis was carried out by SPSS statistical software. Results The overall serum level of 25-(OH)D in 367 pregnant women was 11.5(8.5, 17.3)ng/mL. VD adequacy, insufficiency, and deficiency accounted for 16.6%, 30.0%, and 53.4%, respectively. The overall serum level of 25-(OH)D in 209 healthy control women was 9.9(7.7, 13.6)ng/mL. VD adequacy, insufficiency, and deficiency accounted for 6.7%, 27.8%, and 65.5%, respectively. There was no significant difference in serum 25-(OH) D level between 9-13+6weeks and 15-20+6weeks pregnant women. Conclusions VD insufficiency or deficiency is not uncommon in pregnant women in Lhasa, and VD supplementation should be given during pregnancy preparation and pregnancy.

Key words: pregnant woman, 25-hydroxyvitamin D, vitamin D

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