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张会丰, 李根山, 刘兰芬, 张玉华, 乔立敏, 莫桂初, Martin J. Shearer, Julie Harvey. 孕妇口服维生素K1改善新生儿维生素K营养状况[J]. 中国公共卫生, 2001, 17(10): 867-868. DOI: 10.11847/zgggws2001-17-10-03
引用本文: 张会丰, 李根山, 刘兰芬, 张玉华, 乔立敏, 莫桂初, Martin J. Shearer, Julie Harvey. 孕妇口服维生素K1改善新生儿维生素K营养状况[J]. 中国公共卫生, 2001, 17(10): 867-868. DOI: 10.11847/zgggws2001-17-10-03
ZHANG Hui-feng, . Vitamin K Supplementation to Pregnant Women Improved Vitamin K Nutritional Status of their Newborns[J]. Chinese Journal of Public Health, 2001, 17(10): 867-868. DOI: 10.11847/zgggws2001-17-10-03
Citation: ZHANG Hui-feng, . Vitamin K Supplementation to Pregnant Women Improved Vitamin K Nutritional Status of their Newborns[J]. Chinese Journal of Public Health, 2001, 17(10): 867-868. DOI: 10.11847/zgggws2001-17-10-03

孕妇口服维生素K1改善新生儿维生素K营养状况

Vitamin K Supplementation to Pregnant Women Improved Vitamin K Nutritional Status of their Newborns

  • 摘要: 目的 探索早期预防维生素K缺乏性出血的有效途径.方法 通过孕妇口服维生素K1,观察能否改善其新生儿的维生素K营养状况.结果 对照组新生儿骨钙蛋白未羧化率高于维生素K组(66.66%±18.20%和13.41%±11.96%,P<0.001).对照组新生儿PIVKA-Ⅱ的阳性率为26.45%,而维生素K组PIVKA-Ⅱ阳性率降至0%(P<0.001).结论 让孕妇在分娩后期服用维生素K1可使其新生儿的维生素K营养状况得以改善,孕妇口服维生素K1是早期预防维生素K缺乏性出血的新途径.

     

    Abstract: Objective To discuss the effective ways to prevent vitamin K deficiency bleeding early.Methods By vitamin K supplementation of pregnant women,to observe whether the vitamin K status of their newborns can be improved.The pregnant women pregnant for 36-38 weeks were divided into two groups randomly:vitamin K group and control group.In the vitamin K group,the pregnant women orally take vitamin K1 tablets(5mg/day)till labor.Cord blood samples were assayed for total osteocalcin and undercarboxylated osteocalcin and PIVA K-Ⅱ.Basing on total osteocalcin and undercarboxylated osteocalcin,the undercarboxylated osteocalcin/total osteocalcin was calculated.Results Percentages of undercarboxylated osteocalcin in vitamin K group were lower than those of control one(13.41%±11.96% to 66.66%±18.20%,P<0.001).In the control group,the PIVKA-Ⅱ rate was 26.45%,whereas,in vitamin K group,the one drop to zero(P<0.001).Conclusion Vitamin K supplementation to the pregnant women can improve the vitamin K status of their newborns.It is an alternative method for prevention of vitamin K deficiency bleeding.

     

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