CAJ | 학술논문

目的：探讨妊娠高血压综合征（妊高症）患者视网膜病变与血清钙、镁离子的关系。方法回顾性分析129例妊高症患者的资料，并随机抽取同期住院的130例正常妊娠的孕妇作为对照组，分析其视网膜病变与妊高症病情程度的关系；将妊高症患者按视网膜病变分组，分析各组血清钙、镁离子水平与视网膜病变程度的关系，并与对照组进行比较。结果妊高症患者视网膜病变发生率52．7％，且随着病程加重患病率越高；妊高症各组血清钙、镁离子水平均低于对照组（P＜0．05），随着视网膜病变加重，钙、镁离子水平降低越明显，各组间差别有统计学意义（P＜0．05）。结论血清钙、镁离子水平可反应妊高症患者病程及视网膜病变的严重程度。孕期定期检查眼底和检测血清钙、镁离子有助于妊高症眼底病变的诊断和病情评估。
목적：탐토임신고혈압종합정（임고증）환자시망막병변여혈청개、미리자적관계。방법회고성분석129례임고증환자적자료，병수궤추취동기주원적130례정상임신적잉부작위대조조，분석기시망막병변여임고증병정정도적관계；장임고증환자안시망막병변분조，분석각조혈청개、미리자수평여시망막병변정도적관계，병여대조조진행비교。결과임고증환자시망막병변발생솔52．7％，차수착병정가중환병솔월고；임고증각조혈청개、미리자수평균저우대조조（P＜0．05），수착시망막병변가중，개、미리자수평강저월명현，각조간차별유통계학의의（P＜0．05）。결론혈청개、미리자수평가반응임고증환자병정급시망막병변적엄중정도。잉기정기검사안저화검측혈청개、미리자유조우임고증안저병변적진단화병정평고。
Objective To investigate the relations between the retinopathy and serum calcium and magnesium levels in patients with pregnancy induced hypertension syndrome (PIHS) . Methods In this retrospective study ,medical charts for 129 patients with PIHS and 130 healthy pregnant women as the control group were analyzed . We examined the retina with direct ophthalmoscope ,measured the concen‐tration of Ca2+ and Mg2+ in the serum ,and then performed statistical analysis . Results More than half of PIHS patients were diagnosed with retinopathy (52 .7% ) ,the severity of PIHS and the prevalence of retinopathy were positively correlated . Serum Ca2+ and Mg2+ levels were decreased in PIHS patients than those in the control group (P<0 .05) . With the aggravation of retinopathy ,serum Ca2+ and Mg2+ levels decreased . Conclusion Serum Ca2+ and Mg2+ levels can be a new indicator for PIHS . Fundus examina‐tion regularly and detection of serum Ca2+ and Mg2+ levels during pregnancy can contribute to the diagno‐sis and severity evaluation of retinopathy in PIHS patients .