中国全科医学 ›› 2019, Vol. 22 ›› Issue (3): 253-257.DOI: 10.12114/j.issn.1007-9572.2018.00.396

• 专题研究 • 上一篇    下一篇

妊娠期母体叶酸水平与母儿结局的研究进展

张婷,李光辉*   

  1. 100026北京市,首都医科大学附属北京妇产医院围产内分泌代谢科
    *通信作者:李光辉,主任医师,教授;E-mail:liguanghui2007@163.com
  • 出版日期:2019-01-20 发布日期:2019-01-20
  • 基金资助:
    基金项目:国家重点研发计划项目(2016YFC1000304)

Research Progress on Maternal Folic Acid Level and Pregnancy Outcomes 

ZHANG Ting,LI Guanghui*   

  1. Department of Perinatal Endocrinology and Metabolism,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China
    *Corresponding author:LI Guanghui,Chief physician,Professor;E-mail:liguanghui2007@163.com
  • Published:2019-01-20 Online:2019-01-20

摘要: 叶酸作为人体必需的B族水溶性维生素,在胚胎发育、人体生长、新陈代谢等过程中均发挥着重要作用。妊娠期母体叶酸的缺乏,可导致胎儿脊柱裂、脑脊膜膨出等神经管畸形,还会增加妊娠期高血压、早产、贫血等不良母儿结局风险,但叶酸补充过量同样可引发一些问题,如引发维生素B12缺乏的神经表现。本文主要就叶酸的生理作用、评价方法、对母儿结局的影响以及关于叶酸补充的相关推荐等进行阐述。

关键词: 妊娠, 叶酸, 妊娠结局

Abstract: Folic acid,as an essential B group water-soluble vitamin,plays an important role in embryo development,body growth and metabolism.Lack of folic acid in pregnant women can lead to neural tube malformations,such as spina bifida and encephalomeningocele,and adverse maternal outcomes,such as gestational hypertension,premature birth,and anemia in pregnant women and infants.Excessive folic acid supplementation can also cause problems,such as neurological manifestations of vitamin B12 deficiency.In this paper,the physiological role of folic acid,evaluation methods,effects on maternal and infant outcomes,and related recommendations on folic acid supplementation were discussed.

Key words: Pregnancy, Folic acid, Pregnancy outcome