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目的 探讨血清瘦素和血脂与初乳期产妇少乳的关系。 方法 对 39例初产妇 ,其中纯母乳喂养组 (正常组 )2 1例和低比例母乳喂养组 (少乳组 ) 18例。分别于来乳第 1和第 4天测定血清瘦素和血脂水平进行分析。结果 少乳组产后来乳第 1和第 4天血清瘦素水平明显高于正常组 ,并以来乳的第 1天为甚 ;血清甘油三脂水平少乳组在来乳第 1至第 4天呈显著下降趋势 ,但胆固醇则无类似改变。结论 初乳期产妇血清高瘦素水平及其血清甘油三脂显著减少是产妇少乳的可能原因之一。
Objective To investigate the relationship between serum leptin and serum lipids and maternal lactation in the colostrum. Methods 39 cases of primipara, including only breastfeeding group (normal group) 21 cases and low proportion of breast-feeding group (breast milk group) 18 cases. Serum leptin and lipid levels were measured on day 1 and day 4, respectively, of breast milk for analysis. Results Serum leptin level was significantly higher in lactation group than that in normal group on the 1st and 4th day after lactation, especially on the first day since the first lactation. Serum triglyceride level was lower in the first lactation day to the fourth day Showed a significant downward trend, but no similar changes in cholesterol. Conclusion The serum level of leptin in serum and the significant decrease of serum triglyceride in the maternal phase are one of the possible reasons for maternal lactation.