摘要
背景:乙基葡糖苷酸(EtG)是乙醇的代谢物,用作饮酒的标志物,并在尿液中鉴定。妊娠饮酒会伤害胎儿,因此在怀孕期间披露任何形式的使用和滥用这种物质至关重要。已经计划了许多发现方法来克服这个问题,包括使用筛选问卷作为AUDIN AUDIT-C,T-ACE / TACER-3和TWEAK。 目的:本研究的目的和新颖性是将尿液EtG测定的生化数据(饮酒行为风险的临界100ng / mL)与我们医院常用的问卷和食物日记的结果进行比较;此外,我们首次分析了孕妇的EtG值,这些值是根据先前建立的方法排泄的肌酐量归一化的。 方法:随机采集309例孕妇的尿液样本,立即接受访谈。使用酶免疫测定法定量EtG,并使用酶比色法评估尿肌酐。没有详尽回答其中一份调查问卷或拒绝提供尿液样本的妇女被排除在外。最后,本研究考虑了309名女性。在激发研究中,进行尿肌酐测量以确定尿液稀释是否可能导致假阴性。为了实现这一目标,由于尿肌酐浓度平均约为1 mg / mL,我们使用100 ng EtG / mg肌酐的标准化值。 结果:我们的数据显示,研究中20.4%的孕妇超过既定的标准化临界值。在EtG数据之间发现差至零一致性(未加权k<0.2),筛选访谈显示,平均而言,酒精消费水平较低。 结论:这项研究提供了证据,证明对孕期母亲饮酒的评估,仅通过问卷和食物日记间接估计,可能会产生误导性结果。
关键词: 胎儿酒精谱系障碍,妊娠,乙醇,妇女,产前,智力迟钝。
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