Normotansif Ve Gebeliğer Bağlı Hipertansif Hastalıklı Gebelerin Sabah İlk İdrarında Kalsiyum Düzeylerinin Karşılaştırılması

Abstract

THE COMPARISON OF URINE CALCIUM LEVEL IN THE FIRST URINE SAMPLES IN THE MORNING BETWEEN NORMOTENSIVE AND PREGNANTS WITH PREGNANCY-INDUCED HYPERTENSION. ✓ In this study, we measured urine calcium levels in the first urine samples in the morning in 110 pregnant women: 32 with preeclampsia, 13 with eclampsia, 7 with gestational hypertension and 58 normotensive. It was found out that the mean calcium levels of the pregnants with preeclampsia, eclampsia and gestational hypertension were significantly lower than that of normotensive pregnants. There was not a significant difference between the mean calcium levels of the first three groups. When the mean calcium level of normotensive pregnants (16 mg/dl) was chosen as threshold value for the development of pregnancy induced hypertension (PIH), it was seen that the method was a sensitivity of 90.4%, specifity of 31%. It was concluded that calcium level in the first urine sample measured in the morning was not an efficient enough test for the diagnosis of PIH. Bu calismada 32 si preeklampsi, 13 u eklampsi, 7 si gestasyonel hipertansiyonlu ve 58 i normotansif gebe olmak uzere toplam 110 gebe kadinda, sabah ilk idrar orneginde kalsiyum duzeyi olculdu. Preeklampsi, eklampsi ve gestasyonel hipertansiyonlu gebelerin idrar kalsiyum duzeyi ortalamalari normotansif gebelerinkinden onemli derecede daha dusuk bulundu. Ilk uc grup olgunun kalsiyum duzeyi ortalamalari arasinda ise onemli bir farklilik yoktu. Normotansif gebelerin idrar kalsiyum duzeyi ortalamasi (16 mg/dl) gebelige bagli hipertansif hastalik (PIH) gelismesi yonunden esik deger olarak kabul edildiginde, PIH'i belirlemede bu degerin duyarliligi idrardaki kalsiyum duzeyinin basarili bir test olmadigi sonucuna varildi.