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胃肠功能衰竭新生儿血清二胺氧化酶和D-乳酸的测定及意义

Serum diamine oxidase and D-lactate level in neonates with gastrointestinal failure and its clinical significance

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【作者】 陈少华邱芸芸周晓光钟富珍甘翠红刘运科

【Author】 CHEN Shao-hua~*,QIU Yun-yun,ZHOU Xiao-guang,et al.~*Tianhe Maternal and Child Health Hospital of Guangzhou City,Guangzhou 510620,China.

【机构】 广州市天河区妇幼保健院儿科广州医学院第二附属医院新生儿科广州市天河区妇幼保健院儿科 广东广州510620广东广州510620广东广州510260

【摘要】 目的探讨胃肠功能衰竭新生儿血清二胺氧化酶(DAO)和D-乳酸含量变化特点及其临床意义。方法19例胃肠功能衰竭新生儿为病例组,79例健康新生儿为对照组,测量两组新生儿血清DAO、D-乳酸含量。结果对照组血清DAO含量为(8.851±3.424)U/ml,血D-乳酸含量为(0.918±0.715)μg/ml。病例组血清DAO含量为(11.610±3.909)U/ml,D-乳酸含量为(1.859±0.972)μg/ml;病例组血清DAO、D-乳酸水平显著高于对照组(P<0.05,P<0.01)。不同疾病严重程度、不同胎龄、不同日龄患儿血清DAO、D-乳酸含量比较无显著性差异(P>0.05)。结论血清DAO和D-乳酸含量测定可作为新生儿胃肠功能衰竭早期诊断的敏感指标。

【Abstract】 Objective To investigate the levels of serum diamine oxidase(DAO) and D-lactate in neonates with gastrointestinal failure and its clinical significance.Methods Ninety-eight newborn infants were divided into two groups,nineteen neonates with gastrointestinal failure were observed as cases group and seventy-nine healthy newborn were as control,the levels of serum DAO and D-lactate in two groups were detected.Results The levels of serum DAO and D-lactate in cases group and control group were(11.610±3.909)?U/ml,(1.859±0.972)?μg/ml and(8.851±3.424)?U/ml,(0.918±0.715)?μg/ml respectively.The levels of serum DAO and D-lactate in cases group were significantly higher than those in control group.The levels of serum DAO and D-lactate in cases group were not increased in proportion with the severity of disease.There were no significant differences in the levels of serum DAO and D-lactate between premature infants and mature ones,and also between neonates younger than 3 days and older than 3 days.Conclusion Serum DAO and D-lactate may be early markers for gastrointestinal failure in neonates.

【基金】 广州市科技攻关研究项目(2001-J-016-01)
  • 【文献出处】 中国小儿急救医学 ,Chinese Pediatric Emergency Medicine , 编辑部邮箱 ,2006年05期
  • 【分类号】R722.1
  • 【被引频次】14
  • 【下载频次】279
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