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新生儿缺氧缺血性脑病时生长抑素及甲状腺功能的改变

Changes of somatostatin and thyroidism in neonates with hypoxic-ischemic encephalopaphy

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【作者】 张士发茅双根周名雄杨军

【Author】 Zhang Shifa,Mao Shuanggen,Zhou Mingxiong,et al (Dept of Pediatrics, Yijishan Hospital, Wannan Medical College, Wuhu ,241001)

【机构】 皖南医学院附属弋矶山医院儿科皖南医学院附属弋矶山医院核医学科 241001241001241001

【摘要】 目的 探讨新生儿缺氧缺血性脑病(HIE)时血液中生长抑素(SS)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)、促甲状腺激素(TSH)变化的临床意义。方法 采用放射免疫法测定32例HIE患儿急性期及恢复期血清SS、T3、T4、TSH,并与28例正常足月新生儿脐血作对照。结果 HIE急性期SS浓度高于正常对照组(P<0.05),T3、T4均低于正常对照组(PT3<0.05、PT4<0.05),且与HIE的轻重程度相关,TSH与对照组比较无显著性差异。结论 检测SS及甲状腺功能对正确判断HIE的分度有一定价值。

【Abstract】 Objective To explore the dynamic changes of somatostatin(SS), triiodothyronine (T3), thyroxine (T4) and thyrotropic hormone in serum (TSH) in neonates with hypoxic-ishemic encephalopathy (HIE). Methods Serumlevels of SS,T3,T4 and TSH were measured in 32 neonates with HIE in acute and recovery stages by radioimmunassay and compared with 28 full-term infants. Results The serum level of SS in acute HIE infants was significantly higher than that in normal infants(P<0.05); T3 and T4 were significantly lower than that in normal infants (P<0.05) and were particularly related to the severity of HIE, while TSH in acute HIE infants was similar to that in normal infants (P>0.05). Conclusion To measure SS and thyroidism has value for the diagnosis of HIE.

  • 【文献出处】 皖南医学院学报 ,Acta Academiae Medicinae Wannan , 编辑部邮箱 ,2003年02期
  • 【分类号】R722.121
  • 【被引频次】2
  • 【下载频次】27
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