[1]卫文峰,刘彩娥*,赵联营,等.妊娠期脐带异常对新生儿脐血神经元特异性 烯醇化酶的影响及临床意义[J].中国计划生育和妇产科,2016,(6):25-27.
 WEI Wen-feng,LIU Cai-e*,ZHAO Lian-ying,et al.The effect of gestational umbilical cord abnormality on neuron specific enolase of neonate cord blood and the clinical significance[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):25-27.
点击复制

妊娠期脐带异常对新生儿脐血神经元特异性 烯醇化酶的影响及临床意义
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年6期
页码:
25-27
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
The effect of gestational umbilical cord abnormality on neuron specific enolase of neonate cord blood and the clinical significance
作者:
卫文峰刘彩娥*赵联营张惠珍淡云白改利
咸阳市中心医院新生儿科
Author(s):
WEI Wen-feng LIU Cai-e* ZHAO Lian-ying ZHANG Hui-zhen DAN Yun BAI Gai-li
Department of Pediatrics, Xianyang Central Hospital, Xianyang Shaanxi 712000,P.R.China
关键词:
神经元特异性烯醇化酶妊娠期脐带异常疾病脑损伤新生儿
Keywords:
neuron specific enolaseumbilical cord complications brain hypoxia neonate
分类号:
R 714.56
摘要:
目的观察不同类型脐带异常新生儿脐血中神经元特异性烯醇化酶(Neuron Specific Enolase,NSE)水平变化,总结新生儿脑损伤诊治的相关因素。方法选择2013年5月至2014年12月在咸阳市中心医院产科分娩的妊娠期脐带异常新生儿80例为观察组,同期正常出生的新生儿50例为对照组,采用ELISA法检测新生儿脐血NSE水平并进行分析比较。结果观察组脐血NSE含量较对照组明显升高(P <005);脐带绕颈组中NSE值与绕颈周数呈正比(P<005);脐带打结组中真打结组NSE值高于假打结组(P<005);脐带扭转组中NSE值随扭转周数增多而增高(P<005)。结论脐带异常可引起脐血中NSE值升高,而脐血NSE水平升高与脑缺氧缺血损伤密切相关,脐血NSE可能做为预测新生儿宫内脑损伤的指标。
Abstract:
ObjectiveObserve the changes of neuron specific enolase (NSE) in neonate cord blood in cases with different types of abnormal umbilical cord, and summarize the related factors of diagnosis and treatment of neonatal brain injury. Methods80 neonates with gestational umbilical cord complications born in Xianyang Central Hospital from May 2013 to December 2014 were selected as study group, and 50 neonates with grossly normal umbilical cord were selected as control group. ELISA method was used to detect the level of NSE in serum of umbilical cord. ResultsThe level of NSE of study group was significantly higher than that of control group (P<005);the level of NSE of cord around neck subgroup was directly proportional to the circle numbers of cord around neck (P<005);the level of NSE of subgroup of real umbilical cord knots was higher than that of false knots subgroup(P<005);the level of NSE of subgroup of umbilical cords twists increased when twists circles increase(P<005). ConclusionUmbilical cord complications can cause the increase of NSE,and the level of NSE is closely correlated with brain hypoxia,so it could be a marker to indicate the intrauterine brain injury.

参考文献/References:

[1]MUKHTAROVA S N. Significance of neurospecific enolase determination in estimation of severity of hypoxic-ischemic injury of newborn brain [J]. Georgian Medical news, 2010, 181 (1): 49-54. [2]段涛,陈超.新生儿缺血缺氧性脑病(Ⅰ) [J].中华医学杂志, 2005, 85 (17): 1218. [3]ST L B, TEGNER Y, SOJKA P. Playing soccer in creases serumconcentrations of the bioche mical markers of brain damage S-100Band neuron-specific enolase in elite players:a pilot study [J]. Brain Injury, 2004, 18(9): 899-909. [4]VAJTR D, PRUSA R, KUKACKA J, et al. Evaluation of relevance in con-cussion and damage of health by monitoring of neuron specific eno-lase and S-100b protein [J]. Soudni Lekarstvi / Casopis Sekce Soudniho Lekarstvi Cs. Lekarske Spolecnosti J. Ev. Purkyne, 2007, 52 (3): 43-46. [5]黄萍,杨孜,张坤,等.重度子痫前期191例严重并发症的监测 [J].中国实用妇科与产科杂志, 2006, 11 (22): 828. [6]HERGENROEDER G W, REDELL J B, AN, et al. Biomarkers in theclinical diagnosis and mana-ement of traumatic brain injury [J]. Molecular Diagnosis & Therapy, 2008, 12 (6): 345-358. [7]GUZEL A, ER U, TATLI M, et al. Serum neuron-specific enolase as apredictor of short-term outcome and its correlation with GlasgowComa Scale in traumatic brain injury [J]. Neurosurgical Review, 2008, 31 (4): 439-445. [8]CHIARETTI A, BARONE G, RICCARDI R, et al. NGF, DCX, and NSE upregulation correlates with severity and outcome of head trauma in children [J]. Neurology, 2009, 72 (7): 609-616. [9]史军然,毕长柏.血清神经元特异性烯醇化酶及S1OOB蛋白水平在早期评价窒息新生儿脑损伤中的意义 [J].中国医药导报, 2010, 7 (1): 29-31.

相似文献/References:

[1]卫文峰,刘彩娥,赵联营,等.妊娠期脐带异常对新生儿脐血神经元特异性烯醇化酶的影响及临床意义[J].中国计划生育和妇产科,2016,(06):0.
 WEI Wen-feng,LIU Cai-e,ZHAO Lian-ying,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):0.

备注/Memo

备注/Memo:
咸阳市科技局计划项目(项目编号:2012K16-02-13)
更新日期/Last Update: 1900-01-01