新生儿窒息血清心肌酶谱检测及临床分析

目的探讨血清心肌酶谱活性检测在新生儿窒息的临床意义,指导治疗及预防。方法对61例窒息新生儿和34例正常的新生儿分别测定AST、LDH、CK、CK-MB4种心肌酶,并进行统计学处理。结果窒息新生儿心肌酶异常,并与窒息程度成正比,经统计学处理差异有统计学意义。结论心肌酶活性检测可作为围产期窒息后心肌损害的早期灵敏、特异性的重要指标,尤其是CKMB,临床上具有协助早期诊断和治疗重要实用价值。

Measurement and clinical analysis of the serum levels of myocardial enzymes in neonates with asphyxia

Objective To explore the clinical significance of measurement of the serum levels of myocardial enzymes in neonates with asphyxi,provide guidance of clinical treatment.Methods Measure the levels of AST,LDH,CK and CK-MB in 61 neonates with asphyxia and 34 neonates without asphyxia respectively,and do statistical analysis.Results The levels of myocardial enzymes in neonates with asphyxia rose significantly,which was positively correlated with the degree of asphyxia,and the difference compared with the control group was significant.Conclusion The levels of myocardial enzymes may be used as one early,sensitive,specific important indicator in diagnosis of myocardial lesion of asphyxia infant,especially the level of CK-MB,has practical value in treatment of infantal asphyxia.