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血清总胆汁酸对新生儿缺氧缺血性脑病肝损伤的临床意义
引用本文:迟玉芬,牟丽萍,郑梅,陈秀娟,卜秀丽,邢佑敏.血清总胆汁酸对新生儿缺氧缺血性脑病肝损伤的临床意义[J].中国实用医药,2011,6(16):35-36.
作者姓名:迟玉芬  牟丽萍  郑梅  陈秀娟  卜秀丽  邢佑敏
作者单位:1. 日照市人民医院儿科,276826
2. 日照市东港卫校
3. 滕州市中心人民医院
摘    要:目的探讨血清总胆汁酸(TBA)测定在新生儿缺氧缺血性脑病(HIE)患儿肝脏损伤中的临床意义。方法对120例足月HIE新生儿和30例足月健康新生儿的血清TBA进行测定并动态观察。结果 HIE患儿血清TBA水平明显升高,但轻度HIE患儿血清TBA与正常足月新生儿水平无明显差异(P>0.05),重度HIE患儿血清TBA水平明显高于正常新生儿(P<0.01),经过治疗后TBA水平均较前下降,且具有统计学意义(P<0.01),提示新生儿HIE常有肝脏损害,且随着缺氧严重程度逐渐加重。结论血清TBA测定可以早期、动态反应HIE患儿肝脏损伤情况,是新生儿肝实质损伤的早期诊断指标,对新生儿HIE的预后有一定的指导作用,值得在临床上借鉴、推广。

关 键 词:新生儿  缺氧缺血性脑病  总胆汁酸  肝脏

The clinical significance of serum total bile acids (TBA) in hypoxia ischemic encephalopathy (HIE) with liver damage of the newborn.
Institution:CHI Yu-fen, MU Ii-ping, ZHENG Mei, et al. Department of Paediactrics,The People’s Hospital of Rizhao city Rizhao 276826, China
Abstract:Objective To explore the clinical significance of serum total bile acids (TBA) in hypoxia ischemic encephalopathy (HIE) of the newborn. Methods The quantity of serum total bile acids were detected in 120 infants with HIE.Results There were no significant differences between the slightly HIE group and the normal group(P>0.05) while there were significant differences between the severe HIE group and the normal group(P<0.01).The TBA level greatly decreased after therapy among the HIE group(P<0.01).Conclusion T...
Keywords:Newborn  Hypoxia ischemic encephalopathy  Total bile acids  Liver  
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