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《血清心肌酶检测在新生儿窒息诊断中的临床意义-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、现代检验医学杂志第29卷第2期2014年3月JModLabMed,Vo1.29,No.2,Mar.201473血清心肌酶检测在新生儿窒息诊断中的临床意义吕晓莉,苍金荣,王华,毛学源,杨娜,罗小峰,康华,任健康(陕西省人民医院a.检验科;b.新生儿科;c.临检中心,西安710068)摘要:目的探讨心肌酶检测在新生儿窒息诊断中的应用价值。方法选取陕西省人民医院收治的82例窒息新生儿为研究对象,根据Apgar评分将其分为Apgar4~7分为轻度组59例,Apgar<3分为重度组23例,抽取入院后12h内及治疗后第3天静脉血,并选取3O例同期住院无缺氧的新
2、生儿为对照组,采用日立717O用速率法检测血清天门冬氨酸氨基转移酶(AST)、肌酸激酶(CK)、肌酸激酶同工酶(CK—MB)、乳酸脱氢酶(LDH)和一羟酸脱氢酶(HBDH)。结果重度窒息组AST,CK,CK—MB,LDH和HBDH水平(170.1土32.3U/L,1264.5士207.2U/L,214.5土86.1U/L,918.5士239.5U/L和747.3士172.5U/L)高于轻度度窒息组(72.7±2O.9U/L,460.4士I64.1U/L,70.I±26.6U/L,402.7±107.5U/L和349.6士122.1U/L,t值=7.
3、81,15.87,9.95,11.59和10.07,P均<0.01)高于正常组(33.1±11.8U/L,2O1.1士44.8U/L,23.2±6.5U/L,181.2土34.9U/L和198.1±35.4U/L,t值=5.48,4.97,5.46,6.43和3.89,P均<0.01),治疗3天后心肌酶水平大幅回落,与治疗前比较差异有统计学意义(一1.73,P<0.05)。结论血清心肌酶水平能较及时地反映窒息新生儿缺氧性心肌损伤的程度,及早测定其水平变化,对判断病情,指导治疗有重要临床意义。关键词:新生儿窒息;缺氧缺血;心肌酶谱;心肌损伤中图分类号
4、:R722.12;R446.112文献标志码:A文章编号:1671-7414(2014)02-073—03doi:10.3969/J.issn.1671-7414.2014.O2.O22ClinicalSignificanceofSerumMyocardialCnzymeinNewbornswithAsphyxiaLUxiao~li,CANGJin—rong,WANG—Hua,MA0Xue-yuan,YANGNa,LUOXiao—feng,KANGHua,RENJian—kang,(a.DepartmentofClinicalLaboratory;
5、b.DepartmentofPediatrics;c.ClinicalLaboratoryCentre,ShaanxiProvincialPeople’sHospital,Xi’an710068,China)Abstract:ObjectiveToinvestigatethemyocardialenzymeintheclinicalvalueofneonatalasphyxia.MethodsThelevelofserummyocardialenzymeof82casesnewbornswithneonatalasphyxiaand30health
6、ynewbornsweredetectedwithinthefirst12hoursandthethirdday.Theneonatalwithasphyxiaweredividedintotwogroups,thesevereasphyxiagroup(59cases)andmildasphyxiagroup(23cases).ThemyocardialenzymesAST,CK,CK—MB,LDHandHBDHweremeasuredbyHITACHI7170biochemistryanalyzer.ResultsThelevelofAST,C
7、K,CK—MB,LDHandHBDHinseveregroupweresignificantlyhigher(170.1土32.3U/L,1264.5±207.2U/L,214.5_-4-86.1U/L,918.5士239.5U/Land747.3±172.5U/L)thanthemildgroup(72.7±20.9U/L,460.4±164.1U/L,70.1±26.6U/L,402.7±107.5U/Land349.6±122.1U/L,£一7.81,15.87,9.95,11.59and10.07;P8、roup(33.1±11.8U/L,201.1±44.8U/L,23.2土6.5U/L,181.2±34.9U/Land1
8、roup(33.1±11.8U/L,201.1±44.8U/L,23.2土6.5U/L,181.2±34.9U/Land1
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